Answer Choices:
a. Substance abuse disorders
b. Depression
c. Eating disorders
d. Personality disorders
e. Schizophrenia
Answer:
A, B, C, D
Question: The admission note indicates a patient diagnosed with major depressive disorder has displayed symptomology of both anergia and anhedonia. For which measures should the nurse plan? (Select all that apply.)
Answer Choices:
a. Channeling excessive energy
b. Reducing guilty ruminations
c. Instilling a sense of hopefulness
d. Assisting with self-care activities
e. Accommodating psychomotor retardation
Answer:
C, D, E
Question: A patient diagnosed with bipolar disorder has rapid cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed?
Answer Choices:
a. Phenytoin
b. Clonidine
c. Carbamazepine
d. Chlorpromazine
Answer:
C
Question: A patient diagnosed with bipolar disorder has been hospitalized for 7 days and has taken lithium 600 mg three times daily. Staff members observe increased agitation, pressured speech, poor personal hygiene, hyperactivity, and bizarre clothing. What is the nurse’s best intervention?
Answer Choices:
a. Educate the patient about the proper ways to perform personal hygiene and coordinate clothing.
b. Continue to monitor and document the patient’s speech patterns and motor activity.
c. Ask the health care provider to prescribe an increased dose and frequency of lithium.
d. Consider the need to check the lithium level. The patient may not be swallowing medications.
Answer:
D
Question: A patient states, “I’m not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up.” Which nursing intervention should have the highest priority?
Answer Choices:
a. Self-esteem–building activities
b. Anxiety self-control measures
c. Sleep enhancement activities
d. Suicide prevention
Answer:
d. Suicide prevention
Question: A student nurse caring for a patient diagnosed with major depressive disorder reads in the patient’s medical record, “This patient shows vegetative signs of depression.” Which nursing diagnoses most clearly relate to the vegetative signs? (Select all that apply.)
Answer Choices:
a. Imbalanced nutrition: less than body requirements
b. Chronic low self-esteem
c. Sexual dysfunction
d. Self-care deficit
e. Powerlessness
f. Insomnia
Answer:
A, C, D, F
Question: After hospital discharge, what is the priority intervention for a patient diagnosed with bipolar disorder who is taking antimanic medication?
Answer Choices:
a. Decreasing physical activity
b. Increasing food and fluids
c. Meeting self-care needs
d. Psychoeducation
Answer:
D
Question: A community psychiatric nurse assesses that a patient diagnosed with a mood disorder is more depressed than on the previous visit a month ago; however, the patient says, “I feel the same.” Which intervention supports the nurse’s assessment while preserving the patient’s autonomy?
Answer Choices:
a. Arrange for a short hospitalization.
b. Schedule weekly clinic appointments.
c. Refer the patient to the crisis intervention clinic.
d. Call the family and ask them to observe the patient closely.
Answer:
b. Schedule weekly clinic appointments.
Question: The admission note indicates a patient diagnosed with major depressive disorder has displayed symptomology of both anergia and anhedonia. For which measures should the nurse plan? (Select all that apply.)
Answer Choices:
a. Channeling excessive energy
b. Reducing guilty ruminations
c. Instilling a sense of hopefulness
d. Assisting with self-care activities
e. Accommodating psychomotor retardation
Answer:
C, D, E
Question: A student nurse caring for a patient diagnosed with major depressive disorder reads in the patient’s medical record, “This patient shows vegetative signs of depression.” Which nursing diagnoses most clearly relate to the vegetative signs? (Select all that apply.)
Answer Choices:
a. Imbalanced nutrition: less than body requirements
b. Chronic low self-esteem
c. Sexual dysfunction
d. Self-care deficit
e. Powerlessness
f. Insomnia
Answer:
A, C, D, F