Exam 13: Depressive Disorders

An experienced nurse is providing mentorship to a novice who is working with a depressed patient.Which of the following responses or feelings should the mentor anticipate in the novice? Select all that apply.

A woman became severely depressed when the last of her six children moved out of the home 4 months ago.She has withdrawn from others,neglected to care for herself,lost weight,and repeatedly states,"No one cares about me anymore." Before the onset of symptoms she had been gregarious,a meticulous housekeeper,was neatly groomed,and often participated in community activities.Upon admission to the mental health unit,the patient repeatedly tells nursing staff,"No one cares about me.I'm worthless." Which response by the nurse would be most therapeutic?

A 26-year-old woman who gave birth to a normal newborn 1 month ago reports she cannot cope with being a mom.She is unable to sleep,eats little,and says she feels like a failure because she can't take care of her baby.She has been thinking her baby is "the devil's work" and the cause of her problems.She sits and stares into space,her face a worried,perplexed mask.What would be the priority nursing diagnosis for this patient?

A patient who became severely depressed after losing her job tells the nurse that she is not worth the time the nurse spends with her.The patient often mentions that she is "the worst person in the world." On the basis of this data,which nursing diagnosis is most appropriate?

A depressed patient who is scheduled to receive electroconvulsive therapy this morning asks the nurse,"How is this treatment supposed to help me?" The best reply would be: "Electroconvulsive therapy seems to ____________."

Which nursing progress note would most suggest that the treatment plan of a severely depressed and withdrawn patient has been effective?

A depressed patient repeatedly tells staff that he's evil and that his "insides are rotting" because God is punishing him.What would the priority nursing diagnosis for this patient be?

A patient is being treated with phenelzine (Nardil)for depression.Which indicator(s)would be useful to monitor the outcome Patient will understand the potential side effects of monoamine oxidase inhibitor (MAOI)antidepressants? Select all that apply.

A depressed patient tells the nurse,"The bad things that happen are always my fault." How should the nurse respond to assist the patient to reframe this overgeneralization?

A depressed patient is to have his first electroconvulsive therapy (ECT)session tomorrow morning.Which intervention would routinely be implemented in preparing the patient for treatment?

A patient who has been taking fluoxetine (Prozac)60 mg daily for the past 6 months tells the nurse at the medication follow-up clinic that he is considering stopping the Prozac.He states his mood is fine,and now that he is living normally,his wife is concerned that he has no sex drive.Which response would be best?

A depressed patient is receiving imipramine (Tofranil)300 mg daily.Which side effect requires seeking medical attention?

The spouse of a man being treated with sertraline (Zoloft)calls to report that he had a grand mal seizure.Prior to the seizure,he had seemed confused and his forehead felt hot.The man does not have a seizure-disorder history.Which action should the nurse direct the spouse to take?

A nurse teaching a patient about a tyramine-restricted diet would approve a meal consisting of:

The priority nursing focus for the period immediately after electroconvulsive therapy treatment should be on:

A depressed patient is being seen in the clinic and started a selective serotonin reuptake inhibitor (SSRI)last week.She tells the nurse that she has some pills that she previously took for depression and that they are called MAOIs.She tells the nurse she thinks she should start taking them right now instead of her current medication,which isn't seeming to help her.The most important information the nurse should convey is:

Information given to a depressed patient and family when the patient begins selective serotonin reuptake inhibitor (SSRI)antidepressant therapy should include the directive to:

A patient with a history of heart failure is being assessed by the admitting nurse.Which of the following inquiries by the nurse reflects the research on the connection between heart disease and mental health?

A patient asks if exercise would help her depression.Which response best describes the relationship of exercise and depression? Select all that apply.

A patient became severely depressed when the last of her six children moved out of the home 4 months ago.Since then she has neglected to care for herself,sleeps poorly,lost weight,and repeatedly states,"No one cares about me anymore.I'm not worth anything." Upon admission to the unit,the nursing diagnosis Situational low self-esteem related to feelings of abandonment was established.Which would be an appropriate intermediate outcome for this diagnosis? Patient will: