Question 1

When a patient begins fluoxetine (Prozac),what information should be included in the plan for patient education?

Accepted Answer

A)  The onset of action is 2 to 6 weeks. 
B)  Foods containing tyramine should be restricted. 
C)  Intake of salt and salty foods should be restricted. 
D)  The patient should be alert for symptoms of hypomania. 
A)  The onset of action is 2 to 6 weeks. 
B)  Foods containing tyramine should be restricted. 
C)  Intake of salt and salty foods should be restricted. 
D)  The patient should be alert for symptoms of hypomania.

Question 2

The initial response of a steelworker who was fired from a job was disbelief.At home the steelworker told family members about the firing but retreated to the bedroom,saying,"I'm too choked up to talk about it right now." These behaviors are characteristic of:

Accepted Answer

A)  disbelief. 
B)  depression. 
C)  normal grief reaction. 
D)  delayed grief reaction. 
A)  disbelief. 
B)  depression. 
C)  normal grief reaction. 
D)  delayed grief reaction.

Question 3

Select the most appropriate goal for a patient with depression.The patient will be:

Accepted Answer

A)  experiencing less severe signs of being depressed. 
B)  physically recovered and able to take on new responsibilities. 
C)  emotionally responsive and functioning at the pre-illness level. 
D)  able to tolerate high levels of stress and exceeding pre-illness hardiness. 
A)  experiencing less severe signs of being depressed. 
B)  physically recovered and able to take on new responsibilities. 
C)  emotionally responsive and functioning at the pre-illness level. 
D)  able to tolerate high levels of stress and exceeding pre-illness hardiness.

Question 4

According to the Stuart Stress Adaptation Model,which person can be assessed as being the closest to the maladaptive responses end of the continuum of emotional responses?

Accepted Answer

A)  A patient whose child died of sudden infant death syndrome (SIDS) 2 weeks ago, who states, "I can't believe I'll never hold my baby in my arms again." 
B)  A patient whose spouse died 2 years ago, who states, "Strong people don't mourn. I've kept busy and focused on supporting the kids." 
C)  A patient whose spouse died 6 months ago, who states, "I hate the fact that my spouse died and left me alone after all the years we shared." 
D)  A patient whose fiancée died 6 weeks ago, who tells the nurse, "My life will never be the same. I find myself crying every day when I think of my fiancée." 
A)  A patient whose child died of sudden infant death syndrome (SIDS) 2 weeks ago, who states, "I can't believe I'll never hold my baby in my arms again." 
B)  A patient whose spouse died 2 years ago, who states, "Strong people don't mourn. I've kept busy and focused on supporting the kids." 
C)  A patient whose spouse died 6 months ago, who states, "I hate the fact that my spouse died and left me alone after all the years we shared." 
D)  A patient whose fiancée died 6 weeks ago, who tells the nurse, "My life will never be the same. I find myself crying every day when I think of my fiancée."

Question 5

A patient hospitalized for depression demonstrates dysfunctional thinking as evidenced by persistent pessimism and predictions of disastrous outcomes.A nurse using cognitive therapy will focus on:

Accepted Answer

A)  uncovering unconscious conflicts that affect the "here and now" behavior. 
B)  finding an area of mutual understanding to serve as a basis for therapy. 
C)  patient recognition and replacement of automatic negative evaluations. 
D)  analyzing and enhancing relationships with significant others. 
A)  uncovering unconscious conflicts that affect the "here and now" behavior. 
B)  finding an area of mutual understanding to serve as a basis for therapy. 
C)  patient recognition and replacement of automatic negative evaluations. 
D)  analyzing and enhancing relationships with significant others.

Question 6

A patient with mania is displaying elation,hyperactivity,grandiosity,verbosity,disturbed sleep pattern,and poor judgment.The plan of care should take into consideration the need to:

Accepted Answer

A)  maintain physiological equilibrium. 
B)  provide a permissive, unstructured environment. 
C)  show good humor when interacting with the patient. 
D)  provide large amounts of appropriate sensory stimulation. 
A)  maintain physiological equilibrium. 
B)  provide a permissive, unstructured environment. 
C)  show good humor when interacting with the patient. 
D)  provide large amounts of appropriate sensory stimulation.

Question 7

The emergency department calls to say a patient experiencing symptoms of mania is being admitted.Which room placement should a nurse choose for the patient?

Accepted Answer

A)  A single room near the unit entrance 
B)  A single room near the nurse's station 
C)  A double room shared with a patient with depression 
D)  A double room shared with a patient with schizophrenia 
A)  A single room near the unit entrance 
B)  A single room near the nurse's station 
C)  A double room shared with a patient with depression 
D)  A double room shared with a patient with schizophrenia

Exam 18: Emotional Responses and Mood Disorders

When a patient begins fluoxetine (Prozac),what information should be included in the plan for patient education?

The initial response of a steelworker who was fired from a job was disbelief.At home the steelworker told family members about the firing but retreated to the bedroom,saying,"I'm too choked up to talk about it right now." These behaviors are characteristic of:

Select the most appropriate goal for a patient with depression.The patient will be:

According to the Stuart Stress Adaptation Model,which person can be assessed as being the closest to the maladaptive responses end of the continuum of emotional responses?

A patient hospitalized for depression demonstrates dysfunctional thinking as evidenced by persistent pessimism and predictions of disastrous outcomes.A nurse using cognitive therapy will focus on:

A patient with mania is displaying elation,hyperactivity,grandiosity,verbosity,disturbed sleep pattern,and poor judgment.The plan of care should take into consideration the need to:

The emergency department calls to say a patient experiencing symptoms of mania is being admitted.Which room placement should a nurse choose for the patient?

Roles and Functions of Psychiatric-Mental Health Nurses: Competent Caring

Therapeutic Nurse-Patient Relationship

The Stuart Stress Adaptation Model of Psychiatric Nursing Care

Evidence-Based Psychiatric Nursing Practice

Biological Context of Psychiatric Nursing Care

Psychological Context of Psychiatric Nursing Care

Social, Cultural, and Spiritual Context of Psychiatric Nursing Care

Legal and Ethical Context of Psychiatric Nursing Care

Policy and Advocacy in Mental Health Care

Families as Resources, Caregivers, and Collaborators

Implementing the Nursing Process: Standards of Practice and Professional Performance

Prevention and Mental Health Promotion

Crisis Intervention

Recovery and Psychiatric Rehabilitation

Anxiety Responses and Anxiety Disorders

Psychophysiological Responses and Somatoform and Sleep Disorders

Self-Concept Responses and Dissociative Disorders

Self-Protective Responses and Suicidal Behavior

Neurobiological Responses and Schizophrenia and Psychotic Disorders

Social Responses and Personality Disorders

Cognitive Responses and Organic Mental Disorders

Chemically Mediated Responses and Substance-Related Disorders

Eating Regulation Responses and Eating Disorders

Sexual Responses and Sexual Disorders

Psychopharmacology

Behavior Change and Cognitive Interventions

Preventing and Managing Aggressive Behavior

Somatic Therapies

Complementary and Alternative Therapies

Therapeutic Groups

Family Interventions

Hospital-Based Psychiatric Nursing Care

Community-Based Psychiatric Nursing Care

Child Psychiatric Nursing

Adolescent Psychiatric Nursing

Geropsychiatric Nursing

Care of Survivors of Abuse and Violence

The Military and Their Families

Psychological Care of Patients with Life-Threatening Illness

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