Question 1

The nurse is providing care to an older adult patient who is experiencing atypical manifestations of depression. Which clinical manifestations is the patient experiencing? Select all that apply.

Accepted Answer

The answer of The nurse is providing care to an...

Question 2

The nurse is providing care to a patient who is diagnosed with dementia. Which are possible causes for this diagnosis? Select all that apply.

Accepted Answer

The answer of The nurse is providing care to a...

Question 3

The nurse is assessing a patient who presents with depression. Which medication found during the health history assessment could be the cause for this depression?

Accepted Answer

Oral contraceptives have been associated with mood changes, including depression, in some women. This is thought to be due to hormonal fluctuations caused by these medications.

Question 4

The nurse is assessing a patient diagnosed with anxiety. Which gastrointestinal (GI) manifestation is often associated with this diagnosis?

Accepted Answer

The answer of The nurse is assessing a patient diagnosed...

Question 5

The nurse is assessing a patient who is diagnosed with depression. Which clinical manifestation will the nurse assess for when providing care to this patient?

Accepted Answer

Fatigue is a common symptom of depression, often due to the mental and emotional strain associated with the condition.

Question 6

Which classification of medication prescribed to a patient would require the nurse to assess for tardive dyskinesia?

Accepted Answer

Tardive dyskinesia is a side effect associated with long-term use of antipsychotic medications. It is characterized by repetitive, involuntary movements, such as grimacing, tongue movements, lip smacking, and blinking.

Question 7

The nurse, working in a senior center, performs risk assessments for suicide. Which factors would increase a patient's risk for suicide in the older adult? Select all that apply.

Accepted Answer

Older adults who live alone, are widowed, abuse drugs and/or alcohol, and have limited financial resources are at an increased risk for suicide.

Question 8

The nurse is providing care to a patient who is prescribed tricyclic antidepressants for the treatment of depression. Which side effect will the nurse monitor this patient for?

Accepted Answer

Tricyclic antidepressants can lead to various side effects, including cardiovascular effects such as arrhythmias, due to their anticholinergic properties and effects on cardiac conduction.

Question 9

Which assessment finding would indicate that a patient is experiencing neuroleptic malignant syndrome (NMS)?

Accepted Answer

Neuroleptic Malignant Syndrome (NMS) is characterized by severe muscle rigidity, fever, autonomic instability (such as diaphoresis), and altered mental status. Diaphoresis is a common symptom associated with the autonomic instability seen in NMS.

Question 10

The school nurse is told that a student at the school died over the weekend after playing the choking game. Which signs and symptoms would alert you that a child was playing the choking game and may require intervention? Select all that apply.

Accepted Answer

The choking game involves self-strangulation or strangulation by another person to achieve a brief euphoric state caused by cerebral hypoxia. Signs that a child may be participating in this dangerous activity include complaints of dizziness and headaches (due to intermittent cerebral hypoxia), red eyes (from broken blood vessels), and marks on the neck (from the mechanism of strangulation). Dilated pupils are not specifically associated with the choking game; they can occur in various conditions and substance use.

Question 11

The nurse is conducting a review of systems for a patient with a history of a mood disorder. Which are biographical questions the nurse will include in this process? Select all that apply.

Accepted Answer

Biographical questions typically include demographic and personal history information such as age, education level, cultural background, and marital status. These questions help provide context for the patient's health and lifestyle.

Question 12

The nurse is conducting a health history for a patient who is exhibiting symptoms of anxiety. Which medication notes during the history could be the cause for this symptom?

Accepted Answer

Pseudoephedrine, a common decongestant found in many over-the-counter cold and allergy medications, can cause symptoms of anxiety due to its stimulant effects on the nervous system.

Question 13

The nurse is assessing a patient prescribed lithium for side effects associated with this medication. Which question is most appropriate?

Accepted Answer

Lithium can cause tremors as a common side effect, making it important for healthcare providers to monitor for this symptom in patients taking the medication.

Question 14

You are working in a prenatal clinic, performing risk assessment for postpartum depression. Which factors would increase a patient's risk for postpartum depression? Select all that apply.

Accepted Answer

Low self-esteem, unwanted pregnancy, having a partner who is depressed, and a history of mood disorders are all factors that can increase the risk of postpartum depression. Multiple pregnancies are not directly linked to an increased risk of postpartum depression.

Question 15

Which psychoactive agent may be the cause for depression?

Accepted Answer

Opioids can cause depression as a side effect of their use. They can alter mood, decrease the production of neurotransmitters associated with happiness and well-being, and lead to depressive symptoms over time.

Question 16

The nurse is providing care to a patient recently diagnosed with depression. The patient is also diagnosed with epilepsy. Which antidepressant would the nurse question if prescribed by the healthcare provider?

Accepted Answer

The answer of The nurse is providing care to a...

Question 17

The nurse is using the Geriatric Depression Scale (GPS) to assess an older adult patient for depression. Which questions will the nurse ask the patient during the assessment process? Select all that apply.

Accepted Answer

The Geriatric Depression Scale (GDS) is specifically designed to screen for depression in older adults and includes questions aimed at assessing the individual's mood and outlook. Questions such as "How often do you get bored?" (A), "Do you feel full of energy?" (D), and "Do you often feel helpless?" (E) are directly related to the individual's feelings and experiences, which can indicate depression. In contrast, questions about age (B) and marital status (C) are demographic in nature and do not directly assess for symptoms of depression.

Quiz 21: Approach to the Mental Health Assessment

The nurse is providing care to an older adult patient who is experiencing atypical manifestations of depression. Which clinical manifestations is the patient experiencing? Select all that apply.

The nurse is providing care to a patient who is diagnosed with dementia. Which are possible causes for this diagnosis? Select all that apply.

The nurse is assessing a patient who presents with depression. Which medication found during the health history assessment could be the cause for this depression?

The nurse is assessing a patient diagnosed with anxiety. Which gastrointestinal (GI) manifestation is often associated with this diagnosis?

The nurse is assessing a patient who is diagnosed with depression. Which clinical manifestation will the nurse assess for when providing care to this patient?

Which classification of medication prescribed to a patient would require the nurse to assess for tardive dyskinesia?

The nurse, working in a senior center, performs risk assessments for suicide. Which factors would increase a patient's risk for suicide in the older adult? Select all that apply.

The nurse is providing care to a patient who is prescribed tricyclic antidepressants for the treatment of depression. Which side effect will the nurse monitor this patient for?

Which assessment finding would indicate that a patient is experiencing neuroleptic malignant syndrome (NMS) ?

The school nurse is told that a student at the school died over the weekend after playing the choking game. Which signs and symptoms would alert you that a child was playing the choking game and may require intervention? Select all that apply.

The nurse is conducting a review of systems for a patient with a history of a mood disorder. Which are biographical questions the nurse will include in this process? Select all that apply.

The nurse is conducting a health history for a patient who is exhibiting symptoms of anxiety. Which medication notes during the history could be the cause for this symptom?

The nurse is assessing a patient prescribed lithium for side effects associated with this medication. Which question is most appropriate?

You are working in a prenatal clinic, performing risk assessment for postpartum depression. Which factors would increase a patient's risk for postpartum depression? Select all that apply.

Which psychoactive agent may be the cause for depression?

The nurse is providing care to a patient recently diagnosed with depression. The patient is also diagnosed with epilepsy. Which antidepressant would the nurse question if prescribed by the healthcare provider?

The nurse is using the Geriatric Depression Scale (GPS) to assess an older adult patient for depression. Which questions will the nurse ask the patient during the assessment process? Select all that apply.