PSYCHIATRIC NURSING EXAM 2 (TESTBANK) QUESTIONS
AND ANSWERS | 100% PASS
A patient became severely depressed when the last of six children moved out of the
home 4 months ago. The patient repeatedly says, No one cares about me. Im not worth
anything. Which response by the nurse would be the most helpful?
a. Things will look brighter soon. Everyone feels down once in a while.
b. The staff here cares about you and wants to try to help you get better.
c. It is difficult for others to care about you when you repeatedly say negative things
about yourself.
d. Ill sit with you for 10 minutes now and return for 10 minutes at lunchtime and again at
2:30 this afternoon. - d
A patient became depressed after the last of six children moved out of the home 4
months ago. The patient has been self-neglectful, slept poorly, lost weight, and
repeatedly says, No one cares about me anymore. Im not worth anything. Select an
appropriate initial outcome for the nursing diagnosis: Situational low self-esteem, related
to feelings of abandonment. The patient will:
a. verbalize realistic positive characteristics about self by (date)
b. consent to take antidepressant medication regularly by (date)
c. initiate social interaction with another person daily by (date)
d. identify two personal behaviors that alienate others by (date). - a
,A nurse wants to reinforce positive self-esteem for a patient diagnosed with major
depressive disorder. Today, the patient is wearing a new shirt and has neat, clean hair.
Which remark is most appropriate?
a. You look nice this morning.
b. You are wearing a new shirt.
c. I like the shirt youre wearing.
d. You must be feeling better today. - b
An adult diagnosed with major depressive disorder was treated with medication and
cognitive behavioral therapy. The patient now recognizes how passivity contributed to
the depression. Which intervention should the nurse suggest?
a. Social skills training
b. Relaxation training classes
c. Use of complementary therapy
d. Learning desensitization techniques - a
A priority nursing intervention for a patient diagnosed with major depressive disorder is:
a. distracting the patient from self-absorption.
b. carefully and inconspicuously observing the patient around the clock.
c. allowing the patient to spend long periods alone in self-reflection.
d. offering opportunities for the patient to assume a leadership role in the therapeutic
milieu. - b
When counseling patients diagnosed with major depressive disorder, an advanced
practice nurse will address the negative thought patterns by using:
a. psychoanalytic therapy.
b. desensitization therapy.
c. cognitive behavioral therapy.
d. alternative and complementary therapies. - c
A patient says to the nurse, My life does not have any happiness in it anymore. I once
enjoyed holidays, but now theyre just another day. How would the nurse document the
complaint?
a. Vegetative symptom
b. Anhedonia
c. Euphoria
d. Anergia - b
A patient diagnosed with major depressive disorder is taking a tricyclic antidepressant.
The patient says, I dont think I can keep taking these pills. They make me so dizzy,
especially when I stand up. The nurse should:
a. explain how to manage postural hypotension, and educate the patient that side
effects go away after several weeks.
b. tell the patient that the side effects are a minor inconvenience compared with the
feelings of depression.
,c. withhold the drug, force oral fluids, and notify the health care provider to examine the
patient.
d. teach the patient how to use pursed-lip breathing. - a
A patient diagnosed with major depressive disorder is receiving imipramine (Tofranil)
200 mg every night at bedtime. Which assessment finding would prompt the nurse to
collaborate with the health care provider regarding potentially hazardous side effects of
this drug?
a. Dry mouth
b. Blurred vision
c. Nasal congestion
d. Urinary retention - d
A patient diagnosed with major depressive disorder tells bthe bnurse, bBad bthings bthat
bhappen bare balways bmy bfault. bTo bassist bthe bpatient bin breframing bthis bovergeneralization,
bthe bnurse bshould brespond:
a. bI breally bdoubt bthat bone bperson bcan bbe bblamed bfor ball bthe bbad bthings bthat bhappen.
b. bLets blook bat bone bbad bthing bthat bhappened bto bsee bif banother bexplanation bexists.
c. bYou bare bbeing bexceptionally bhard bon byourself bwhen byou bsay bthose bthings.
d. bHow bdoes byour bbelief bin bfate brelate bto byour bcultural bheritage? b- b bb
A bnurse bworked bwith ba bpatient bdiagnosed bwith bmajor bdepressive bdisorder bwho bwas
bseverely bwithdrawn band bdependent bon bothers. bAfter b3 bweeks, bthe bpatient bdid bnot
bimprove. bThe bnurse bis bat brisk bfor bfeelings bof:
a. boverinvolvement.
b. bguilt band bdespair.
c. binterest band bpleasure.
d. bineffectiveness band bfrustration. b- b bd
A bpatient bdiagnosed bwith bmajor bdepressive bdisorder bbegins bselective bserotonin
breuptake binhibitor b(SSRI) bantidepressant btherapy. bPriority binformation bgiven bto bthe
bpatient band bfamily bshould binclude ba bdirective bto:
a. bavoid bexposure bto bbright bsunlight.
b. breport bincreased bsuicidal bthoughts.
c. brestrict bsodium bintake bto b1 bg bdaily.
d. bmaintain ba btyramine-free bdiet. b- b bb
A bnurse bteaching ba bpatient babout ba btyramine-restricted bdiet bwould bapprove bwhich
bmeal?
a. bMashed bpotatoes, bground bbeef bpatty, bcorn, bgreen bbeans, bapple bpie
b. bAvocado bsalad, bham, bcreamed bpotatoes, basparagus, bchocolate bcake
c. bMacaroni band bcheese, bhot bdogs, bbanana bbread, bcaffeinated bcoffee
d. bNoodles bwith bcheddar bcheese bsauce, bsmoked bsausage, blettuce bsalad, byeast brolls b- b
ba
, What bis bthe bfocus bof bpriority bnursing binterventions bfor bthe bperiod bimmediately bafter
belectroconvulsive btherapy btreatment?
a. bSupporting bphysiologic bstability
b. bReducing bdisorientation band bconfusion
c. bMonitoring bpupillary bresponses
d. bAssisting bthe bpatient bto bidentify band btest bnegative bthoughts b- b ba
A bnurse bprovided bmedication beducation bfor ba bpatient bwho btakes bphenelzine b(Nardil) bfor
bdepression. bWhich bbehavior bindicates beffective blearning? bThe bpatient:
a. bmonitors bsodium bintake band bweight bdaily.
b. bwears bsupport bstockings band belevates bthe blegs bwhen bsitting.
c. bconsults bthe bpharmacist bwhen bselecting bover-the-counter bmedications.
d. bcan bidentify bfoods bwith bhigh bselenium bcontent, bwhich bshould bbe bavoided. b- b bc
A bpatients bemployment bis bterminated band bmajor bdepressive bdisorder bresults. bThe
bpatient bsays bto bthe bnurse, bIm bnot bworth bthe btime byou bspend bwith bme. bIm bthe bmost
buseless bperson bin bthe bworld. bWhich bnursing bdiagnosis bapplies?a. bPowerlessness
b. bDefensive bcoping
c. bSituational blow bself-esteem
d. bDisturbed bpersonal bidentity b- b bc
A bpatient bdiagnosed bwith bmajor bdepressive bdisorder bdoes bnot binteract bwith bothers
bexcept bwhen baddressed band bthen bonly bin bmonosyllables. bThe bnurse bwants bto bshow
bnonjudgmental bacceptance band bsupport bfor bthe bpatient. bSelect bthe bnurses bmost
beffective bapproach bto bcommunication.
a. bMake bobservations.
b. bAsk bthe bpatient bdirect bquestions.
c. bPhrase bquestions bto brequire byes bor bno banswers.
d. bFrequently breassure bthe bpatient bto breduce bguilt bfeelings. b- b ba
A bpatient bbeing btreated bfor bmajor bdepressive bdisorder bhas btaken b300 bmg bamitriptyline
b(Elavil) bdaily bfor ba byear. bThe bpatient bcalls bthe bcase bmanager bat bthe bclinic band bsays, bI
bstopped btaking bmy bantidepressant b2 bdays bago. bNow bI bam bhaving bcold bsweats, bnausea,
ba brapid bheartbeat, band bnightmares. bThe bnurse bshould badvise bthe bpatient:
a. bGo bto bthe bnearest bemergency bdepartment bimmediately.
b. bDo bnot bto bbe balarmed. bTake btwo baspirin band bdrink bplenty bof bfluids.
c. bTake bone bdose bof bthe bantidepressant. bCome bto bthe bclinic bto bsee bthe bhealth bcare
bprovider.
d. bResume btaking bthe bantidepressant bfor b2 bmore bweeks, band bthen bdiscontinue bit bagain.
b- b bc
Which bdocumentation bindicates bthe btreatment bplan bof ba bpatient bdiagnosed bwith bmajor
bdepressive bdisorder bwas beffective?
a. bSlept b6 bhours buninterrupted. bSang bwith bactivity bgroup. bAnticipates bseeing bgrandchild.
b. bSlept b10 bhours buninterrupted. bAttended bcraft bgroup; bstated bproject bwas ba bfailure, bjust
blike bme.
