Exam 18: Emotional Responses and Mood Disorders

While talking with a nurse,a patient remarks,"My father's been dead for months.I think Mom needs to get on with her life." The most appropriate response by the nurse is:

Which findings indicate that the goal of returning to appropriate emotional responsiveness has been attained by a patient with mania?

A patient displaying symptoms of mania has spent the entire morning pacing in the dayroom and now has begun verbally intimidating other patients.The nurse manages the milieu by:

A patient paces continuously while repeatedly mumbling,"I'm worthless.It's all hopeless." Which nursing measure would be most helpful in establishing a relationship with this patient?

A patient shares,"My mood is really low,and even though I get plenty of sleep,I'm tired all the time.It seems like it happens every fall and winter." This patient is most likely experiencing:

During discharge planning,a patient whose manic symptoms are remitting asks,"Do I have to take lithium even though I'm not high any longer?" The most appropriate response is:

The nurse can expect to find which assessment findings in a patient who is hypomanic?

A patient with depression recently lost 8 pounds.After only a few bites the patient refuses to eat more,saying,"I'm full.All that food makes me sick just to look at it." The most effective way for the nurse to help increase the patient's dietary intake would be to:

A patient hospitalized 3 weeks ago with major depressive disorder presented with suicidal ideations but no suicide plan.Sertraline (Zoloft) was prescribed,and the patient now reports that the feelings of depression have somewhat lessened.The guiding factor the nurse considers when planning care is that there is:

A patient was widowed 8 months ago.The patient has never cried and speaks of the spouse as if they were still together.The prominent defense mechanism exhibited by the patient is:

When a nurse shares that "caring for the manic client is less stressful than caring for a depressed one since they aren't at risk for injury," the nurse manager responds:

The critical element a nurse must consider when completing a behavioral assessment of a patient with a mood disturbance is:

A patient is extremely hyperactive,distractible,and rarely sleeps.The patient eats little,resulting in a loss of 6 pounds since admission 3 days ago.Which measure is a priority when developing a plan for the patient's care?

A person was arrested for writing thousands of dollars of worthless checks.After acting out sexually in court,the patient explained in rapid-fire speech to the judge,"I'm going to expand my outlook,shape-up,sail away,and be a bird in paradise." These behaviors are consistent with a diagnosis of:

Based on current sociocultural risk factors for mental illness,a nurse assesses that which patient is at highest risk for depression?

A patient with severe depression and suicidal ideation has not improved after trials with selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants.Which treatment option can a nurse expect the health care provider will now consider?

A patient diagnosed with severe depression exhibits psychomotor retardation and a sense of worthlessness manifested in poor personal hygiene.The patient refuses to shower,stating,"I can't." The nurse should:

Which coping mechanism should a nurse expect to see a patient initially use to mourn the death of a spouse?

A patient's husband is distraught over his wife's behavior since their child died in a car accident 1 month ago.He says,"She still cries herself to sleep each night.Help my wife control herself." The nurse's most therapeutic response would be:

A patient being treated for severe depression shows resistance to involvement in the nurse-patient relationship by being withdrawn and unresponsive.There is also preoccupation with guilt and hopelessness.When interacting with the patient,which response would have the greatest therapeutic impact?