NUR 162 Exam 8
1. Following the failure of a woman's recent in vitro fertilization (IVF), the nurse recognizes
that she may be at risk of depression. Which intervention is considered a primary suicide
prevention measure?
a) placing the woman on suicide precautions and establishing a no-suicide contract
b) beginning treatment with a SSRI
c) establishing a support system for the woman and teaching her some coping measures
d) beginning a course of therapy with a nurse-therapist or psychologist
Answer
c) es- tablishing a support system for the woman and teaching her some coping measures
2. A client has just been diagnosed with bipolar disorder and is upset with the diagnosis. The
client tells the nurse, "It is probably my mother's fault, she has bipolar too." Which is the best
response?
While bipolar disorders are genetic, the gene can only be passed on by a father Genetics are a minor
factor in bipolar; it is more heavily influenced by psycho- logical factors
While bipolar disorders are genetic there are other causes as well
Bipolar disorders have not been found to be genetic
Answer
While bipolar disorders are genetic there are other causes as well
3. When assessing a client immediately following electroconvulsive therapy (ECT), the nurse
expects what in a client?
Full of energy Confusion
Long-term memory impairment
Numbness and tingling in the extremities
Answer
Confusion
4. Which antidepressant medication is classified as a selective serotonin reuptake inhibitor
(SSRI)?
, Fluoxetine Phenelzine Isocarboxazid
Tranylcypromine
Answer
Fluoxetine
5. The police bring a client to the hospital. They found the client in a hospital gown, swimming
in a local creek. The client states that the client was "being baptized by Mother Nature, who loves
and worships me." How would the nurse describe the client's current alterations in mental status?
Visual hallucinations Neologisms Grandiose delusions
Dysphoria
Answer
Grandiose delusions
6. An adult client just got fired from their job and is crying to the nurse. The client states, "My
work was my purpose in life." What priority question should be made by the nurse?
"Do you have a supportive family to help you in the meantime?"
"Having a stable job is good for your mental health; this seems like a big deal." "Have you started
applying for other jobs?"
"Have you been thinking about harming or killing yourself?"
Answer
"Have you been thinking about harming or killing yourself?"
7. Which statement regarding depression and gender is correct?
Depressive disorders are more common in men than women. Depressive disorders are more
common in women than men. Depressive disorders affect young men more than older women.
Depressive disorders equally affect men and women.
Answer
Depressive disorders are more common in women than men.
1. Following the failure of a woman's recent in vitro fertilization (IVF), the nurse recognizes
that she may be at risk of depression. Which intervention is considered a primary suicide
prevention measure?
a) placing the woman on suicide precautions and establishing a no-suicide contract
b) beginning treatment with a SSRI
c) establishing a support system for the woman and teaching her some coping measures
d) beginning a course of therapy with a nurse-therapist or psychologist
Answer
c) es- tablishing a support system for the woman and teaching her some coping measures
2. A client has just been diagnosed with bipolar disorder and is upset with the diagnosis. The
client tells the nurse, "It is probably my mother's fault, she has bipolar too." Which is the best
response?
While bipolar disorders are genetic, the gene can only be passed on by a father Genetics are a minor
factor in bipolar; it is more heavily influenced by psycho- logical factors
While bipolar disorders are genetic there are other causes as well
Bipolar disorders have not been found to be genetic
Answer
While bipolar disorders are genetic there are other causes as well
3. When assessing a client immediately following electroconvulsive therapy (ECT), the nurse
expects what in a client?
Full of energy Confusion
Long-term memory impairment
Numbness and tingling in the extremities
Answer
Confusion
4. Which antidepressant medication is classified as a selective serotonin reuptake inhibitor
(SSRI)?
, Fluoxetine Phenelzine Isocarboxazid
Tranylcypromine
Answer
Fluoxetine
5. The police bring a client to the hospital. They found the client in a hospital gown, swimming
in a local creek. The client states that the client was "being baptized by Mother Nature, who loves
and worships me." How would the nurse describe the client's current alterations in mental status?
Visual hallucinations Neologisms Grandiose delusions
Dysphoria
Answer
Grandiose delusions
6. An adult client just got fired from their job and is crying to the nurse. The client states, "My
work was my purpose in life." What priority question should be made by the nurse?
"Do you have a supportive family to help you in the meantime?"
"Having a stable job is good for your mental health; this seems like a big deal." "Have you started
applying for other jobs?"
"Have you been thinking about harming or killing yourself?"
Answer
"Have you been thinking about harming or killing yourself?"
7. Which statement regarding depression and gender is correct?
Depressive disorders are more common in men than women. Depressive disorders are more
common in women than men. Depressive disorders affect young men more than older women.
Depressive disorders equally affect men and women.
Answer
Depressive disorders are more common in women than men.
