Deck 21: Depression and Other Mood Disorders

Question 1

A client asks the nurse which types of antidepressants have the fewest side effects.What is the nurse's most accurate response?

A)"Tricyclic antidepressants"
B)"Nontricyclic antidepressants"
C)"Monoamine oxidase inhibitors (MAOIs)"
D)"Selective serotonin reuptake inhibitors (SSRIs)"

Answer 1

"Selective serotonin reuptake inhibitors (SSRIs)"

Question 2

A disorder defined as daily moderate depression that lasts longer than 2 years is called a(n)____ disorder.

A)Anxiety
B)Bipolar
C)Dysthymic
D)Major depressive

Answer 2

Dysthymic

Question 3

The client lives his life by rapidly bouncing from feelings of deep sadness to great joy.The client's diagnosis is most likely:

A)Bipolar disorder
B)Major depression
C)An anxiety disorder
D)Dysthymic disorder

Answer 3

Bipolar disorder

Question 4

Which one of the following is a biological cause of mood disorders?

A)Anger turned inward
B)Impaired nurturing
C)Reaction to external stressors
D)Imbalance of neurotransmitters

Question 5

During the continuation phase of therapy,a client with a diagnosis of depression asks,"What is the goal of therapy during this 4- to 9-month period?" What is the nurse's best response?

A)"We are going to work together to try to reduce your symptoms."
B)"Our goal is to determine the cause of your depression and cure it."
C)"We want to prevent you from ever having any depressive episodes in the future."
D)"Our goal is to prevent you from relapsing and experiencing distressing emotional states."

Question 6

Which client is suffering from a major depressive episode?

A)An adolescent who expresses feeling lost after the death of his mother last week
B)A 50-year-old who has been depressed for a month and is contemplating suicide
C)A 30-year-old female who is being treated for episodes of depression she has suffered since the age of 21
D)An elderly adult who feels like she is in a fog after the diagnosis of terminal cancer given to her 8 days ago

Question 7

Which client would be a candidate for ECT?

A)A client with mild depression
B)A severely depressed client with congestive heart failure
C)A client with severe,long-lasting depression
D)A severely depressed client with history of a brain tumor

Question 8

In which groups does postpartum depression occur more frequently? (Select all that apply. )

A)Older mothers
B)Younger mothers
C)Women who do not have a husband
D)Women who have had a difficult delivery
E)Women who experienced complicated pregnancies
F)Those who are also coping with illness
G)Women who are not emotionally prepared for motherhood

Question 9

Recent studies have demonstrated that daily exposure to full-spectrum light (phototherapy)is most effective in improving symptoms in people who are experiencing:

A)Bipolar disorder
B)Moderate depression
C)Postpartum depression
D)Seasonal affective disorder

Question 10

Severe,prolonged depression affects a person's risk for physical illness by ____ the risk.

A)Decreasing
B)Increasing
C)Not affecting
D)Having little effect on

Question 11

Theories that view depression as a group of learned responses are called ____ theories.

A)Social
B)Behavioral
C)Biological
D)Psychoanalytical

Question 12

The moods of adolescents:

A)Are stable
B)Vary widely
C)Develop slowly
D)Are not related to growth and development

Question 13

A client seen in the community mental health clinic appears for one appointment in multiple layers of brightly colored clothing.Her speech is very pressured,and she is telling everyone in the waiting room about a date she had the previous evening.The next visit she is dressed in old,drab clothes without makeup.She has flat affect and is not making eye contact.The most probable cause of her behaviors is which of the following conditions?

A)Bipolar I disorder
B)Psychosis
C)Bipolar II disorder
D)Major depressive episode

Question 14

A male client with bipolar disorder who takes lithium tells the nurse that he has been "nauseous a lot lately","feels tired",and has had "some blurry vision." The client most likely is suffering from what level of lithium toxicity?

A)Insignificant
B)Mild
C)Moderate
D)Severe

Question 15

A prolonged emotional state that influences one's whole personality and life functioning is called:

A)Mood
B)Feeling
C)Attitude
D)Intellectual response

Question 16

The nurse must be alert to signs of suicidal thoughts with clients in whom major depressive disorders have been diagnosed because approximately __________ die from suicide.

A)5%
B)15%
C)25%
D)35%

Question 17

The goal of treatment during the first phase of depression is to:

A)Develop a plan for treatment
B)Reduce uncooperative behaviors
C)Help the client to adjust to antidepressants
D)Reduce symptoms and inappropriate behaviors

Question 18

Depression in the elderly is:

A)Rare
B)Common
C)Nonexistent
D)Seen occasionally

Question 19

Which statements regarding depression are correct? (Select all that apply. )

A)It occurs in all age groups.
B)It rarely occurs in the elderly.
C)It occurs in men more often than in women.
D)It occurs in women more often than in men.
E)It is rarely seen but is severe when it occurs.
F)It is common in those who must cope with illness.
G) It is one of the most common and treatable mental disorders

Question 20

A client with major depressive disorder is scheduled for electroconvulsive therapy (ECT).Which point will the nurse teach the client?

A)"ECT treatments take about 1 hour."
B)"You will most likely receive between 6 and 12 treatments over several weeks."
C)"ECT often is used as one of the first treatments for major depression."
D)"ECT treatments help your depression by decreasing levels of the neurotransmitter norepinephrine."

Question 21

Which of the following statements are true regarding depression in the elderly? (Select all that apply. )

A)The highest rates are among individuals who receive long-term care.
B)It is a normal consequence of aging.
C)Most depressed older adults volunteer to share their feelings.
D)Depression is higher in elderly women than elderly men.
E)Older adults express feelings of depression in more subtle ways than younger persons.

Question 22

__________ is the electrolyte that the nurse must teach the client to monitor in his or her diet when taking lithium.

Question 23

Which group of medications for depression will the nurse tell the client to take at bedtime? (Select all that apply. )

A)Tricyclic antidepressants
B)Nontricyclic antidepressants
C)Monoamine oxidase inhibitors (MAOIs)
D)Selective serotonin reuptake inhibitors (SSRIs)

Question 24

A client is experiencing an episode at the level of mania.Which behaviors are characteristic of this level? (Select all that apply. )

A)Outgoing,happy,and worry free
B)Decreased ability to concentrate
C)Confident
D)Disoriented
E)Unstable affect
F)Pressured speech
G)Poor hygiene