Depression/Bipolar/Mania/Suicide (Mental Health Test #2)
Questions With Complete Solutions
"No SAD Me" Mnemonic Correct Answer } Non-
antidepressant therapy should be considered, e.g., lithium,
quetiapine.
} Safe-to-use adjunctive antidepressants can be considered if
relapse occurs.
} Avoid antidepressant monotherapy.
} Do not use tricyclic antidepressants (TCAs) or venlafaxine.
Both carry a high risk of "inducing pathologically elevated states
of mood and behavior."
} Monitor closely.
} Non-antidepressant therapy should be considered, e.g.,
lithium, quetiapine.
} Safe-to-use adjunctive antidepressants can be considered if
relapse occurs.
} Avoid antidepressant monotherapy.
} Do not use tricyclic antidepressants (TCAs) or venlafaxine.
Both carry a high risk of "inducing pathologically elevated states
of mood and behavior."
} Monitor closely.
3 main themes with suicidal thoughts Correct Answer ◦
Hopelessness
◦ Meaninglessness
◦ Being out of control
A 70-year-old man comes to the clinic for his annual physical
exam and influenza vaccine. He shares that his "life has no
, meaning," he "feels tired all the time," and "has lost all hope for
the future." What should be the initial nursing intervention?
Ask him to stay in the clinic until a mental health professional
arrives to further assess him.
Alert the physician that he may be depressed and require
inpatient treatment.
Further assess his concerns and history of psychiatric issues.
Note that the patient is experiencing expected aging processes.
Correct Answer Further assess his concerns and history of
psychiatric issues.
A depressed patient originally responded to a failure by stating,
"I can't do anything right." Which statement by the same client
would demonstrate the successful implementation of negative
thought reprogramming?
"I'm a fairly accomplished cook."
"I wish I wasn't so worried about how I look." positive self-
esteem.
"I'll try but I'm very done this before"a sense of personal worth.
"I'll look at the want ads and see who's hiring." effective
problem solving. Correct Answer "I'm a fairly accomplished
cook."
A nurse is planning care for a client who has bipolar disorder
and is experiencing a manic episode. Which of the following is
appropriate for the nurse to include in the plan of care? (Select
all that apply)
Select all that apply:
___1. Provide flexible client behavior expectations
__2. Offer concise explanations
__3. Establish consistent limits
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