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Nur 211 Chapter 25. Depressive Disorder Testbank

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This is a comprehensive and detailed testbank on Chapter 25. Depressive Disorder. *Essential Study Material!!

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  • October 19, 2024
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PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 197



Chapter25.DepressiveDisorders
MultipleChoice

1.Aclientisdiagnosedwithpersistentdepressive(dysthymia)disorder.Whichshouldanurseclassifyasan
affectivesymptomofthisdisorder?

A.Socialisolationwithafocusonself

B.Lowenergylevel

C.Difficultyconcentrating

D.Gloomyandpessimisticoutlookonlife

ANS:D

Thenurseshouldclassifyagloomyandpessimisticoutlookonlifeasanaffectivesymptomofdysthymia.
Symptomsofdepressioncanbedescribedasalterationsinfourareasofhumanfunctions:affective,
behavioral,cognitive,andphysiological.Affectivesymptomsarethosethatrelatetothemood.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

2.Aclientisdiagnosedwithmajordepressivedisorder.Whichnursingdiagnosisshouldanurseassigntothis
clienttoaddressabehavioralsymptomofthisdisorder?

A.AlteredcommunicationR/TfeelingsofworthlessnessAEBanhedonia

B.SocialisolationR/Tpoorself-esteemAEBsecludingselfinroom
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C.AlteredthoughtprocessesR/ThopelessnessAEBpersecutorydelusions

D.Alterednutrition:lessthanbodyrequirementsR/ThighanxietyAEBanorexia

ANS:B

AnursingdiagnosisofsocialisolationR/Tpoorself-esteemAEBsecludingselfinroomaddressesa
behavioralsymptomofmajordepressivedisorder.Otherbehavioralsymptomsincludepsychomotor
retardation,virtuallynonexistentcommunication,maintainingafetalposition,andnopersonalhygieneand/or
grooming.

KEY:CognitiveLevel:Analysis|IntegratedProcesses:NursingProcess:Analysis|ClientNeed:
PsychosocialIntegrity

3.Anurseassessesaclientsuspectedofhavingmajordepressivedisorder.Whichclientsymptomwould
eliminatethisdiagnosis?

A.Theclientisdisheveledandmalodorous.

B.Theclientrefusestointeractwithothers.

C.Theclientisunabletofeelanypleasure.

D.Theclienthasmaxed-outchargecardsandexhibitspromiscuousbehaviors.

ANS:D

Thenurseshouldassessthataclientwhohasmaxed-outcreditcardsandexhibitspromiscuousbehaviorwould
beexhibitingmanicsymptoms.AccordingtotheDSM-5,thesesymptomswouldruleoutthediagnosisof
majordepressivedisorder.




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, PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 198


KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

4.Anursereviewsthelaboratorydataofa29-year-oldclientsuspectedofhavingmajordepressivedisorder.
Whichlaboratoryvaluewouldpotentiallyruleoutthisdiagnosis?

A.Thyroid-stimulatinghormone(TSH)levelof6.2U/mL

B.Potassium(K+)levelof4.2mEq/L

C.Sodium(Na+)levelof140mEq/L

D.Calcium(Ca2+)levelof9.5mg/dL

ANS:A

AccordingtotheDSM-5,symptomsofmajordepressivedisordercannotbeduetothedirectphysiological
effectsofageneralmedicalcondition(e.g.,hypothyroidism).Thediagnosisofmajordepressivedisordermay
beruledoutiftheclientslaboratoryresultsindicateahighTSHlevel(normalrangeforthisagegroupis0.4to
4.2U/mL),whichresultsfromalowthyroidfunction,orhypothyroidism.Inhypothyroidismmetabolic
processesareslowed,leadingtodepressivesymptoms.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

5.Adepressedclientreportstoanurseahistoryofdivorce,jobloss,familyestrangement,andcocaineabuse.
Accordingtolearningtheory,whatisthecauseofthisclientssymptoms?

A.Depressionisaresultofangerturnedinward.
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B.Depressionisaresultofabandonment.

C.Depressionisaresultofrepeatedfailures.

D.Depressionisaresultofnegativethinking.

ANS:C

Learningtheorydescribesamodeloflearnedhelplessnessinwhichmultiplelifefailurescausetheclientto
abandonfutureattemptstosucceed.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

6.Whatisthepriorityreasonforanursetoperformafullphysicalhealthassessmentonaclientadmittedwith
adiagnosisofmajordepressivedisorder?

A.Theattentionduringtheassessmentisbeneficialindecreasingsocialisolation.

B.Depressionisasymptomofseveralmedicalconditions.

C.Physicalhealthcomplicationsarelikelytoarisefromantidepressanttherapy.

D.Depressedclientsavoidaddressingphysicalhealthandignoremedicalproblems.

ANS:B

Medicalconditionssuchashormonedisturbances,electrolytedisturbances,andnutritionaldeficienciesmay
producesymptomsofdepression.Theseareaprioritytoidentifyandtreat,sincetheymaybethecauseofthe
depressivesymptomsandrepresentphysiologicalneeds.




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