Answer Choices:
A. “Let’s discuss the reasons for each other what you have said and feeling.”
B. “I understand why you’re so depressed. When I got divorced, I was devastated too.”
C. “You should forget about your marriage and move on with your life.”
D. “How did you get so depressed that hospitalization was necessary?”
Answer:
A. “Let’s discuss the reasons for each other what you have said and feeling.”
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: 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: A patient diagnosed with major depressive disorder shows vegetative signs of depression. Which nursing actions should be implemented? (Select all that apply.)
Answer Choices:
a. Offer laxatives, if needed.
b. Monitor food and fluid intake.
c. Provide a quiet sleep environment.
Answer:
A, B, C
Question: A nurse cares for an older adult patient admitted for treatment of depression. The health care provider prescribes an antidepressant medication, but the dose is more than the usual adult dose. The nurse is obligated to take what action?
Answer Choices:
a. Implement the order as written but document the concern.
b. Hold the medication and then notify the health care provider.
c. Consult a drug reference if a pharmacist is not available.
d. Give the usual geriatric dosage at the scheduled times.
Answer:
b. Hold the medication and then notify the health care provider.
Question: What is the focus of priority nursing care for the period immediately after a patient has an electroconvulsive therapy (ECT) treatment?
Answer Choices:
a. Supporting physiological stability
b. Reducing disorientation and confusion
c. Monitoring pupillary responses
d. Assisting the patient to plan for the future
Answer:
A
Question: A patient develops mania after discontinuing lithium. New prescriptions are written to resume lithium twice daily and begin olanzapine. This is the expected reaction to the addition of olanzapine to the medication regimen?
Answer Choices:
a. Minimize the side effects of lithium.
b. Bring hyperactivity under rapid control.
c. Enhance the antimanic actions of lithium.
d. Provide long-term control of hyperactivity.
Answer:
B
Question: A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a suicide attempt. Members of the team report their assessments. What outcome can be expected from this meeting?
Answer Choices:
a. A treatment plan will be formulated.
b. The health care provider will order neuroimaging studies.
c. The team will request a court-appointed advocate for the patient.
d. Assessment of the patient’s need for placement outside the home will be undertaken.
Answer:
a. A treatment plan will be formulated.
Question: A patient diagnosed with bipolar disorder is being treated as an outpatient during a hypomanic episode. Which suggestions should the nurse provide to the family to assist in managing these behaviors? (Select all that apply.)
Answer Choices:
a. Provide structure.
b. Limit credit card access.
c. Encourage group social interaction.
d. Limit work to half days.
e. Monitor the patient’s sleep patterns.
Answer:
A, B, E
Question: Several factors contribute to the development of bipolar disorder. Which one is not currently considered a major factor?
Answer Choices:
a. Brain structural changes
b. Genetic predisposition
c. Excess norepinephrine is probably a major factor.
d. Excess sensitivity in dopamine receptors may exist.
Answer:
A
Question: When counseling patients diagnosed with major depressive disorder, how will an advanced practice nurse likely address the negative thought patterns?
Answer Choices:
a. Psychoanalytic therapy
b. Desensitization therapy
c. Cognitive behavioral therapy
d. Alternative and complementary therapies
Answer:
C