Exam 25: Depressive Disorders

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An isolative client was admitted 4 days ago with a diagnosis of major depressive disorder.Which nursing statement would best motivate this client to attend a therapeutic group being held in the milieu?

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B

A client diagnosed with major depressive disorder states,"I've been feeling 'down' for 3 months.Will I ever feel like myself again?" Which reply by the nurse will best assess this client's affective symptoms?

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D

A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI)for a client.Which foods should the nurse teach the client to avoid?

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A

A nurse reviews the laboratory data of a 29-year-old client suspected of having major depressive disorder.Which laboratory value would potentially rule out this diagnosis?

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A client is diagnosed with persistent depressive (dysthymia)disorder.Which should a nurse classify as an affective symptom of this disorder?

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A client is prescribed phenelzine (Nardil).Which of the following client statements should indicate to a nurse that discharge teaching about this medication has been successful? Select all that apply.

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A newly admitted client is diagnosed with major depressive disorder with suicidal ideations.Which would be the priority nursing intervention for this client?

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A depressed client reports to a nurse a history of divorce,job loss,family estrangement,and cocaine abuse.According to learning theory,what is the cause of this client's symptoms?

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A nurse is implementing a one-on-one suicide observation level with a client diagnosed with major depressive disorder.The client states,"I'm feeling a lot better,so you can stop watching me.I have taken up too much of your time already." Which is the best nursing reply?

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A confused client has recently been prescribed sertraline (Zoloft).The client's spouse is taking paroxetine (Paxil).The client presents with restlessness,tachycardia,diaphoresis,and tremors.What complication does a nurse suspect,and what could be its possible cause?

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A nurse admits an older client who is experiencing memory loss,confused thinking,and apathy.A psychiatrist suspects depression.What is the rationale for performing a mini-mental status exam?

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A client is diagnosed with major depressive disorder.Which nursing diagnosis should a nurse assign to this client to address a behavioral symptom of this disorder?

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A client who has been taking buspirone (BuSpar)as prescribed for 2 days is close to discharge.Which statement indicates to the nurse that the client has an understanding of important discharge teaching?

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A client is admitted with a diagnosis of persistent depressive disorder.Which client statement would describe a symptom consistent with this diagnosis?

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What is the priority reason for a nurse to perform a full physical health assessment on a client admitted with a diagnosis of major depressive disorder?

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A 75-year-old client with a long history of depression is currently on doxepin (Sinequan),100 mg daily.The client takes a daily diuretic for hypertension and is recovering from the flu.Which nursing diagnosis should the nurse assign highest priority?

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A client admitted to the psychiatric unit following a suicide attempt is diagnosed with major depressive disorder.Which behavioral symptoms should the nurse expect to assess?

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A nurse is caring for four clients taking various medications,including imipramine (Tofranil),doxepine (Sinequan),ziprasidone (Geodon),and tranylcypromine (Parnate).The nurse orders a special diet for the client receiving which medication?

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What client information does a nurse need to assess prior to initiating medication therapy with phenelzine (Nardil)?

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The nurse is providing counseling to clients diagnosed with major depressive disorder.The nurse chooses to help the clients alter their mood by learning how to change the way they think.The nurse is functioning under which theoretical framework?

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