Medical, Pharmaceutical & Health Sciences
NursingNursing PracticeConcepts for Nursing PracticePractice Set 8
NursingNursing PracticeConcepts for Nursing PracticePractice Set 8Mood And Affect
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Question 1
Free
Multiple Choice
A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI) antidepressant. After taking the new medication, the patient states, "This medication isn't working. I don't feel any different." What is the best response by the nurse?
Choose correct answer/s
"I will call your care provider. Perhaps you need a different medication."
"Don't worry. You can try taking it at a different time of day to help it work better."
"It usually takes a few weeks for you to notice improvement from this medication."
"Your life is much better now. You will feel better soon."
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Question 2
Free
Multiple Choice
A patient who has been diagnosed with depression is scheduled for cognitive therapy in addition to receiving prescribed antidepressant medication. The nurse understands that the goal of cognitive therapy will be met when what is reported by the patient?
Choose correct answer/s
"I will tell myself that I am a good person when things don't go well at work."
"My medications will make my problems go away."
"My family will help take care of my children while I am in the hospital."
"This therapy will improve my response to neurotransmitter impulses."
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Question 3
Free
Multiple Choice
A patient has been resistant to treatment with antidepressant therapy. The care provider prescribes a monoamine oxidase inhibitor (MAOI) medication. What teaching is critical for the nurse to give the patient?
Choose correct answer/s
Serum blood levels must be regularly monitored to assess for toxicity.
To prevent side effects, the medication should be administered as an intramuscular injection.
Eating foods such as blue cheese or red wine will cause side effects.
This medication class may only be used safely for a few days at a time.
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Question 4
Free
Multiple Choice
A patient with a diagnosis of depression and suicidal ideation was started on an antidepressant 1 month ago. When the patient comes to the community health clinic for a follow-up appointment he is cheerful and talkative. What priority assessment must the nurse consider for this patient?
Choose correct answer/s
The medication dose needs to be decreased.
Treatment is successful, and medication can be stopped.
The patient is ready to return to work.
Specific assessment for suicide plan must be evaluated.
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Question 5
Free
Multiple Choice
A patient who is taking prescribed lithium carbonate is exhibiting signs of diarrhea, blurred vision, frequent urination, and an unsteady gait. Which serum lithium level would the nurse expect for this patient?
Choose correct answer/s
0 to 0.5 mEq/L
0.6 to 0.9 mEq/L
1.0 to 1.4 mEq/L
1.5 or higher mEq/L
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Question 6
Multiple Choice
A patient newly diagnosed with depression states, "I have had other people in my family say that they have depression. Is this an inherited problem?" What is the nurse's best response?
Choose correct answer/s
"There are a lot of mood disorders that are caused by many different causes. Inheriting these disorders is not likely."
"Current research is focusing on fluid and electrolyte disorders as a cause for mood disorders."
"All of your family members raised in the same area have probably learned to respond to problems in the same way."
"Members of the same family may have the same biological predisposition to experiencing mood disorders."
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Question 7
Multiple Choice
As a nurse in the emergency department, you are caring for a patient who is exhibiting signs of depression. What is a priority nursing intervention you should perform for this patient?
Choose correct answer/s
Assess for depression and ask directly about suicide thoughts.
Ask the care provider to prescribe blood lab work to assess for depression.
Focus on the presenting problems and refer the patient for a mental health evaluation.
Interview the patient's family to identify their concerns about the patient's behaviors.
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Question 8
Multiple Choice
An older adult has experienced severe depression for many years and is unable to tolerate most antidepressant medications due to adverse effects of the medications. He is scheduled for electroconvulsive therapy (ECT) as a treatment for his depression. What teaching should the nurse give the patient regarding this treatment?
Choose correct answer/s
There are no special preparations needed before this treatment.
Common side effects include headache and short-term memory loss.
One treatment will be needed to cure the depression.
This treatment will leave you unconscious for several hours.
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Question 9
Multiple Choice
A nurse is developing a plan of care for a patient admitted with a diagnosis of bipolar disorder, manic phase. Which nursing diagnoses address priority needs for the patient? (Select all that apply.)
Choose correct answer/s
Risk for caregiver strain
Impaired verbal communication
Risk for injury
Imbalanced nutrition, less than body requirements
Ineffective coping
Sleep deprivation
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