Question 1

A client has just been prescribed an antidepressant medication.The client asks,&#34;How long before this gets into my blood so I feel better?&#34; How should the nurse respond?&#10;A)&#34;The medication will be at the desired level in your blood in 3 to 4 days.&#34;&#10;B)&#34;We are not certain how quickly the medication gets into your blood.&#34;&#10;C)&#34;Let me worry about that.You just take your medicine as prescribed.&#34;&#10;D)&#34;The medication gets into the blood fairly quickly,but it may take weeks for you to feel the full effects.&#34;&#10;E)&#34;It is not just the medication getting into your blood that makes you feel better.&#34;

Accepted Answer

&#34;The medication will be at the desired level in your blood in 3 to 4 days.&#34;&#10;&#34;The medication gets into the blood fairly quickly,but it may take weeks for you to feel the full effects.&#34;&#10;&#34;It is not just the medication getting into your blood that makes you feel better.&#34;

Question 2

A client says,&#34;I don't want to know if I have the gene associated with bipolar disorder.&#34; How should the nurse interpret this statement?&#10;A)The client does not want to spend the money to have the test.&#10;B)The client needs more information about the benefits of such knowledge.&#10;C)The client is not willing to take charge of her own health.&#10;D)The client does not want to deal with the implications of knowing this information.

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?&#10;A)&#34;You should be happy that you lived through your heart attack.&#34;&#10;B)&#34;Don't be so sad.Your family is coming this afternoon.&#34;&#10;C)&#34;Let's talk about what is happening to you.&#34;&#10;D)&#34;Can I get you something to read?&#34;

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)?&#10;A)It is likely that gene manipulation will reduce the prevalence of both MDD and BPD in the near future.&#10;B)Genes responsible for the development of BPD have been identified,but those responsible for MDD are still elusive.&#10;C)Some regions of the genome have been identified as potentially containing the genes that make clients susceptible to these disorders.&#10;D)It is becoming increasingly clear that genetics is a prime determinant for the development of these disorders.&#10;E)Development of these disorders is thought to be a result of interaction between genetics and environment.

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?&#10;A)&#34;My depression always lasts eight or nine days before I start feeling better.&#34;&#10;B)&#34;Sometimes I can't control how much I eat because it makes me feel better.&#34;&#10;C)&#34;I don't know why my family puts up with me.I'm not good for anything.&#34;&#10;D)&#34;I've lost three jobs in the last year.&#34;&#10;E)&#34;All I want to do is sleep.&#34;

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?&#10;A)Early-onset MDD is more likely to be heritable.&#10;B)MDD that results in severe depression is more likely to be heritable.&#10;C)There is no way to predict heritability without genetic studies.&#10;D)When MDD recurs in the same client,the condition is more likely to be heritable.&#10;E)MDD that requires more than one pharmacologic agent for adequate control is more likely to be heritable.

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?&#10;A)History of psychiatric illnesses&#10;B)Significant medical illnesses&#10;C)Developmental delays&#10;D)Mental retardation&#10;E)Immunization status

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?

A)Client is not social today.
B)Client demonstrates a depressed affect.
C)Client is in a bad mood today.
D)Client is uncooperative today.

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?&#10;A)&#34;I can't help but think he could get better if he tried.&#34;&#10;B)&#34;I feel so sorry for him.He is so pitiful.&#34;&#10;C)&#34;He is dealing with the effects of his illness as they occur.&#34;&#10;D)&#34;He never was very smart,and this has given him an excuse to be lazy.&#34;

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?

A)Firsthand knowledge of the symptoms and behaviors may influence a subject's answers.
B)Subjects with a family history of major depressive disorder are not eligible for genetic studies.
C)Having a family member with major depressive disorder increases the subject's risk of developing the disorder.
D)This is one of many standard questions asked in all psychological study intake forms.

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?&#10;A)Using these drugs in combination often causes bradycardia.&#10;B)Use of amitriptyline can change enzymatic action.&#10;C)Amitriptyline also induces sleep,so additional sleep aids are not needed.&#10;D)Using these two medications together decreases enzyme production in the pancreas,which results in pancreatitis.

Accepted Answer

The answer of A client has been prescribed amitriptyline (Elavil)for...

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?&#10;A)&#34;What do you think caused this illness?&#34;&#10;B)&#34;You cannot change what has happened,but you can work to make things better.&#34;&#10;C)&#34;Your loved one has been sick a long time,and it will take a long time to see improvement.&#34;&#10;D)&#34;Your best plan is to depend on medication to reduce symptoms.&#34;

Accepted Answer

The answer of Which nursing question or statement reflects an...

Question 13

The nurse in a geriatric clinic states,&#34;We have so many more clients with major depressive disorder in the practice than we had two years ago.&#34; How should the clinic nurse manager respond?&#10;A)&#34;Most clients are diagnosed between the ages of 20 and 50.&#34;&#10;B)&#34;Actually,most people with MDD are younger than 40.&#34;&#10;C)&#34;The mean age of onset is 6&#10;D)&#34;Statistics show that more older adults are presenting with symptoms of MDD across the nation.&#34;

Accepted Answer

The answer of The nurse in a geriatric clinic states,&#34;We...

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?&#10;A)The client lacks an enzyme to metabolize the drug.&#10;B)The enzyme that metabolizes the drug is only partially functional.&#10;C)A gene duplication may exist.&#10;D)Genes likely have no effect on this particular class of drugs.

Accepted Answer

The answer of The duration of a client's response to...

Deck 20: Depression and Genetic Linkages