Chapter 25 Flashcards
A client is diagnosed with persistent depressive (dysthymia) disorder. Which should a nurse classify as an affective symptom of this disorder?
Gloomy and pessimistic outlook on life
A client is diagnosed with major depressive disorder. Which nursing diagnosis should a nurse assign to this client to address a behavioral symptom of this disorder?
Social isolation R/T poor self-esteem AEB secluding self in room
A nurse assesses a client suspected of having major depressive disorder. Which client symptom would eliminate this diagnosis?
The client has maxed-out charge cards and exhibits promiscuous behaviors.
A nurse reviews the laboratory data of a 29-year-old client suspected of having major depressive disorder. Which laboratory value would potentially rule out this diagnosis?
Thyroid-stimulating hormone (TSH) level of 6.2 U/mL
A depressed client reports to a nurse a history of divorce, job loss, family estrangement, and cocaine abuse. According to learning theory, what is the cause of this client’s symptoms?
Depression is a result of repeated failures.
What is the priority reason for a nurse to perform a full physical health assessment on a client admitted with a diagnosis of major depressive disorder?
Depression is a symptom of several medical conditions.
A nurse is planning care for a child who is experiencing depression. Which medication is approved by the U.S. Food and Drug Administration (FDA) for the treatment of depression in children and adolescents?
Fluoxetine (Prozac)
A nurse admits an older client who is experiencing memory loss, confused thinking, and apathy. A psychiatrist suspects depression. What is the rationale for performing a mini-mental status exam?
To rule out neurocognitive disorder
A confused client has recently been prescribed sertraline (Zoloft). The client’s spouse is taking paroxetine (Paxil). The client presents with restlessness, tachycardia, diaphoresis, and tremors. What complication does a nurse suspect, and what could be its possible cause?
Serotonin syndrome caused by ingestion of two different SSRIs
A client who has been taking fluvoxamine (Luvox) without significant improvement asks a nurse, “I heard about something called a monoamine oxidase inhibitor (MAOI). Can’t my doctor add that to my medications?” Which is an appropriate nursing reply?
“A combination of an MAOI and Luvox can lead to a life-threatening hypertensive crisis.”
A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. Which foods should the nurse teach the client to avoid?
Pepperoni pizza and red wine
A client who has been taking buspirone (BuSpar) as prescribed for 2 days is close to discharge. Which statement indicates to the nurse that the client has an understanding of important discharge teaching?
“It is going to take 2 to 3 weeks in order for me to begin to feel better.”
A client is admitted to the psychiatric unit with a diagnosis of major depressive disorder. The client is unable to concentrate, has no appetite, and is experiencing insomnia. Which should be included in this client’s plan of care?
A simple, structured daily schedule with limited choices of activities
An isolative client was admitted 4 days ago with a diagnosis of major depressive disorder. Which nursing statement would best motivate this client to attend a therapeutic group being held in the milieu?
“I’ll walk with you to the day room. Group is about to start.”
A client who is diagnosed with major depressive disorder asks the nurse what causes depression. Which of these is the most accurate response?
The exact cause of depressive disorders is unknown. A number of things, including genetic, biochemical, and environmental influences, likely play a role.
