NUR 1511 Mental Health Chapter 17
Mood Disorders and Suicide Test With
Complete Solution
A 32-year-old client is admitted to the inpatient unit for depression with
suicidal thoughts. During the nursing assessment, why it is important for the
nurse to assess and explore if there is any family member who has
committed suicide? - ANSWER Genetic predisposition
The nurse working on a mental health unit is teaching a nursing student. The
student asks the nurse about what constitutes a diagnosis for major
depressive disorder. What is the nurse's best response? - ANSWER "The
primary diagnostic criterion is one or more major depressive episodes for at
least 2 weeks with other symptoms present."
A client hospitalized for uncontrolled manic behavior constantly belittles
other clients on the general ward and is demanding special favors from the
nurses. Which is the most effective nursing intervention for this client? -
ANSWER Set limits with specific and consistent consequences for belittling or
demanding behavior.
A 56-year-old client who suffers from seasonal affective disorder is being
assessed by the nurse in an outpatient mental health clinic. The nurse is
aware which treatment is the most effective type of treatment for this
condition? - ANSWER Light therapy
A client was abandoned by the parents at age 3, resulting in the client's
perception of the world as a hostile place and the subsequent development
,of rage against men. This statement is an example of what? - ANSWER A
psychodynamic interpretation of the client's major depressive disorder.
A client with major depression is prescribed paroxetine. The nurse develops
an education plan for the client based on the understanding that this drug
belongs to which class of drugs? - ANSWER Selective serotonin reuptake
inhibitors
A client with major depression is prescribed paroxetine. The nurse develops
an education plan for the client based on the understanding that this drug
belongs to which class of drugs? - ANSWER Selective serotonin reuptake
inhibitors
A nurse is caring for a client diagnosed with bipolar disorder. The client is
experiencing a manic episode. The nurse would be especially alert for signs
indicating what? - ANSWER Self-injury
The nurse is assessing a client for warning signs of suicide. Which would be a
concern? - ANSWER The client has engaged in risky behaviors and tends to
be impulsive.
A client has been diagnosed with major depression and placed on
amitriptyline. Which is a side effect of amitriptyline? - ANSWER Orthostatic
hypotension
A client with bipolar disorder has been ordered a medication that is classified
as an anticonvulsant. Which drug does the nurse know falls within this class
of medications? - ANSWER Carbamazepine
The nurse provides teaching to the family of a client who is hospitalized after
a suicide attempt. Which family member statement indicates a need for
additional teaching? - ANSWER "There is no sense discouraging suicidal
, thoughts because it doesn't help."
A nursing student is caring for an elderly client who is taking sertraline for
depression. The instructor quizzes the student about the medication and its
actions. To what classification of drugs should the student assign sertraline? -
ANSWER Selective serotonin reuptake inhibitor
The nurse is conducting an interview with an adult client who is being treated
for major depression. What question should the nurse prioritize in an effort
to determine the client's risk for suicide? - ANSWER "Do you ever feel like
your situation is hopeless?"
A client who has just been prescribed lithium for bipolar disorder is being
given education from the nurse about this medication. Which is important
for the nurse to include in teaching? - ANSWER The higher the sodium level,
the lower the lithium level will be.
Research has shown that risk of suicide increases within which time frame for
initiation of antidepressant therapy? - ANSWER 14 days
A client who is depressed tells the nurse, "If I'm honest, I really see suicide as
the only way out." In order to challenge the client's belief, the nurse should ...
- ANSWER help the client to identify and explore other options.
The nurse is planning a presentation about suicide to a group of health
professionals. Which should be included in the nurse's teaching plan? -
ANSWER Men are more likely to commit suicide than women are.
A nurse is caring for a client diagnosed with bipolar disorder who has been
prescribed divalproex. The nurse knows that the client should have which
test completed before initiation of drug therapy?
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