Answer Choices:
a. Confer with the health care provider regarding use of seclusion for this patient.
b. Hold a staff meeting to discuss consistency and limit setting approaches.
c. Conduct a meeting with all patients to discuss the behavior.
d. Explain to the patient that the behavior is unacceptable.
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: A patient diagnosed with bipolar disorder is being treated on an outpatient basis with lithium carbonate 300 mg three times daily and has now reported being nauseated. To reduce the nausea, what will the nurse suggest the lithium be taken with?
Answer Choices:
a. Food
b. An antacid
c. A large glass of juice
d. An antiemetic medication
Answer:
A
Question: A student nurse prepares to administer oral medication to a patient diagnosed with major depressive disorder. What should the student nurse do when the patient refuses the medication?
Answer Choices:
a. Share with the patient, “I’ll get an unsatisfactory grade if I don’t give you the medication.”
b. Tell the patient, “Refusing your medication is not permitted. You are required to take it.”
c. Attempt to discuss the patient’s concerns about the medication, and report to the staff nurse.
d. Document the patient’s refusal of the medication without further comment.
Answer:
c. Attempt to discuss the patient’s concerns about the medication, and report to the staff nurse.
Question: A patient diagnosed with bipolar disorder is hyperactive and manic after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?
Answer Choices:
a. “Stop that! No one did anything to provoke an attack by you.”
b. “If you do that one more time, you will be secluded immediately.”
c. “Do not hit anyone. If you are unable to control yourself, we will help you.”
d. “You know we will not let you hit anyone. Why do you continue this behavior?”
Answer:
C
Question: A patient diagnosed with major depressive disorder 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 approach to communication.
Answer Choices:
a. Make observations on neutral topics.
b. Ask the patient direct questions.
c. Phrase questions to require “yes” or “no” answers.
d. Frequently reassure the patient to reduce guilt feelings.
Answer:
A
Question: 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?
Answer Choices:
a. “Things will look brighter soon. Everyone feels down once in a while.”
b. “The staff here cares about you and wants to try to help you get better.”
c. “It is difficult for others to care about you when you repeatedly say negative things about yourself.”
d. “I’ll sit with you for 10 minutes now and return for 10 minutes at lunchtime and again at 2:30 this afternoon.”
Answer:
D
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: Which statement shows a nurse has empathy for a patient who made a suicide attempt? a. “You must have been very upset when you tried to hurt yourself.” b. “It makes me sad to see you going through such a difficult experience.” c. “If you tell me what is troubling you, I can help you solve your problems.” d. “Suicide is a drastic solution to a problem that may not be such a serious matter.”
Answer Choices:
a. “You must have been very upset when you tried to hurt yourself.”
b. “It makes me sad to see you going through such a difficult experience.”
c. “If you tell me what is troubling you, I can help you solve your problems.”
d. “Suicide is a drastic solution to a problem that may not be such a serious matter.”
Answer:
B
Question: A patient experiencing acute mania waves a newspaper and says, “I must have 10 credit card and use them now.” The nurse is showing a shopping intervention order for shoes. What is the nurse’s most appropriate initial action?
Answer Choices:
a. Having the patient sit to assist a friend to order the shoes.
b. Asking staff to check the catalog, and not buying the shoes today.
c. Telling the patient that computer use is not allowed until self-control improves.
d. Asking whether the patient has enough money to pay for the purchases.
Answer:
B
Question: A patient diagnosed with major depressive disorder 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.
Answer Choices:
a. Powerlessness
b. Risk for suicide
c. Stress overload
d. Spiritual distress
Answer:
A
Question: A person is directing traffic on a busy street while shouting and making obscene gestures at passing cars. The person has not slept or eaten for 3 days. What features of mania are evident?
Answer Choices:
a. Increased muscle tension and anxiety
b. Vegetative signs and poor grooming
c. Poor judgment and hyperactivity
d. Cognitive deficit and sad mood
Answer:
C
Question: A patient diagnosed with major depressive disorder 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.
Answer Choices:
a. Temporary memory impairments and confusion can be associated with electroconvulsive therapy.
b. Antidepressant medications alter catecholamine levels, which impair decision-making abilities.
c. Antidepressant medications may cause confusion related to a limitation of tyramine in the diet.
d. The patient needs time to reorient himself or herself to a pressured work schedule.
Answer:
A
Question: The spouse of a patient diagnosed with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders. What response supported by research should the nurse provide?
Answer Choices:
a. “A high proportion of patients diagnosed with bipolar disorders are found among creative writers.”
b. “A higher rate of relatives diagnosed with bipolar disorder is found among patients with bipolar disorder.”
c. “Patients diagnosed with bipolar disorder have higher rates of relatives who respond in an exaggerated way to daily stresses.”
d. “More individuals diagnosed with bipolar disorder come from high socioeconomic status.”
Answer:
B
Question: While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient’s chin lowers to the chest while the patient looks at the floor. Which aspect of communication has the nurse assessed? a. Nonverbal communication b. A message filter c. A cultural barrier d. Social skills
Answer Choices:
a. Nonverbal communication
b. A message filter
c. A cultural barrier
d. Social skills
Answer:
A