Question 1

The nurse is planning care for an adult client demonstrating symptoms of depression. Which assessment technique is most appropriate?

Accepted Answer

A)The Beck Depression Inventory is a series of 21 questions that the client answers in order to self-rate the level of depression. It takes approximately 10 minutes for the client to complete. The nurse can use it to help with the assessment of this client. The Mood Disorder Questionnaire is used to screen adolescents for bipolar disorder, rather than general depression. The nurse should not ask family members to talk about the client. Assessment of clients with depression is often done in 15- to 20-minute increments because the client usually does not have the energy to talk much longer. For that reason, the nurse should not plan more time with the client to complete the assessment.
B)The Beck Depression Inventory is a series of 21 questions that the client answers in order to self-rate the level of depression. It takes approximately 10 minutes for the client to complete. The nurse can use it to help with the assessment of this client. The Mood Disorder Questionnaire is used to screen adolescents for bipolar disorder, rather than general depression. The nurse should not ask family members to talk about the client. Assessment of clients with depression is often done in 15- to 20-minute increments because the client usually does not have the energy to talk much longer. For that reason, the nurse should not plan more time with the client to complete the assessment.
C)The Beck Depression Inventory is a series of 21 questions that the client answers in order to self-rate the level of depression. It takes approximately 10 minutes for the client to complete. The nurse can use it to help with the assessment of this client. The Mood Disorder Questionnaire is used to screen adolescents for bipolar disorder, rather than general depression. The nurse should not ask family members to talk about the client. Assessment of clients with depression is often done in 15- to 20-minute increments because the client usually does not have the energy to talk much longer. For that reason, the nurse should not plan more time with the client to complete the assessment.
D)The Beck Depression Inventory is a series of 21 questions that the client answers in order to self-rate the level of depression. It takes approximately 10 minutes for the client to complete. The nurse can use it to help with the assessment of this client. The Mood Disorder Questionnaire is used to screen adolescents for bipolar disorder, rather than general depression. The nurse should not ask family members to talk about the client. Assessment of clients with depression is often done in 15- to 20-minute increments because the client usually does not have the energy to talk much longer. For that reason, the nurse should not plan more time with the client to complete the assessment.

Question 2

A nurse working in a psychiatric hospital is performing a suicide assessment on a client diagnosed with major depressive disorder (MDD). Which actions by the nurse are appropriate when conducting a suicide assessment? Select all that apply.

Accepted Answer

A)When performing a suicide assessment, the nurse should always use direct, not indirect, questioning. The nurse should ask if the client has any thought of suicide and assess the lethality of the suicide plan, if one exists, and whether or not the client will act on these thoughts. Asking about suicide will not "plant the idea" in the client's mind.
B)When performing a suicide assessment, the nurse should always use direct, not indirect, questioning. The nurse should ask if the client has any thought of suicide and assess the lethality of the suicide plan, if one exists, and whether or not the client will act on these thoughts. Asking about suicide will not "plant the idea" in the client's mind.
C)When performing a suicide assessment, the nurse should always use direct, not indirect, questioning. The nurse should ask if the client has any thought of suicide and assess the lethality of the suicide plan, if one exists, and whether or not the client will act on these thoughts. Asking about suicide will not "plant the idea" in the client's mind.
D)When performing a suicide assessment, the nurse should always use direct, not indirect, questioning. The nurse should ask if the client has any thought of suicide and assess the lethality of the suicide plan, if one exists, and whether or not the client will act on these thoughts. Asking about suicide will not "plant the idea" in the client's mind.
E)When performing a suicide assessment, the nurse should always use direct, not indirect, questioning. The nurse should ask if the client has any thought of suicide and assess the lethality of the suicide plan, if one exists, and whether or not the client will act on these thoughts. Asking about suicide will not "plant the idea" in the client's mind.

Question 3

A nurse working on a psychiatric unit is caring for a client who has been diagnosed with major depressive disorder (MDD). Upon assessment of the client, which clinical manifestations does the nurse recognize as consistent with this diagnosis?

Accepted Answer

A)MDD is diagnosed when the client experiences either depressed mood or loss of interest most of the day, almost every day, for at least 2 weeks. The depression must be accompanied by at least four symptoms, including sleep disturbance, fatigue, feelings of guilt or worthlessness, restlessness or psychomotor agitation, and suicidal ideation or attempt.
B)MDD is diagnosed when the client experiences either depressed mood or loss of interest most of the day, almost every day, for at least 2 weeks. The depression must be accompanied by at least four symptoms, including sleep disturbance, fatigue, feelings of guilt or worthlessness, restlessness or psychomotor agitation, and suicidal ideation or attempt.
C)MDD is diagnosed when the client experiences either depressed mood or loss of interest most of the day, almost every day, for at least 2 weeks. The depression must be accompanied by at least four symptoms, including sleep disturbance, fatigue, feelings of guilt or worthlessness, restlessness or psychomotor agitation, and suicidal ideation or attempt.
D)MDD is diagnosed when the client experiences either depressed mood or loss of interest most of the day, almost every day, for at least 2 weeks. The depression must be accompanied by at least four symptoms, including sleep disturbance, fatigue, feelings of guilt or worthlessness, restlessness or psychomotor agitation, and suicidal ideation or attempt.

Question 4

A client is scheduled for electroconvulsive therapy (ECT)for the treatment of depression. Which instructions should the nurse include regarding this therapy? Select all that apply.

Accepted Answer

A)The nurse should provide information to the client regarding ECT treatment for depression. ECT will not cure depression. Short-term memory loss is expected but long-term memory loss is not. The treatment is known to help some people who experiencing depression, but not all. The client must be NPO for 4 hours prior to receiving ECT treatment and must empty the bladder and remove contact lenses, jewelry, hairpins, and dentures before beginning the procedure.
B)The nurse should provide information to the client regarding ECT treatment for depression. ECT will not cure depression. Short-term memory loss is expected but long-term memory loss is not. The treatment is known to help some people who experiencing depression, but not all. The client must be NPO for 4 hours prior to receiving ECT treatment and must empty the bladder and remove contact lenses, jewelry, hairpins, and dentures before beginning the procedure.
C)The nurse should provide information to the client regarding ECT treatment for depression. ECT will not cure depression. Short-term memory loss is expected but long-term memory loss is not. The treatment is known to help some people who experiencing depression, but not all. The client must be NPO for 4 hours prior to receiving ECT treatment and must empty the bladder and remove contact lenses, jewelry, hairpins, and dentures before beginning the procedure.
D)The nurse should provide information to the client regarding ECT treatment for depression. ECT will not cure depression. Short-term memory loss is expected but long-term memory loss is not. The treatment is known to help some people who experiencing depression, but not all. The client must be NPO for 4 hours prior to receiving ECT treatment and must empty the bladder and remove contact lenses, jewelry, hairpins, and dentures before beginning the procedure.
E)The nurse should provide information to the client regarding ECT treatment for depression. ECT will not cure depression. Short-term memory loss is expected but long-term memory loss is not. The treatment is known to help some people who experiencing depression, but not all. The client must be NPO for 4 hours prior to receiving ECT treatment and must empty the bladder and remove contact lenses, jewelry, hairpins, and dentures before beginning the procedure.

Question 5

The nurse is caring for a client with a chronic health condition. Which condition should the nurse identify as a common complication associated with reduced role function?

Accepted Answer

A)Depression is one of the most common complications arising with chronic disease. There is not enough information to determine if the client will develop osteoporosis, congestive heart failure, or diabetes.
B)Depression is one of the most common complications arising with chronic disease. There is not enough information to determine if the client will develop osteoporosis, congestive heart failure, or diabetes.
C)Depression is one of the most common complications arising with chronic disease. There is not enough information to determine if the client will develop osteoporosis, congestive heart failure, or diabetes.
D)Depression is one of the most common complications arising with chronic disease. There is not enough information to determine if the client will develop osteoporosis, congestive heart failure, or diabetes.

Question 6

A nurse at a psychiatrist's office is reviewing the medication prescribed to several new clients for mood disorders. Which order would the nurse question?

Accepted Answer

A)The FDA does not recommend paroxetine to treat depression in children and adolescents because of an increased risk in suicidal thinking and behavior during initial treatment. All other prescriptions are appropriate for the age and disorder.
B)The FDA does not recommend paroxetine to treat depression in children and adolescents because of an increased risk in suicidal thinking and behavior during initial treatment. All other prescriptions are appropriate for the age and disorder.
C)The FDA does not recommend paroxetine to treat depression in children and adolescents because of an increased risk in suicidal thinking and behavior during initial treatment. All other prescriptions are appropriate for the age and disorder.
D)The FDA does not recommend paroxetine to treat depression in children and adolescents because of an increased risk in suicidal thinking and behavior during initial treatment. All other prescriptions are appropriate for the age and disorder.

Question 7

A client prescribed an antidepressant tells the nurse that the pill causes dizziness upon standing or changing position too quickly. This is a common side effect of which antidepressant medication?

Accepted Answer

A)One side effect of atypical antidepressants is orthostatic hypotension, so clients should be instructed to change positions slowly, especially when moving from a lying to a sitting position or a sitting to a standing position. Orthostatic hypotension is not a common side effect of MAOIs or SSRIs. Lithium is used to treat bipolar disorder, not depression.
B)One side effect of atypical antidepressants is orthostatic hypotension, so clients should be instructed to change positions slowly, especially when moving from a lying to a sitting position or a sitting to a standing position. Orthostatic hypotension is not a common side effect of MAOIs or SSRIs. Lithium is used to treat bipolar disorder, not depression.
C)One side effect of atypical antidepressants is orthostatic hypotension, so clients should be instructed to change positions slowly, especially when moving from a lying to a sitting position or a sitting to a standing position. Orthostatic hypotension is not a common side effect of MAOIs or SSRIs. Lithium is used to treat bipolar disorder, not depression.
D)One side effect of atypical antidepressants is orthostatic hypotension, so clients should be instructed to change positions slowly, especially when moving from a lying to a sitting position or a sitting to a standing position. Orthostatic hypotension is not a common side effect of MAOIs or SSRIs. Lithium is used to treat bipolar disorder, not depression.

Question 8

A client with depression is receiving electroconvulsive therapy (ECT). Which interventions should the nurse plan when caring for this client? Select all that apply.

Accepted Answer

A)Care of the client recovering from electroconvulsive therapy includes placing in the lateral recumbent position to facilitate drainage and to prevent aspiration and to maintain nothing by mouth until fully awake. The supine with head flat position can lead to aspiration. The client does not need intravenous fluids for 8 hours after the procedure. Providing oral fluids when not fully awake can lead to aspiration.
B)Care of the client recovering from electroconvulsive therapy includes placing in the lateral recumbent position to facilitate drainage and to prevent aspiration and to maintain nothing by mouth until fully awake. The supine with head flat position can lead to aspiration. The client does not need intravenous fluids for 8 hours after the procedure. Providing oral fluids when not fully awake can lead to aspiration.
C)Care of the client recovering from electroconvulsive therapy includes placing in the lateral recumbent position to facilitate drainage and to prevent aspiration and to maintain nothing by mouth until fully awake. The supine with head flat position can lead to aspiration. The client does not need intravenous fluids for 8 hours after the procedure. Providing oral fluids when not fully awake can lead to aspiration.
D)Care of the client recovering from electroconvulsive therapy includes placing in the lateral recumbent position to facilitate drainage and to prevent aspiration and to maintain nothing by mouth until fully awake. The supine with head flat position can lead to aspiration. The client does not need intravenous fluids for 8 hours after the procedure. Providing oral fluids when not fully awake can lead to aspiration.
E)Care of the client recovering from electroconvulsive therapy includes placing in the lateral recumbent position to facilitate drainage and to prevent aspiration and to maintain nothing by mouth until fully awake. The supine with head flat position can lead to aspiration. The client does not need intravenous fluids for 8 hours after the procedure. Providing oral fluids when not fully awake can lead to aspiration.

Question 9

A client is experiencing symptoms of depression. Which laboratory or diagnostic test would be the priority to determine if depression is being caused by another health problem?

Accepted Answer

A)Thyroid function tests would be performed because thyroid disorders may mimic depression or hypomania. Cerebral MRI, cerebral angiogram, and electrocardiogram tests are not able to distinguish between mood disorders and physical disorders.
B)Thyroid function tests would be performed because thyroid disorders may mimic depression or hypomania. Cerebral MRI, cerebral angiogram, and electrocardiogram tests are not able to distinguish between mood disorders and physical disorders.
C)Thyroid function tests would be performed because thyroid disorders may mimic depression or hypomania. Cerebral MRI, cerebral angiogram, and electrocardiogram tests are not able to distinguish between mood disorders and physical disorders.
D)Thyroid function tests would be performed because thyroid disorders may mimic depression or hypomania. Cerebral MRI, cerebral angiogram, and electrocardiogram tests are not able to distinguish between mood disorders and physical disorders.

Question 10

A client receiving pain medication for abdominal discomfort reports no relief of pain and continues to describe multiple somatic complaints. The client also describes feelings of discouragement and hopelessness related to the pain, because the healthcare team has not yet found a cause for the pain. Which action by the nurse is appropriate?

Accepted Answer

A)Symptoms of depression may include multiple somatic complaints and reports of persistent chronic pain and some vague pain. Feelings of discouragement and hopelessness are also symptoms of depression. Therefore, further assessment for depression is warranted. Reviewing the lab values is not indicated in this case, and obtaining different pain medication would not treat potential psychologic problems. The family may also be ineffective in determining the client's psychologic need.
B)Symptoms of depression may include multiple somatic complaints and reports of persistent chronic pain and some vague pain. Feelings of discouragement and hopelessness are also symptoms of depression. Therefore, further assessment for depression is warranted. Reviewing the lab values is not indicated in this case, and obtaining different pain medication would not treat potential psychologic problems. The family may also be ineffective in determining the client's psychologic need.
C)Symptoms of depression may include multiple somatic complaints and reports of persistent chronic pain and some vague pain. Feelings of discouragement and hopelessness are also symptoms of depression. Therefore, further assessment for depression is warranted. Reviewing the lab values is not indicated in this case, and obtaining different pain medication would not treat potential psychologic problems. The family may also be ineffective in determining the client's psychologic need.
D)Symptoms of depression may include multiple somatic complaints and reports of persistent chronic pain and some vague pain. Feelings of discouragement and hopelessness are also symptoms of depression. Therefore, further assessment for depression is warranted. Reviewing the lab values is not indicated in this case, and obtaining different pain medication would not treat potential psychologic problems. The family may also be ineffective in determining the client's psychologic need.

Question 11

A nurse educator is teaching a group of student nurses regarding depression, its pathophysiology, and the theories related to the disorder. What statements will the nurse instructor include about the theories of depression? Select all that apply.

Accepted Answer

A)Among the theories of depression, the sociocultural theory emphasizes the role that social stressors play in the development of depression. Also, the learning theory states that individuals learn to be depressed in response to a self-perception of a lack of control over their life experiences. The learning theory also states that individuals with depression typically experience little success in achieving gratification and little positive reinforcement in coping with negative incidents. The cognitive theory states that those who are depressed focus on negative messages in the environment and ignore positive experiences. The interpersonal theory suggests all people have an inborn need for interpersonal relationships.
B)Among the theories of depression, the sociocultural theory emphasizes the role that social stressors play in the development of depression. Also, the learning theory states that individuals learn to be depressed in response to a self-perception of a lack of control over their life experiences. The learning theory also states that individuals with depression typically experience little success in achieving gratification and little positive reinforcement in coping with negative incidents. The cognitive theory states that those who are depressed focus on negative messages in the environment and ignore positive experiences. The interpersonal theory suggests all people have an inborn need for interpersonal relationships.
C)Among the theories of depression, the sociocultural theory emphasizes the role that social stressors play in the development of depression. Also, the learning theory states that individuals learn to be depressed in response to a self-perception of a lack of control over their life experiences. The learning theory also states that individuals with depression typically experience little success in achieving gratification and little positive reinforcement in coping with negative incidents. The cognitive theory states that those who are depressed focus on negative messages in the environment and ignore positive experiences. The interpersonal theory suggests all people have an inborn need for interpersonal relationships.
D)Among the theories of depression, sociocultural theory emphasizes the role that social stressors play in the development of depression. Also, the learning theory states that individuals learn to be depressed in response to a self-perception of a lack of control over their life experiences. The learning theory also states that individuals with depression typically experience little success in achieving gratification and little positive reinforcement in coping with negative incidents. The cognitive theory states that those who are depressed focus on negative messages in the environment and ignore positive experiences. The interpersonal theory suggests all people have an inborn need for interpersonal relationships.
E)Among the theories of depression, sociocultural theory emphasizes the role that social stressors play in the development of depression. Also, the learning theory states that individuals learn to be depressed in response to a self-perception of a lack of control over their life experiences. The learning theory also states that individuals with depression typically experience little success in achieving gratification and little positive reinforcement in coping with negative incidents. The cognitive theory states that those who are depressed focus on negative messages in the environment and ignore positive experiences. The interpersonal theory suggests all people have an inborn need for interpersonal relationships.

Question 12

A client being treated for severe depression reports feeling better and having more energy. Which is a priority nursing diagnosis for the client at this time?

Accepted Answer

A)The one risk that occurs with successful treatment of a client with depression is that once the depression begins to resolve, the underlying thought of suicide could prevail. With treatment, the client may begin to have more energy to make a plan regarding suicide. The nurse should further assess this client's statement about making plans. The client is not demonstrating low self-esteem, hopelessness, or social isolation.
B)The one risk that occurs with successful treatment of a client with depression is that once the depression begins to resolve, the underlying thought of suicide could prevail. With treatment, the client may begin to have more energy to make a plan regarding suicide. The nurse should further assess this client's statement about making plans. The client is not demonstrating low self-esteem, hopelessness, or social isolation.
C)The one risk that occurs with successful treatment of a client with depression is that once the depression begins to resolve, the underlying thought of suicide could prevail. With treatment, the client may begin to have more energy to make a plan regarding suicide. The nurse should further assess this client's statement about making plans. The client is not demonstrating low self-esteem, hopelessness, or social isolation.
D)The one risk that occurs with successful treatment of a client with depression is that once the depression begins to resolve, the underlying thought of suicide could prevail. With treatment, the client may begin to have more energy to make a plan regarding suicide. The nurse should further assess this client's statement about making plans. The client is not demonstrating low self-esteem, hopelessness, or social isolation.

Question 13

A client tells the nurse about rarely going outdoors in the winter because of a lack of energy or desire. Based on this data, which does the nurse suspect the client is experiencing?

Accepted Answer

A)A decreased exposure to sunlight will reduce the production of serotonin in the brain, and that can cause a type of depression termed seasonal affective disorder. The nurse does not have enough information to determine if the client is experiencing a side effect of medication or anxiety. Situational depression is a depressive episode that occurs after an identifiable life event.
B)A decreased exposure to sunlight will reduce the production of serotonin in the brain, and that can cause a type of depression termed seasonal affective disorder. The nurse does not have enough information to determine if the client is experiencing a side effect of medication or anxiety. Situational depression is a depressive episode that occurs after an identifiable life event.
C)A decreased exposure to sunlight will reduce the production of serotonin in the brain, and that can cause a type of depression termed seasonal affective disorder. The nurse does not have enough information to determine if the client is experiencing a side effect of medication or anxiety. Situational depression is a depressive episode that occurs after an identifiable life event.
D)A decreased exposure to sunlight will reduce the production of serotonin in the brain, and that can cause a type of depression termed seasonal affective disorder. The nurse does not have enough information to determine if the client is experiencing a side effect of medication or anxiety. Situational depression is a depressive episode that occurs after an identifiable life event.

Question 14

A client with a 2-month-old child is experiencing insomnia, mood swings, and crying. Which interventions does the nurse anticipate being incorporated into a collaborative plan of care for the client experiencing postpartum depression? Select all that apply.

Accepted Answer

A)The client is demonstrating signs of postpartum depression as evidenced by the mood swings, insomnia, and crying. Treatment for this disorder includes antidepressants and psychosocial interventions. Electroconvulsive therapy and cognitive-behavioral therapy would be indicated for some cases of depression but not for postpartum depression. Time management and exercise therapy would not be beneficial for a client experiencing postpartum depression.
B)The client is demonstrating signs of postpartum depression as evidenced by the mood swings, insomnia, and crying. Treatment for this disorder includes antidepressants and psychosocial interventions. Electroconvulsive therapy and cognitive-behavioral therapy would be indicated for some cases of depression but not for postpartum depression. Time management and exercise therapy would not be beneficial for a client experiencing postpartum depression.
C)The client is demonstrating signs of postpartum depression as evidenced by the mood swings, insomnia, and crying. Treatment for this disorder includes antidepressants and psychosocial interventions. Electroconvulsive therapy and cognitive-behavioral therapy would be indicated for some cases of depression but not for postpartum depression. Time management and exercise therapy would not be beneficial for a client experiencing postpartum depression.
D)The client is demonstrating signs of postpartum depression as evidenced by the mood swings, insomnia, and crying. Treatment for this disorder includes antidepressants and psychosocial interventions. Electroconvulsive therapy and cognitive-behavioral therapy would be indicated for some cases of depression but not for postpartum depression. Time management and exercise therapy would not be beneficial for a client experiencing postpartum depression.
E)The client is demonstrating signs of postpartum depression as evidenced by the mood swings, insomnia, and crying. Treatment for this disorder includes antidepressants and psychosocial interventions. Electroconvulsive therapy and cognitive-behavioral therapy would be indicated for some cases of depression but not for postpartum depression. Time management and exercise therapy would not be beneficial for a client experiencing postpartum depression.

Question 15

A client who was widowed 3 years ago states, "I don't have many friends. The only people I visit with are some acquaintances at the local bar." Which health problem does the nurse realize the client is at risk for based on this statement?

Accepted Answer

A)Risk factors for the development of depression include traumatic life events, such as loss of a spouse; poor coping mechanisms, such as excessive alcohol consumption; and unhealthy or insufficient interpersonal relationships, such as a lack of friends. Bipolar disorder is characterized by periods of mania with periods of depression. The client is not describing or demonstrating these periods. The client's statement does not indicate a risk for suicide at this time. Whether the client is still grieving is not evident from this statement.
B)Risk factors for the development of depression include traumatic life events, such as loss of a spouse; poor coping mechanisms, such as excessive alcohol consumption; and unhealthy or insufficient interpersonal relationships, such as a lack of friends. Bipolar disorder is characterized by periods of mania with periods of depression. The client is not describing or demonstrating these periods. The client's statement does not indicate a risk for suicide at this time. Whether the client is still grieving is not evident from this statement.
C)Risk factors for the development of depression include traumatic life events, such as loss of a spouse; poor coping mechanisms, such as excessive alcohol consumption; and unhealthy or insufficient interpersonal relationships, such as a lack of friends. Bipolar disorder is characterized by periods of mania with periods of depression. The client is not describing or demonstrating these periods. The client's statement does not indicate a risk for suicide at this time. Whether the client is still grieving is not evident from this statement.
D)Risk factors for the development of depression include traumatic life events, such as loss of a spouse; poor coping mechanisms, such as excessive alcohol consumption; and unhealthy or insufficient interpersonal relationships, such as a lack of friends. Bipolar disorder is characterized by periods of mania with periods of depression. The client is not describing or demonstrating these periods. The client's statement does not indicate a risk for suicide at this time. Whether the client is still grieving is not evident from this statement.

Question 16

The home care nurse hears the spouse of a client say "With you being so sick lately, I can't maintain this home by myself, so I never invite family over anymore. I can't stand to have them see our house in this rundown state." The client engages in an argument with the spouse, and the spouse begins to cry. Which does the home care nurse identify as occurring with this couple?

Accepted Answer

A)Manifestations associated with situational depression include avoiding family and friends, crying, and performing duties poorly. The nurse cannot determine if the family is having financial struggles. There is no evidence of spousal abuse at this time. The nurse cannot determine that the arguing is due to low blood glucose levels.
B)Manifestations associated with situational depression include avoiding family and friends, crying, and performing duties poorly. The nurse cannot determine if the family is having financial struggles. There is no evidence of spousal abuse at this time. The nurse cannot determine that the arguing is due to low blood glucose levels.
C)Manifestations associated with situational depression include avoiding family and friends, crying, and performing duties poorly. The nurse cannot determine if the family is having financial struggles. There is no evidence of spousal abuse at this time. The nurse cannot determine that the arguing is due to low blood glucose levels.
D)Manifestations associated with situational depression include avoiding family and friends, crying, and performing duties poorly. The nurse cannot determine if the family is having financial struggles. There is no evidence of spousal abuse at this time. The nurse cannot determine that the arguing is due to low blood glucose levels.

Question 17

Which condition is associated with the highest rate of comorbidity with depression?

Accepted Answer

A)The rate of comorbidity between mood disorders and substance abuse disorders is high. Approximately 20.5% of individuals who are alcohol dependent also have a major depressive disorder, and those who are alcohol dependent are 3.7 times more likely to have major depression than those who are not dependent on alcohol. Individuals with bipolar disorder have high rates of alcohol and substance abuse, and suicide is the leading cause of death among individuals with substance abuse disorders. Obesity, back problems, and hypertension do not share this same link with mood disorders.
B)The rate of comorbidity between mood disorders and substance abuse disorders is high. Approximately 20.5% of individuals who are alcohol dependent also have a major depressive disorder, and those who are alcohol dependent are 3.7 times more likely to have major depression than those who are not dependent on alcohol. Individuals with bipolar disorder have high rates of alcohol and substance abuse, and suicide is the leading cause of death among individuals with substance abuse disorders. Obesity, back problems, and hypertension do not share this same link with mood disorders.
C)The rate of comorbidity between mood disorders and substance abuse disorders is high. Approximately 20.5% of individuals who are alcohol dependent also have a major depressive disorder, and those who are alcohol dependent are 3.7 times more likely to have major depression than those who are not dependent on alcohol. Individuals with bipolar disorder have high rates of alcohol and substance abuse, and suicide is the leading cause of death among individuals with substance abuse disorders. Obesity, back problems, and hypertension do not share this same link with mood disorders.
D)The rate of comorbidity between mood disorders and substance abuse disorders is high. Approximately 20.5% of individuals who are alcohol dependent also have a major depressive disorder, and those who are alcohol dependent are 3.7 times more likely to have major depression than those who are not dependent on alcohol. Individuals with bipolar disorder have high rates of alcohol and substance abuse, and suicide is the leading cause of death among individuals with substance abuse disorders. Obesity, back problems, and hypertension do not share this same link with mood disorders.

Question 18

The nurse observes a client being treated for depression sitting with the head down and avoiding conversation with peers. Which nursing intervention is most appropriate for this client?

Accepted Answer

A)An open-ended question encourages more than a one-word response. Depressed clients should be comfortable with a one-to-one interaction prior to other client involvement. A closed-ended question is unlikely to encourage continued communication. Telling the client that if he does not get involved he will become more depressed is not encouraging communication.
B)An open-ended question encourages more than a one-word response. Depressed clients should be comfortable with a one-to-one interaction prior to other client involvement. A closed-ended question is unlikely to encourage continued communication. Telling the client that if he does not get involved he will become more depressed is not encouraging communication.
C)An open-ended question encourages more than a one-word response. Depressed clients should be comfortable with a one-to-one interaction prior to other client involvement. A closed-ended question is unlikely to encourage continued communication. Telling the client that if he does not get involved he will become more depressed is not encouraging communication.
D)An open-ended question encourages more than a one-word response. Depressed clients should be comfortable with a one-to-one interaction prior to other client involvement. A closed-ended question is unlikely to encourage continued communication. Telling the client that if he does not get involved he will become more depressed is not encouraging communication.

Question 19

Which intervention is a primary prevention strategy for depression?

Accepted Answer

A)Providing education about stress management is a primary prevention method for depression. Regular screening for depression and counseling clients about their risk for mood disorders are secondary prevention methods. Developing community-based mental health programs is a tertiary prevention method.
B)Providing education about stress management is a primary prevention method for depression. Regular screening for depression and counseling clients about their risk for mood disorders are secondary prevention methods. Developing community-based mental health programs is a tertiary prevention method.
C)Providing education about stress management is a primary prevention method for depression. Regular screening for depression and counseling clients about their risk for mood disorders are secondary prevention methods. Developing community-based mental health programs is a tertiary prevention method.
D)Providing education about stress management is a primary prevention method for depression. Regular screening for depression and counseling clients about their risk for mood disorders are secondary prevention methods. Developing community-based mental health programs is a tertiary prevention method.

Question 20

A nurse is caring for a client who displays symptoms associated with seasonal affective disorder (SAD). Which treatment would the nurse question as inappropriate for this client?

Accepted Answer

A)The nurse would question the order for an SSRI. This medication is used in the treatment of major depressive disorder (MDD)and dysthymic disorder, not SAD. All the other orders are appropriate for a client with SAD.
B)The nurse would question the order for an SSRI. This medication is used in the treatment of major depressive disorder (MDD)and dysthymic disorder, not SAD. All the other orders are appropriate for a client with SAD.
C)The nurse would question the order for an SSRI. This medication is used in the treatment of major depressive disorder (MDD)and dysthymic disorder, not SAD. All the other orders are appropriate for a client with SAD.
D)The nurse would question the order for an SSRI. This medication is used in the treatment of major depressive disorder (MDD)and dysthymic disorder, not SAD. All the other orders are appropriate for a client with SAD.

Quiz 28: Mood and Effect