Long Quiz 4: Mood Disorders

Total points44/50
A patient with depressive disorder appears lethargic and apathetic but agrees to
participate in a leisure activity group. Which of the following actions by the nurse is
most likely to help the client be successful in this group? *
2/2
A) Allowing the client to direct her participation at her own pace
B) Giving the client several choices of projects so she can choose her favorite
C) Staying away from the client during the session to encourage free expression
D) Structuring the activity to facilitate completion of one specific task
 
 
The nurse is teaching a 65-year-old man about his depression. Which of the following
statements by the client would indicate that teaching has been effective? *
2/2
A) “All old people get depressed at times.”
B) “I'm glad I'll feel better in 2 or 3 days.”
C) “I never knew depression could just happen for no specific reason.”
 
D) “When I reduce the stress in my life, the depression will go away.”

 
Risk factors of MDD decreases with age in women; increases with age in men; highest
in single, divorced people *
2/2
True
 
False

 
Suicide is the intentional act of killing oneself. Which characteristic is most common
among suicidal clients? *
2/2
A) Ambivalence
 
B) Psychosis
C) Remorse
D) Anger

 
A client who just went through an upsetting divorce is threatening to commit suicide
with a handgun. The client is involuntarily admitted to the psychiatric unit. Which of the
following nursing diagnoses has the highest priority? *
2/2
A) Hopelessness related to recent divorce
B) Ineffective coping related to inadequate stress management
C) Spiritual distress related to conflicting thoughts about suicide and sin
D) Risk for suicide related to highly lethal plan
 
 
The nurse observes a client sitting alone at a table, looking sad and preoccupied. The
nurse sits down and says, “I saw you sitting alone and thought I might keep you
company.” The client turns away from the nurse. Which of the following is the most
therapeutic response by the nurse?
2/2
Move to another chair closer to the client and say, “The staff is here to help you.”
Move to a chair a little further away and say, “We can just sit together quietly.”
 
Remain in place and say, “How are you feeling today?”
Say, “I'll visit with you a little later,” and leave the client alone for a while.

 
A lithium level of 1.2 mEq/L is within therapeutic range. *
2/2
True
 
False

 
Administration of lithium affects which of the following electrolytes? *
2/2
A) Chloride
B) Magnesium
C) Sodium
 
D) Potassium

 
Depressed individuals who are newly taking antidepressant medication are at an
increased risk for suicide. *
2/2
True
 
False

 
Which disorder is characterized by at least 2 years of depressed mood for more days
than not with some additional, less severe symptoms that do not meet the criteria for a
major depressive episode? *
2/2
A) Dysthymic disorder
 
B) Cyclothymic disorder
C) Seasonal affective disorder
D) Hypomania

 
When dealing with a client who is suicidal, the nurse needs to assume a dependent
role. *
0/2
True
 
False

Correct answer
False

 
A client has entered the manic phase of bipolar disorder. To maintain the client's
nutrition, which of the following should be offered? *
2/2
A) Finger foods
 
B) Foods of the client's choosing
C) Large, nutritious meals
D) Fluids only

 
The client with mania attempts to hit the nurse. Which of the following is the best
response by the nurse *
2/2
A) “Do not swing at me again. If you cannot control yourself, we will help you.”
 
B) “If you do that one more time, you will be put in seclusion immediately.”
C) “Stop that. I didn't do anything to provoke an attack.”
D) “Why do you continue that kind of behavior? You know I won't let you do it.”

 
Antidepressant medications can be discontinued quickly by the client. *
2/2
True
False
 
 
Depression refers to the loss of any sense of pleasure from activities that a person
formerly enjoyed. *
2/2
True
False
 
Other:

 
During the endorsement, the incoming nurse learns that a client with mania has not
slept since admission 36 hours passed . On entering the day room, the nurse finds
this client dancing to loud music. The best response by the nurse would be *
0/2
A) “Do you think you could sit still for a few minutes so we can talk?”
 
B) “How are you ever going to get any rest if you keep that music on?”
C) “Let's go to the conference room and talk for a while.”
D) “Turn the radio down so we can hear ourselves talk.”

Correct answer
C) “Let's go to the conference room and talk for a while.”

 
Affect can be defined as the positive or negative feelings that are in the background of
our everyday experiences
2/2
True
False
 
 
A patient often called by his other residents as Mr. Hyper X is in manic episode
demonstrating hypersexual behavior such as blowing kisses to clients, holding his
sexual organ and trying to remove his clothes. Which of the following interventions is
indicated at this time? *
2/2
A) Accompany the client to his room to get dressed.
 
B) Put the client in seclusion for his own protection.
C) Tell other clients to ignore the behavior because it is harmless.
D) Tell the client that the behaviors have to stop right now.

 
Which type of antidepressants is rarely fatal in overdose? *
2/2
A) SSRIs
 
B) MAOIs
C) Tricyclics
D) Atypical

 
At 2 o'clock in the morning, the client with mania rushes to the nurses' station and
demands that the psychiatrist come to the unit now to write an order for a pass to go
home. Which response by the nurse would be the most therapeutic? *
2/2
A) “Go to the day room and wait while I call your psychiatrist.”
B) “Don't be unreasonable. I can't call the psychiatrist at this time of night.”
C) “I can't call the psychiatrist now, but you and I can talk about your request for a pass.”
 
D) “You must really be upset to want a pass immediately; I'll give you a PRN medication.”

 
The mental health nurse knows that limit setting is most appropriate in which patient
population? *
2/2
A) Anxious
B) Manic
 
C) Depressed
D) Suicidal

 
Mood is the visible and audible manifestations of the person's emotional response to
external and internal events *
2/2
True
False
 
 
A client diagnosed with depression is being treated with Phenelzine (Nardil). The
nurse should teach the client to avoid which of the following foods? *
2/2
A) Aged cheese
 
B) Oranges
C) Chicken
D) Rice

 
Clients taking MAOIs and who eat foods containing tyramine (eg. cheese and wine)
risk experiencing hypertensive crisis, which is a potentially fatal reaction. *
2/2
True
 
False

 
The incidence of Major Depressive Disorder (MDD) of men: women is 2:1 *
0/2
True
 
False
Correct answer
False