Chapter 7

Question 1

You are admitting a new patient who is depressed. Your initial contact should do what?

Answer 1

Establish trust

Question 2

In caring for a patient with major depression, the nurse knows that the patient needs:

Answer 2

Well-defined, structured interactions at the beginning of treatment

Question 3

Patients with major depression commonly display signs of:

Answer 3

Worthlessness

Question 4

When your patient says I am depressed, what is the best response?

Answer 4

Tell me more about what is going on with you

Question 5

Your patient takes tranylcypromine for depression. Which of the following is most likely to indicate dietary restrictions have not been followed?

Answer 5

Hypertensive crisis

Question 6

Your depressed patient who is taking a tricyclic antidepressant is advised of possible anticholinergic side effects. Which of the following is NOT an anticholinergic side effect?

Answer 6

Muscle rigidity

Question 7

Helen, a 47-year-old client with a long history of severe depression, has not
responded to antidepressant medications or psychotherapy. The nurse caring for the patient knows that the treatment of choice for depression unresponsive to conventional treatment would be:

Answer 7

Electroconvulsive therapy (ECT).

Question 8

Your depressed patient is just started on duloxetine (Cymbalta). Which
statement by the spouse tells you that family teaching has been effective?

Answer 8

I realize we cant expect big changes right away.

Question 9

Biological theories of depressive disorders include all of the following except:

Answer 9

The patient experiences maladaptive thought processes.

Question 10

Light therapy has been shown to be effective in treating patients with:

Answer 10

Major depression with seasonal pattern.

Question 11

You are doing patient teaching for Margaret, who has been prescribed amitriptyline (Elavil) for treatment of depression. Which of the following statements suggests that Margaret needs further instruction?

Answer 11

Once I start feeling better, Im looking forward to cutting down on this medication

Question 12

What is the main difference between major depression and dysthymic depression?

Answer 12

Dysthymia is a chronic, low-level depression that lasts for years, while major depression is more severe.

Question 13

Your depressed patient is starting a new medication called phenelzine
(Nardil). Which teaching would be most important to emphasize?

Answer 13

Instruct the patient and family about the many food-drug interactions.

Question 14

Which of the following antidepressants is a tricyclic?

Answer 14

Nortripyline (Pamelor)

Question 15

Which statement is most true about depression?

Answer 15

It is more common in women than men.

Question 16

A newly admitted client has been diagnosed with major depressive disorder. Which nursing diagnosis takes priority?

Answer 16

Hopelessness

Question 17

The nurse knows that the two factors that often differentiate major depression from dysthymia depression are:

Answer 17

Severity and duration of symptoms.

Question 18

You are caring for an older adult who is recently widowed. She says, No one
cares if I die. Everyone I ever loved is dead. What is the best response?

Answer 18

You sound like you are feeling all alone.

Question 19

Your patient with major depression tells you he suffers from urinary
retention. Which medication would be most likely to cause this?

Answer 19

Amitriptyline

Question 20

Which activity would be best for a depressed patient?

Answer 20

Drawing

Question 21

Which of the following meal choices indicates the patient understands the
diet restrictions when taking an MAOI?

Answer 21

Fried fish, rice, and cola

Question 22

Your patient with major depression sits in her room for hours staring out the
window. Which of the following would be the most appropriate intervention?

Answer 22

Sit with the patient and gently offer your availability to help.

Question 23

Which of the following drugs is a tricyclic antidepressant?

Answer 23

Amitriptyline (Elavil)

Question 24

Some medications such as tricyclics cause blurred vision. What is the cause
of this effect?

Answer 24

Anticholinergic effect

Question 25

Your patient has been taking a SSRI antidepressant for 6 weeks. On arrival
at the clinic, which observation would indicate a positive outcome from the medication?

Answer 25

Patient arrives neatly dressed.

Question 26

Which response best describes how dysthymic disorder is different from
major depression?

Answer 26

Chronic low level depression

Question 27

Which of the following would be the most effective intervention for a depressed patient?

Answer 27

Establish one small goal to accomplish today.

Question 28

A patient admitted to the mental unit has shown a deficit in providing self- care and has a medical diagnosis of major depression. The nursing diagnosis for this would be:

Answer 28

Self-care deficit related to impaired ability to provide personal hygiene.

Question 29

Which of the following is an important intervention for a patient taking nortriptyline?

Answer 29

Monitor for anticholinergic side effects

Question 30

Annie has been diagnosed as having dysthymic depression. The nurse knows that symptoms of this disorder include: (Select all that apply)
A. A depressed mood that lasts for most of each day over a 2-year period
B. Low self-esteem
C. Hallucinations
D. Difficulty in making decisions
E. Periods of euphoria
F. Sleep pattern disturbances

Answer 30

A,B,D,F

Question 31

Which of the following nursing interventions apply to all depressed patients?
(Select all that apply)
A. Show patience
B. Monitor lithium levels
C. Monitor for suicidal ideation
D. Communicate effectively
E. Provide meaningful activities
F. Include alternative therapies in the treatment plan

Answer 31

A,D,E