Question 1

How long after a patient stops a monoamine oxidase inhibitor does he or she need to maintain the dietary restrictions followed when taking this medication?

Accepted Answer

A)  Can resume normal diet immediately 
B)  48 hours after the last dose 
C)  1 week after the last dose 
D)  2 weeks after the last dose 
A)  Can resume normal diet immediately 
B)  48 hours after the last dose 
C)  1 week after the last dose 
D)  2 weeks after the last dose

Question 2

A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate from this patient?

Accepted Answer

A)  Arms crossed 
B)  Staring at the nurse 
C)  Smiling inappropriately 
D)  Eyes pointed downward 
A)  Arms crossed 
B)  Staring at the nurse 
C)  Smiling inappropriately 
D)  Eyes pointed downward

Question 3

A student nurse caring for a patient diagnosed with depression reads in the patient's medical record, "This patient shows vegetative signs of depression." Which nursing diagnoses most clearly relate to the vegetative signs? Select all that apply.

Accepted Answer

A)  Imbalanced nutrition: less than body requirements 
B)  Chronic low self-esteem 
C)  Sexual dysfunction 
D)  Self-care deficit 
E)  Powerlessness
F) Insomnia 
A)  Imbalanced nutrition: less than body requirements 
B)  Chronic low self-esteem 
C)  Sexual dysfunction 
D)  Self-care deficit 
E)  Powerlessness
F) Insomnia

Question 4

A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago. Today the patient says, "I don't think I can keep taking these pills. They make me so dizzy, especially when I stand up." The nurse will do which of the following?

Accepted Answer

A)  Limit the patient's activities to those that can be performed in a sitting position 
B)  Withhold the drug, force oral fluids, and notify the health care provider 
C)  Teach the patient strategies to manage postural hypotension 
D)  Update the patient's mental status examination 
A)  Limit the patient's activities to those that can be performed in a sitting position 
B)  Withhold the drug, force oral fluids, and notify the health care provider 
C)  Teach the patient strategies to manage postural hypotension 
D)  Update the patient's mental status examination

Question 5

Which falls within the parameters of the normal course of treatment of depression with ECT?

Accepted Answer

A)  Daily for 7 days 
B)  Three times per week for 10 weeks 
C)  Once a week for 8 weeks 
D)  Twice a week for 4 weeks 
A)  Daily for 7 days 
B)  Three times per week for 10 weeks 
C)  Once a week for 8 weeks 
D)  Twice a week for 4 weeks

Question 6

A patient became depressed after the last of the family's six children moved out of the home 4 months ago. Select the best initial outcome for the nursing diagnosis Situational low self-esteem related to feelings of abandonment.

Accepted Answer

A)  The patient will verbalize realistic positive characteristics about self by (date). 
B)  The patient will agree to take an antidepressant medication regularly by (date). 
C)  The patient will initiate social interaction with another person daily by (date). 
D)  The patient will identify two personal behaviours that alienate others by (date). 
A)  The patient will verbalize realistic positive characteristics about self by (date). 
B)  The patient will agree to take an antidepressant medication regularly by (date). 
C)  The patient will initiate social interaction with another person daily by (date). 
D)  The patient will identify two personal behaviours that alienate others by (date).

Question 7

A nurse taught a patient about a tyramine-restricted diet. Which menu selection would the nurse approve?

Accepted Answer

A)  Macaroni and cheese, hot dogs, banana bread, caffeinated coffee 
B)  Mashed potatoes, ground beef patty, corn, green beans, apple pie 
C)  Avocado salad, ham, creamed potatoes, asparagus, chocolate cake 
D)  Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls 
A)  Macaroni and cheese, hot dogs, banana bread, caffeinated coffee 
B)  Mashed potatoes, ground beef patty, corn, green beans, apple pie 
C)  Avocado salad, ham, creamed potatoes, asparagus, chocolate cake 
D)  Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls

Question 8

A patient diagnosed with major depression takes a monoamine oxidase inhibitor and refuses solid foods. In order to meet nutritional needs, which beverage will the nurse offer to this patient?

Accepted Answer

A)  Imported beer 
B)  Protein dietary supplement beverage 
C)  Hot tea 
D)  Milk 
A)  Imported beer 
B)  Protein dietary supplement beverage 
C)  Hot tea 
D)  Milk

Question 9

A patient diagnosed with depression is receiving amitriptylin (Elavil) 50 mg qhs. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?

Accepted Answer

A)  Dry mouth 
B)  Blurred vision 
C)  Nasal congestion 
D)  Urinary retention 
A)  Dry mouth 
B)  Blurred vision 
C)  Nasal congestion 
D)  Urinary retention

Question 10

During a psychiatric assessment, the nurse observes a patient's facial expression is without emotion. The patient says, "Life feels so hopeless to me. I've been feeling sad for several months." How will the nurse document the patient's affect and mood?

Accepted Answer

A)  Affect depressed; mood flat 
B)  Affect flat; mood depressed 
C)  Affect labile; mood euphoric 
D)  Affect and mood incongruent 
A)  Affect depressed; mood flat 
B)  Affect flat; mood depressed 
C)  Affect labile; mood euphoric 
D)  Affect and mood incongruent

Question 11

A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve. The nurse is most at risk for which of the following?

Accepted Answer

A)  Feelings of guilt and despair 
B)  Feelings of over-involvement 
C)  Feelings of interest and pleasure 
D)  Feelings of ineffectiveness and frustration 
A)  Feelings of guilt and despair 
B)  Feelings of over-involvement 
C)  Feelings of interest and pleasure 
D)  Feelings of ineffectiveness and frustration

Question 12

A disheveled patient with severe depression and psychomotor retardation has not showered for several days. What will the nurse do?

Accepted Answer

A)  Bring up the issue at the community meeting. 
B)  Calmly tell the patient, "You must bathe daily." 
C)  Avoid forcing the issue in order to minimize stress. 
D)  Firmly and neutrally assist the patient with showering. 
A)  Bring up the issue at the community meeting. 
B)  Calmly tell the patient, "You must bathe daily." 
C)  Avoid forcing the issue in order to minimize stress. 
D)  Firmly and neutrally assist the patient with showering.

Question 13

When counselling patients diagnosed with major depression, an advanced practice nurse will address the negative thought patterns by using which of the following?

Accepted Answer

A)  Psychoanalytic therapy 
B)  Desensitization therapy 
C)  Cognitive-behavioural therapy 
D)  Alternative and complementary therapies 
A)  Psychoanalytic therapy 
B)  Desensitization therapy 
C)  Cognitive-behavioural therapy 
D)  Alternative and complementary therapies

Exam 14: Depressive Disorders

How long after a patient stops a monoamine oxidase inhibitor does he or she need to maintain the dietary restrictions followed when taking this medication?

A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate from this patient?

A student nurse caring for a patient diagnosed with depression reads in the patient's medical record, "This patient shows vegetative signs of depression." Which nursing diagnoses most clearly relate to the vegetative signs? Select all that apply.

A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago. Today the patient says, "I don't think I can keep taking these pills. They make me so dizzy, especially when I stand up." The nurse will do which of the following?

Which falls within the parameters of the normal course of treatment of depression with ECT?

A patient became depressed after the last of the family's six children moved out of the home 4 months ago. Select the best initial outcome for the nursing diagnosis Situational low self-esteem related to feelings of abandonment.

A nurse taught a patient about a tyramine-restricted diet. Which menu selection would the nurse approve?

A patient diagnosed with major depression takes a monoamine oxidase inhibitor and refuses solid foods. In order to meet nutritional needs, which beverage will the nurse offer to this patient?

A patient diagnosed with depression is receiving amitriptylin (Elavil) 50 mg qhs. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?

During a psychiatric assessment, the nurse observes a patient's facial expression is without emotion. The patient says, "Life feels so hopeless to me. I've been feeling sad for several months." How will the nurse document the patient's affect and mood?

A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve. The nurse is most at risk for which of the following?

A disheveled patient with severe depression and psychomotor retardation has not showered for several days. What will the nurse do?

When counselling patients diagnosed with major depression, an advanced practice nurse will address the negative thought patterns by using which of the following?

Mental Health and Mental Illness

Historical Overview of Psychiatric Mental Health Nursing

Relevant Theories and Therapies for Nursing Practice

Psychotropic Drugs

Psychiatric Mental Health Nursing in Acute Care Settings

Psychiatric Mental Health Nursing in Community Settings

Cultural Implications for Psychiatric Mental Health Nursing

Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Therapeutic Relationships

Communication and the Clinical Interview

Understanding Responses to Stress

Anxiety, Obsessive-Compulsive, and Related Disorders

Bipolar Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Eating Disorders

Cognitive Disorders

Substance Use and Addictive Disorders

Personality Disorders

Sleep–Wake Disorders

Sexual Dysfunction, Gender Dysphoria, and Paraphilias

Somatic Symptom Disorders and Dissociative Disorders

Crisis and Disaster

Suicide

Anger, Aggression, and Violence

Interpersonal Violence: Child, Older Adult, and Intimate Partner Abuse

Sexual Assault

Disorders of Children and Adolescents

Psychosocial Needs of the Older Adult

Living With Recurrent and Persistent Mental Illness

Psychological Needs of Patients With Medical Conditions

Care for the Dying and for Those Who Grieve

Forensic Psychiatric Nursing

Therapeutic Groups

Family Interventions

Integrative Care

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