Question 1

The nurse assesses the patient for the signs and symptoms that characterize a major depressive disorder,which are: (Select all that apply.)

Accepted Answer

Major depressive disorder is diagnosed when at least five symptoms characteristic of depression have been present for at least 2 weeks.These symptoms include an overwhelming feeling of sadness;inability to feel pleasure or experience interest in daily activities;weight gain or loss not attributed to dieting;sleep disturbances;fatigue or loss of energy;feelings of worthlessness;difficulty in making decisions or concentrating;and suicidal thoughts.

Question 2

The nurse outlines the treatment for a person with anxiety disorders,which include: (Select all that apply.)

Accepted Answer

All options are aspects of the treatment of the person with anxiety disorders.

Question 3

The nurse points out that a persistent irrational fear of a specific object or situation that causes anxiety that interferes with responsibilities is a(n)_________.

Accepted Answer

The answer of The nurse points out that a persistent...

Question 4

The nurse takes into consideration that it is estimated that _____% of the population will have some form of anxiety disorder.

Accepted Answer

The answer of The nurse takes into consideration that it...

Question 5

The nurse assesses data about a depressed patient that increase the probability of his being suicidal,which are: (Select all that apply.)

Accepted Answer

Suicidal risk increases if the patient has a plan,access to a weapon,and a recent loss.

Question 6

The nurse reviews the nursing considerations related to the administration of lithium,which include: (Select all that apply.)

Accepted Answer

Lithium should be taken with food,and fluids should be increased to 3000 mL daily.

Question 7

A patient is considering having electroconvulsive therapy to treat his severe depression.Which statements indicate the patient has an understanding of the procedure? (Select all that apply.)

Accepted Answer

Electroconvulsive therapy (ECT)is the oldest form of brain stimulation therapy used for severe depression.After several regimens of medication are unsuccessful,or if the patient is severely depressed or actively suicidal,ECT is considered.Evidence suggests that ECT is more effective than pharmacotherapy.ECT consists of electric shock delivered to the brain via electrodes applied to the temples.This shock artificially induces a grand mal seizure lasting 30 to 90 seconds.The patient typically receives 8 to 12 treatments spread over several weeks.ECT is frequently done on an outpatient basis in the early morning.

Question 8

The nurse is reviewing the medical history of a patient who is being evaluated for anorexia nervosa.Which characteristic(s)would be consistent with the condition? (Select all that apply.)

Accepted Answer

Anorexia nervosa is characterized by the patient's refusal to maintain minimal body weight or eat adequate quantities of food.There is a disturbance in the perception of body shape and size and an extreme fear of becoming fat.The patient strives for perfection and control by controlling caloric intake.Defining characteristics include frequent mood fluctuation,absence of three consecutive menstrual periods,and body weight less than 85% of what is expected for height and weight.

Quiz 46: Care of Patients With Anxiety, mood, and Eating Disorders