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Mental Health Nursing

Nursing

Quiz 13 :
Depressive Disorders

Quiz 13 :
Depressive Disorders

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A patient became severely depressed when the last of the family's six children moved out of the home 4 months ago. The patient repeatedly says, "No one cares about me. I'm not worth anything." Which response by the nurse would be the most helpful?
Free
Multiple Choice
Answer:

Answer:

D

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A patient became depressed after the last of the family's six children moved out of the home 4 months ago. Select the best initial outcome for the nursing diagnosis Situational low self-esteem related to feelings of abandonment.
Free
Multiple Choice
Answer:

Answer:

A

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A patient diagnosed with major depression says, "No one cares about me anymore. I'm not worth anything." Today the patient is wearing a new shirt and has neat, clean hair. Which remark by the nurse supports building a positive self-esteem for this patient?
Free
Multiple Choice
Answer:

Answer:

B

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An adult diagnosed with major depression was treated with medication and cognitive-behavioural therapy. The patient now recognizes how passivity contributed to the depression. Which intervention should the nurse suggest?
Multiple Choice
Answer:
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Priority interventions for a patient diagnosed with major depression and feelings of worthlessness should include which of the following?
Multiple Choice
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When counselling patients diagnosed with major depression, an advanced practice nurse will address the negative thought patterns by using which of the following?
Multiple Choice
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A patient says to the nurse, "My life doesn't have any happiness in it anymore. I once enjoyed holidays, but now they're just another day." The nurse documents this report as an example of which of the following?
Multiple Choice
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A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago. Today the patient says, "I don't think I can keep taking these pills. They make me so dizzy, especially when I stand up." The nurse will do which of the following?
Multiple Choice
Answer:
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A patient diagnosed with depression is receiving amitriptyline (Elavil) 50 mg qhs. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?
Multiple Choice
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A patient diagnosed with major depression tells the nurse, "Bad things that happen are always my fault." Which response by the nurse will best assist the patient to reframe this overgeneralization?
Multiple Choice
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A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve. The nurse is most at risk for which of the following?
Multiple Choice
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A patient diagnosed with depression begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. The nurse should provide information to the patient and family about which of the following?
Multiple Choice
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A nurse taught a patient about a tyramine-restricted diet. Which menu selection would the nurse approve?
Multiple Choice
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What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy treatment?
Multiple Choice
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A nurse provided medication education for a patient diagnosed with major depression who began a new prescription for phenelzine (Nardil). Which behaviour indicates effective learning?
Multiple Choice
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Major depression resulted after a patient's employment was terminated. The patient now says to the nurse, "I'm not worth the time you spend with me. I am the most useless person in the world." Which nursing diagnosis applies?
Multiple Choice
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A patient diagnosed with major depression does not interact with others except when addressed, and then only in monosyllables. The nurse wants to show nonjudgemental acceptance and support for the patient. Which communication technique will be effective?
Multiple Choice
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A patient being treated for depression has taken 300 mg amitriptyline (Elavil) daily for a year. The patient calls the case manager at the clinic and says, "I stopped taking my antidepressant 2 days ago. Now I am having cold sweats, nausea, a rapid heartbeat, and nightmares." What will the nurse advise the patient to do?
Multiple Choice
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Which documentation for a patient diagnosed with major depression indicates the treatment plan was effective?
Multiple Choice
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A patient was diagnosed with seasonal affective disorder (SAD). During which month would this patient's symptoms be most acute?
Multiple Choice
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