Deck 11: Depressive Disorders

Question 1

In caring for a patient with major depression, the nurse knows that the patient needs:
1)Frequent changes in activities.
2)Introduction to multiple new staff members.
3)Behavior modification that restructures feelings.
4)Well-defined, structured interactions at the beginning of treatment.

Answer 1

4

Question 2

Which of the following would be the most effective intervention for a depressed patient?
1)Establish one small goal to accomplish today.
2)Help the patient develop a goal to complete in the next month.
3)Encourage the patient to talk about recent failures in his or her life.
4)Let the patient guide what is the next best action.

Answer 2

1

Question 3

Your depressed patient is just started on duloxetine (Cymbalta). Which statement by the spouse tells you that family teaching has been effective?
1)"I can't wait for him to be back to his old self in the next day or so."
2)"I realize we can't expect big changes right away."
3)"I have to take him for weekly blood tests to monitor the drug dosage."
4)"I will make sure he doesn't eat any aged cheese for the next 2 months until the dose is stabilized."

Answer 3

2

Question 4

The nurse knows that the two factors that often differentiate major depression from dysthymic disorder are:
1)Amounts of mania and sadness.
2)Presence or absence of anger and guilt.
3)Severity and duration of symptoms.
4)Patient's gender and age.

Question 5

Light therapy has been shown to be effective in treating patients with:
1)Bipolar disorder.
2)Dysthymia.
3)Major depression with seasonal pattern.
4)Schizophrenia.

Question 6

You are caring for an older adult who is recently widowed. She says, "No one cares if I die. Everyone I ever loved is dead." What is the best response?
1)"I am sure that you still have people who care about you."
2)"You sound like you are feeling all alone."
3)"Boy, that is depressing."
4)"I don't believe that."

Question 7

Your patient with major depression sits in her room for hours staring out the window. Which of the following would be the most appropriate intervention?
1)Sit with the patient and gently offer your availability to help.
2)Keep encouraging the patient to go to exercise class.
3)Offer the class once and then let the patient decide.
4)Sit with the patient and ask her to list reasons for her depression.

Question 8

Annie has been diagnosed as having dysthymic disorder. The nurse knows that symptoms of this disorder include (select all that apply):
1)A depressed mood that lasts for most of each day over a 2-year period
2)Low self-esteem
3)Hallucinations
4)Difficulty in making decisions
5)Periods of euphoria

Question 9

When your patient says, "I am depressed," what is the best response?
1)"We all feel that way now and then."
2)"Why do you feel that way?"
3)"Everything will be OK once you snap out of it."
4)"Tell me more about what is going on with you."

Question 10

Your patient has been taking a selective serotonin reuptake inhibitor (SSRI) antidepressant for 6 weeks. On arrival at the clinic, which observation would indicate a positive outcome from the medication?
1)Patient reports sleeping 12 hours a night.
2)Patient reports sleeping 3 hours a night.
3)Patient reports difficulty concentrating.
4)Patient arrives neatly dressed.

Question 11

Some medications such as tricyclics cause blurred vision. What is the cause of this effect?
1)Hyperglycemia
2)Anticholinergic effect
3)Hypoxia
4)Hypertension

Question 12

Which of the following meal choices indicates the patient understands the diet restrictions when taking a monoamine oxidase inhibitor (MAOI)?
1)Pepperoni pizza and beer
2)Roast chicken, baked potato, and red wine
3)Fried fish, rice, and cola
4)Smoked herring, eggs, and coffee

Question 13

Your patient takes tranylcypromine for depression. Which of the following is most likely to indicate dietary restrictions have not been followed?
1)Hypertensive crisis
2)Syncope
3)Muscle spasms
4)Increased depression

Question 14

Patients with major depression commonly display signs of:
1)Energy.
2)Repetitive, compulsive behaviors.
3)Worthlessness.
4)Visual hallucinations.