Question 1

A client has just been prescribed an antidepressant medication.The client asks,"How long before this gets into my blood so I feel better?" How should the nurse respond?

Accepted Answer

A,D,E

Question 2

A client says,"I don't want to know if I have the gene associated with bipolar disorder." How should the nurse interpret this statement?

Accepted Answer

The client's statement shows that they are not ready to deal with the possible implications and emotional impact of having knowledge of their genetic risk for bipolar disorder.

Question 3

The nurse notes that a client is unusually quiet and sad after experiencing a myocardial infarction.Which nursing statement is indicated?

Accepted Answer

The best choice is to ask the client if they are willing to talk about their feelings. This allows the client the opportunity to express themselves and possibly explore their emotions. It is important to avoid minimizing or dismissing their emotions, as in options A and B. Option D may be acceptable after the client has had a chance to talk about their feelings and express any immediate concerns.

Question 4

Which statements describe the status of research concerning development of major depressive disorder (MDD)and bipolar disorder (BPD)?

Accepted Answer

While there has been progress in identifying potential genetic contributors to both MDD and BPD, it is still not clear which specific genes are responsible. Therefore, A and B are incorrect. However, it is becoming clear that genetics alone is not the sole determinant of these disorders, as there is strong evidence that environmental factors also play a role. Therefore, D is also incorrect. The most accurate statements are C and E, which acknowledge that there have been some promising findings in genetic research but emphasize the importance of considering the interplay between genes and environment.

Question 5

A client is being assessed for the presence of major depressive disorder (MDD).The nurse would analyze which client statements as supporting that diagnosis?

Accepted Answer

The answer of A client is being assessed for the...

Question 6

A client diagnosed with a major depressive disorder (MDD)is concerned about his children inheriting a tendency to the same disorder.Before advising this client,the nurse should consider which factors?

Accepted Answer

The answer of A client diagnosed with a major depressive...

Question 7

The nurse is reviewing the family history of a client diagnosed with mood disorder.When developing a three-generation pedigree,the nurse should especially note which findings?

Accepted Answer

When developing a three-generation pedigree for a client with a mood disorder, it is important to note the history of psychiatric illnesses (A) as mood disorders can have a genetic component. Significant medical illnesses (B) are also relevant because they can impact mental health or be related to genetic conditions that include mood disorders. Developmental delays (C) and mental retardation (D) are important to note because they can be associated with genetic syndromes that include mood disorders as part of their phenotype. Immunization status (E) is not directly relevant to the genetic or familial risk factors for mood disorders.

Question 8

On assessment,the nurse identifies that the client is quiet,tearful,and withdrawn.The client says,"I don't want to eat breakfast this morning.I would rather stay in bed." How should the nurse document this assessment?

Accepted Answer

The client's behavior suggests a depressed affect, which is a common symptom in individuals with depression. The other options (A, C, and D) do not accurately or fully describe the client's behavior or provide any insight into a possible diagnosis.

Question 9

Which statement by a client's sibling would the nurse evaluate as meeting the goal of family education about mood disorders?

Accepted Answer

This statement indicates that the sibling has learned to understand and accept the client's illness and is supportive of their coping strategies.

Question 10

The nurse is participating in a study focusing on the genetics of depressive disorders.One of the intake questions the nurse asks volunteers is "Does anyone in your family have a major depressive disorder?" What is the best rationale for this question?

Accepted Answer

Having a family history of major depressive disorder increases an individual's risk of developing the disorder themselves. This information is important for the study to determine if there is a genetic component to the disorder.

Question 11

A client has been prescribed amitriptyline (Elavil)for treatment of depression.The nurse teaches the client to avoid use of over-the-counter sleep aids.What is the nurse's rationale for this advice?

Accepted Answer

Amitriptyline is a tricyclic antidepressant that also has sedative properties, so additional sleep aids are not needed. The combination of amitriptyline with over-the-counter sleep aids can increase the risk of adverse effects, such as sedation, confusion, cognitive impairment, and respiratory depression. In addition, amitriptyline can change enzymatic action, leading to potential interactions with other drugs that are metabolized by the same enzymes. Therefore, it is advisable for the client to avoid using sleep aids without consulting with their healthcare provider.

Question 12

Which nursing question or statement reflects an appropriate approach to the family of a client who has been diagnosed with a mood disorder?

Accepted Answer

This statement is supportive and empowering, acknowledging the family's distress while offering a positive outlook and encouraging active participation in the client's care. Options A, C, and D are less helpful or inaccurate. Option A implies blame or guilt, while option C emphasizes the chronic nature of the condition without allowing for hope or progress. Option D oversimplifies treatment and ignores other important interventions, such as therapy and lifestyle changes.

Question 13

The nurse in a geriatric clinic states,"We have so many more clients with major depressive disorder in the practice than we had two years ago." How should the clinic nurse manager respond?

Accepted Answer

This statement provides factual information that supports the nurse's observation about an increase in clients with MDD in the geriatric clinic. It is important to acknowledge and address changes in client demographics and adjust the practice's approach to meet the needs of this population. Options A and B are not relevant to the statement made by the clinic nurse, and option C is inaccurate as the mean age of onset for MDD is actually between 20 and 30 years old.

Question 14

The duration of a client's response to an antidepressant medication is shorter than normal.Which genetic finding could account for this abnormal response?

Accepted Answer

Gene duplication can lead to increased metabolism of a drug, resulting in a shorter duration of the drug's effectiveness.

Quiz 20: Depression and Genetic Linkages