Answer Choices:
a. Imbalanced nutrition: Less than body requirements
b. Chronic low self-esteem
c. Risk for suicide
d. Hopelessness
Answer:
c. Risk for suicide
Question: A patient diagnosed with major stress disorder (PTSD) and a comorbid major depressive disorder (MDD) is more likely to have an increased incidence of PTSD than the general population. This soldier is most likely to be at higher risk for which problem? a. Major depressive disorder b. Bipolar disorder c. Schizophrenia d. Dementia
Answer Choices:
a. Major depressive disorder
b. Bipolar disorder
c. Schizophrenia
d. Dementia
Answer:
A
Question: The nursing diagnosis applies to a patient experiencing mania: hyperactive and manic even at rest, refuses rest, related to insufficient caloric intake and hyperpyrexia, evidenced by 5-pound weight loss in 4 days. What is the most appropriate nursing diagnosis?
Answer Choices:
a. Denial
b. Asking staff for high-calorie food
c. Consistently sitting with others for at least 30 minutes at mealtime within 1 week
d. Wearing appropriate attire for age and gender within 1 week while in the psychiatric unit
Answer:
B
Question: A new psychiatric nurse is providing care to a parent diagnosed with bipolar disorder. This nurse angrily recalls embarrassing events concerning the parent’s behavior in the community. Select the best ways for this nurse to cope with these feelings. (Select all that apply.) a. Seeking ways to use the understanding gained from childhood to help patients cope with their own illnesses b. Recognizing that these feelings are unhealthy and try to suppress them when working with patients c. Recognizing that psychiatric nursing is not an appropriate career choice and explore other nursing specialties d. Beginning new patient relationships by saying, “My own parent had mental illness, so I accept it without stigma” e. Recognizing that the feelings may add sensitivity to the nurse’s practice, but supervision is important
Answer Choices:
a. Seeking ways to use the understanding gained from childhood to help patients cope with their own illnesses
b. Recognizing that these feelings are unhealthy and try to suppress them when working with patients
c. Recognizing that psychiatric nursing is not an appropriate career choice and explore other nursing specialties
d. Beginning new patient relationships by saying, “My own parent had mental illness, so I accept it without stigma”
e. Recognizing that the feelings may add sensitivity to the nurse’s practice, but supervision is important
Answer:
A, E
Question: A patient diagnosed with major depressive disorder will undergo electroconvulsive therapy (ECT). Which preoperative interventions should the nurse implement? (Select all that apply.)
Answer Choices:
a. Administer pretreatment medication 30 to 45 minutes before anesthesia.
b. Withhold food and fluids for a minimum of 6 hours before treatment.
c. Remove dentures, glasses, contact lenses, and hearing aids.
d. Restrain the patient in bed with padded limb restraints.
e. Assist the patient to prepare an advance directive.
Answer:
A, B, C
Question: What is a priority nursing intervention for a patient diagnosed with major depressive disorder?
Answer Choices:
a. Distracting the patient from self-absorption
b. Carefully and inconspicuously observing the patient around the clock
c. Allowing the patient to spend long periods alone in self-reflection
d. Offering opportunities for the patient to assume a leadership role in the therapeutic milieu
Answer:
B
Question: A patient being treated with paroxetine 50 mg/day orally for major depressive disorder reports to the clinic nurse, “I took a few extra tablets earlier in the day and now I feel bad.” Which aspects of the nursing assessment are most critical? (Select all that apply.)
Answer Choices:
a. Vital signs
b. Urinary frequency
c. Increased suicidal ideation
d. Presence of abdominal pain and diarrhea
e. Hyperactivity or feelings of restlessness
Answer:
A, D, E
Question: A patient is hospitalized with major depressive disorder. A nurse can expect to likely provide the patient with education about which medication?
Answer Choices:
a. Haloperidol
b. Fluoxetine
c. Clozapine
d. Tacrine
Answer:
B. Fluoxetine
Question: A patient diagnosed with major depressive disorder tells the nurse, “Bad things that happen are always my fault.” To assist the patient in reframing this overgeneralization, how should the nurse respond?
Answer Choices:
a. “I really doubt that one person can be blamed for all the bad things that happen.”
b. “Let’s look at one bad thing that happened to see if another explanation exists.”
c. “You are being exceptionally hard on yourself when you say those things.”
d. “How does your belief in fate relate to your cultural heritage?”
Answer:
B
Question: A nurse worked with a patient diagnosed with major depressive disorder who was severely withdrawn and dependent on others. After 3 weeks, the patient did not improve. The nurse is at risk for what emotional response?
Answer Choices:
a. Overinvolvement
b. Guilt and despair
c. Disinterest and apathy
d. Ineffectiveness and frustration
Answer:
D
Question: An adult diagnosed with major depressive disorder was treated with medication and cognitive behavioral therapy. The patient now recognizes how passivity contributed to the depression. Which intervention should the nurse suggest?
Answer Choices:
a. Social skills training
b. Relaxation training classes
c. Use of complementary therapies
d. Learning desensitization techniques
Answer:
A
Question: A disheveled patient with severe depression and psychomotor retardation has not bathed for several days. What action should the nurse take?
Answer Choices:
a. Avoid forcing the issue.
b. Bringing up the issue at the community meeting.
c. Calmly telling the patient, “You must bathe daily.”
d. Firmly and neutrally assisting the patient with showering.
Answer:
D
Question: During a psychiatric assessment, the nurse observes a patient’s facial expressions that are without emotion. The patient says, “Life feels so hopeless to me. I’ve been feeling sad for several months.” How should the nurse document the patient’s affect and mood?
Answer Choices:
a. Affect depressed; mood flat
b. Affect flat; mood depressed
c. Affect labile; mood euphoric
d. Affect and mood are incongruent
Answer:
B
Question: Which beverage should the nurse offer to a patient diagnosed with major depressive disorder who refuses solid food?
Answer Choices:
a. Tomato juice
b. Orange juice
c. Hot tea
d. Milk
Answer:
D
Question: Which belief by a nurse supports the highest degree of patient advocacy during a multidisciplinary patient care planning session?
Answer Choices:
a. All mental illnesses are culturally determined.
b. Schizophrenia and bipolar disorder are cross-cultural disorders.
c. Symptoms of mental disorders are constant from culture to culture.
d. Some symptoms of mental disorders may reflect a person’s cultural patterns.
Answer:
D. Some symptoms of mental disorders may reflect a person’s cultural patterns.