A client is diagnosed with dysthymic disorder. Which should a nurse classify as an affective symptom of this disorder? A. Social isolation with a focus on self - BEHAVIORAL B. Low energy level - PHYSICOLOGICAL C. Difficulty concentrating - COGNITIVE D. Gloomy and pessimistic outlook on life - AFFEC...
NURS 222 WK 3 Test Questions and
Correct Answers
A client is diagnosed with dysthymic disorder. Which should a nurse classify as an
affective symptom of this disorder?
A. Social isolation with a focus on self - BEHAVIORAL
B. Low energy level - PHYSICOLOGICAL
C. Difficulty concentrating - COGNITIVE
D. Gloomy and pessimistic outlook on life - AFFECTIVE ✅D
. A client is diagnosed with major depressive disorder. Which nursing PROBLEM 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
C. Altered thought processes R/T hopelessness AEB persecutory delusions
D. Altered nutrition: less than body requirements R/T high anxiety AEB anorexia ✅B
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. ✅D
A nurse reviews the laboratory data of a client suspected of having a 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 ✅A
A depressed client reports to a nurse a history of divorce, job loss, family estrangement,
and cocaine abuse. Which theoretical principle best explains the etiology of this client's
depressive symptoms?
A. According to psychoanalytic theory, depression is a result of anger turned inward.
B. According to object-loss theory, depression is a result of abandonment.
C. According to learning theory, depression is a result of repeated failures.
D. According to cognitive theory, depression is a result of negative perceptions. ✅C
What is the rationale 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 can generate somatic symptoms that can mask actual physical disorders.
, C. Physical health complications are likely to arise from antidepressant therapy.
D. Depressed clients avoid addressing physical health and ignore medical problems.
✅B
A nurse is planning care for a child who is experiencing depression. Which medication
is approved by the U.S. Food and Drug Administration (FDA) for the treatment of
depression in children and adolescents?
A. Paroxetine (Paxil)
B. Sertraline (Zoloft)
C. Citalopram (Celexa)
D. Fluoxetine (Prozac) ✅D
A nurse admits an older client who is experiencing memory loss, confused thinking, and
apathy. A psychiatrist suspects depression. What is the rationale for performing a mini-
mental status exam?
A. To rule out bipolar disorder
B. To rule out schizophrenia
C. To rule out senile dementia
D. To rule out a personality disorder ✅C
A confused client has recently been prescribed sertraline (Zoloft). The client's spouse is
taking paroxetine (Paxil). The client presents with restlessness, tachycardia,
diaphoresis, and tremors. What complication does a nurse suspect and what could be
its possible cause?
A. Neuroleptic malignant syndrome caused by ingestion of two different seratonin
reuptake inhibitors (SSRIs)
B. Neuroleptic malignant syndrome caused by ingestion of an SSRI and a monoamine
oxidase inhibitor (MAOI)
C. Serotonin syndrome caused by ingestion of an SSRI and an MAOI
D. Serotonin syndrome caused by ingestion of two different SSRIs ✅D
10. A client who has been taking fluvoxamine (Luvox) without significant improvement
asks a nurse, "I heard about something called a monoamine oxidase inhibitor (MAOI).
Can't my doctor add that to my medications?" Which is an appropriate nursing reply?A.
"This combination of drugs can lead to delirium tremens."B. "A combination of an MAOI
and Luvox can lead to a life-threatening hypertensive crisis."C. "That's a good idea.
There have been good results with the combination of these two drugs."D. "The only
disadvantage would be the exorbitant cost of the MAOI." ✅B
. A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. Which
foods should the nurse teach the client to avoid?
A. Pepperoni pizza and red wine
B. Bagels with cream cheese and tea
C. Apple pie and coffee
D. Potato chips and diet cola ✅A
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