Exam 15: Mood Disorders: Depression

A patient with major depression was hospitalized for 8 days.Treatment included six electroconvulsive therapy sessions and aggressive dose adjustments of antidepressant medications.The patient owns a small business and was counseled not to make major decisions for a month.Select the correct rationale for this counseling.

A nurse worked with a patient with major depression who displayed severely withdrawn behavior and psychomotor retardation.After 3 weeks,the patient did not improve.The nurse is at risk for feelings of:

A patient with depression begins selective serotonin reuptake inhibitor (SSRI)antidepressant therapy,and priority information is given to the patient and family.This information should include a directive to:

A patient with depression does not interact with others except when addressed and then only in monosyllables.The nurse wants to show nonjudgmental acceptance and support for the patient.Select the nurse's most effective action.

A patient became severely depressed when the last of six children moved out of the home 4 months ago.The patient repeatedly says,"No one cares about me.I'm not worth anything." Which response by the nurse would be the most helpful?

A patient with major depression shows vegetative signs of depression.Which nursing actions should be implemented? Select all that apply.

A patient with depression is taking a tricyclic antidepressant.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 should:

A woman gave birth to a healthy newborn 1 month ago.The patient now reports she cannot cope and is unable to sleep or eat.She says,"I feel like a failure.I can't take care of my baby.This baby is the root of my problems." The priority nursing diagnosis is:

The admission note indicates a patient with depression has anergia and anhedonia.For which measures should the nurse plan? Select all that apply.

What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy treatment?

A nurse provided medication education for a patient who takes phenelzine (Nardil)for depression.Which behavior indicates effective learning? The patient:

A student nurse caring for a patient 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's employment is terminated and major depression results.The patient says to the nurse,"I'm not worth the time you spend with me.I'm the most useless person in the world." Which nursing diagnosis applies?

A nurse teaching a patient about a tyramine-restricted diet would approve which meal?

A patient with depression repeatedly tells staff members,"I have cancer.It's my punishment for being a bad person." Diagnostic tests reveal no cancer.Select the priority nursing diagnosis.

When counseling patients with major depression,an advanced practice nurse will address the negative thought patterns by using:

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

A patient became depressed after the last of six children moved out of the home 4 months ago.The patient has been self-neglectful,slept poorly,lost weight,and repeatedly says,"No one cares about me anymore.I'm not worth anything." Select an appropriate initial outcome for the nursing diagnosis Situational low self-esteem,related to feelings of abandonment.The patient will:

An adult with depression was treated with medication and cognitive behavioral therapy.The patient now recognizes how passivity contributed to the depression.Which intervention should the nurse suggest?

A patient with major depression will begin electroconvulsive therapy tomorrow.Which interventions are routinely implemented before the treatment? Select all that apply.