Deck 29: Emotional Regulation and Mood

Question 1

The nurse is caring for a client with major depression. Which statement about this condition does the nurse know to be true?

A) Depression primarily affects older adults due to age-related changes in mood.
B) Depression is rarely a debilitating condition.
C) Depression can be a fatal illness.
D) Depression is part of normal emotional regulation.

Answer 1

Depression can be a fatal illness.

Question 2

The nurse is providing education to a client about anxiety disorders. Which statement by the client requires further follow up by the nurse?

A) "I can expect to experience anxiety throughout my life."
B) "Sometimes anxiety can get out of hand."
C) "Usually anxiety lasts for weeks after a stressor is gone."
D) "Anxiety disorders sometimes lead people to feel panicked in social settings."

Answer 2

"Usually anxiety lasts for weeks after a stressor is gone."

Question 3

The nurse is caring for a client with generalized anxiety disorder. Which neurotransmitters does the nurse understand are tied to the pathogenesis of this condition? Select all that apply.

A) Acetylcholine
B) Oxytocin
C) Dopamine
D) Serotonin
E) Neurokinin A

Answer 3

Dopamine
Serotonin

Question 4

The nurse is caring for a client with major depression who is hospitalized for failure to thrive. The nurse understands that which body system is directly tied to emotional regulation?

A) The immune system
B) The digestive system
C) The integumentary system
D) The musculoskeletal system

Question 5

The nurse is assessing a client exhibiting a sudden sense of fear and dread, heart palpitations, and shortness of breath. The nurse understands these findings to be consistent with which condition?

A) Hypomania
B) Depression
C) Bipolar disorder
D) Panic attack

Question 6

The nurse cares for clients with a variety of depression disorders. Which client statements suggest the diagnosis of dysthymia? Select all that apply.

A) "Every day for over 2 years I've been sad, tired, and can't seem to get my act together."
B) "Ever since my husband died 2 weeks ago, I can't concentrate and have no reason to live."
C) "I've been feeling down in the dumps for about 2 weeks now."
D) "For the last 4 years, I can't make a decision and am so worthless at work every day."
E) "For the last year, I have periods of time that I am sad and cry a lot."

Question 7

The nurse is caring for a client with social anxiety disorder. Which distinguishing features does the nurse understand to be associated with this condition? Select all that apply.

A) Increased distress in inescapable situations
B) Avoidance of known stressors
C) Excessive worry about events that are difficult to control
D) Fear of being exposed to scrutiny
E) Accompanying heart palpitations and chest pain

Question 8

The nurse is preparing to administer paroxetine to a client with an anxiety disorder. The nurse understands which statement about this medication to be true?

A) This is a selective norepinephrine reuptake inhibitor (SNRI).
B) This is often a drug of choice for anxiety treatment.
C) It well-established how paroxetine reduces anxiety.
D) Although fast acting, This medication may cause physiologic dependency.

Question 9

The nurse is performing a psychosocial assessment on an adolescent client. Which special considerations should the nurse take while performing the assessment? Select all that apply.

A) Not all adolescents are aware of their emotional state.
B) It is important to differentiate between normal fears and those that interfere with normal function.
C) Adolescents may over-report anxiety due to normal developmental fears.
D) Feelings of embarrassment may interfere with the assessment of adolescents.
E) Physiological changes like puberty may result in inaccurate findings in adolescents.

Question 10

The nurse is reviewing a client's experience with cognitive behavioral therapy. Which statement by the client indicates the therapy has been effective?

A) "I shared at group therapy, and the anxiety is not a problem now."
B) "I no longer worry about leaving my house."
C) "I just can't stand being in large crowds."
D) "I wanted to run out of the grocery store, but I had no reason to."

Question 11

The nurse is assessing a client diagnosed with major depressive disorder (MDD). Which assessment findings will the nurse anticipate? Select all that apply.

A) Mood swings
B) Significant weight loss
C) Diminished ability to think or concentrate
D) Difficulty making decisions
E) Increased or decreased appetite

Question 12

The nurse is providing education to a client about the role of neurotransmitters in depression. Which areas of cognition does the nurse review as being mediated by serotonin? Select all that apply.

A) Interest
B) Positive mood
C) Drive
D) Optimism
E) Impulsivity

Question 13

The nurse is caring for an older adult client with a diagnosis of major depressive disorder (MDD). What is the nurse's understanding of the presentation of depression in this client?

A) It often presents by itself without other accompanying medical and neurological disorders.
B) It may present in the context of cardiovascular disease, dementia, or stroke.
C) It is associated with overall brain volume loss.
D) It is characterized by frontostriatal changes that result in psychomotor agitation.

Question 14

The nurse is providing education to a client about recent brain imaging, which shows hippocampal volume loss. What is the nurse's understanding of this finding?

A) Hippocampal volume loss may be linked with brief, intense bouts of stress.
B) Hippocampal volume loss may be linked with depression, impaired learning, and memory.
C) Underactivation of the hypothalamic-pituitary-adrenal (HPA) axis plays a role in damage to hippocampal neurons.
D) Cortisol deficiency is thought to play a role in hippocampal damage.

Question 15

While the nurse is reviewing the client's medication list, the client notes the use of an MAO inhibitor. Which medications does the nurse understand are MAO inhibitors?

A) Imipramine
B) Duloxetine
C) Isocarboxazid
D) Bupropion
E) Tranylcypromine

Question 16

The nurse is caring for a client with a bipolar disorder. The nurse understands that the client's condition is characterized by which types of episodes? Select all that apply.

A) Hypomanic
B) Seizure
C) Manic
D) Depressive
E) Cyclothymic

Question 17

The nurse is providing discharge instructions to a client recently diagnosed with a bipolar disorder. Which statement by the client indicates an understanding of the condition?

A) "I have this only because it runs in my family."
B) "I suffered a brain injury, and that's when it all started."
C) "There's no way to know for sure how I developed this."
D) "I blame the stress of my work for this condition."

Question 18

The nurse is about to administer lithium to a client with a bipolar disorder. Which statement by the client requires immediate follow up by the nurse?

A) "My mouth feels dry."
B) "I feel like I can't stop moving my hands."
C) "I have been taking this for over two months."
D) "I feel productive today."

Question 19

The nurse is assessing a client for hypomania. Which findings does the nurse associate with this condition? Select all that apply.

A) Impaired functioning
B) Euphoria
C) Psychosis
D) Increased energy
E) Hallucinations

Question 20

The nurse is teaching a community health class about the early detection and diagnosis of bipolar disorders. Which statement will the nurse include in the teaching?

A) "If a child is being overly silly or joyful in a way that's unusual for the child, it is no cause for concern."
B) "Pregnant women are 5-10 times more likely to be diagnosed with bipolar disorder."
C) "The onset of bipolar disorders may occur at any time in life."
D) "It should not be assumed that mood swings are common for teens, as this could be a sign of bipolar disorder."