Chapter 7 Flashcards
You are admitting a new patient who is depressed. Your initial contact should do what?
Establish trust
In caring for a patient with major depression, the nurse knows that the patient needs:
Well-defined, structured interactions at the beginning of treatment
Patients with major depression commonly display signs of:
Worthlessness
When your patient says I am depressed, what is the best response?
Tell me more about what is going on with you
Your patient takes tranylcypromine for depression. Which of the following is most likely to indicate dietary restrictions have not been followed?
Hypertensive crisis
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?
Muscle rigidity
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:
Electroconvulsive therapy (ECT).
Your depressed patient is just started on duloxetine (Cymbalta). Which
statement by the spouse tells you that family teaching has been effective?
I realize we cant expect big changes right away.
Biological theories of depressive disorders include all of the following except:
The patient experiences maladaptive thought processes.
Light therapy has been shown to be effective in treating patients with:
Major depression with seasonal pattern.
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?
Once I start feeling better, Im looking forward to cutting down on this medication
What is the main difference between major depression and dysthymic depression?
Dysthymia is a chronic, low-level depression that lasts for years, while major depression is more severe.
Your depressed patient is starting a new medication called phenelzine
(Nardil). Which teaching would be most important to emphasize?
Instruct the patient and family about the many food-drug interactions.
Which of the following antidepressants is a tricyclic?
Nortripyline (Pamelor)
Which statement is most true about depression?
It is more common in women than men.
A newly admitted client has been diagnosed with major depressive disorder. Which nursing diagnosis takes priority?
Hopelessness
The nurse knows that the two factors that often differentiate major depression from dysthymia depression are:
Severity and duration of symptoms.
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?
You sound like you are feeling all alone.
Your patient with major depression tells you he suffers from urinary
retention. Which medication would be most likely to cause this?
Amitriptyline
Which activity would be best for a depressed patient?
Drawing
Which of the following meal choices indicates the patient understands the
diet restrictions when taking an MAOI?
Fried fish, rice, and cola
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?
Sit with the patient and gently offer your availability to help.
Which of the following drugs is a tricyclic antidepressant?
Amitriptyline (Elavil)
Some medications such as tricyclics cause blurred vision. What is the cause
of this effect?
Anticholinergic effect
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?
Patient arrives neatly dressed.
Which response best describes how dysthymic disorder is different from
major depression?
Chronic low level depression
Which of the following would be the most effective intervention for a depressed patient?
Establish one small goal to accomplish today.
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:
Self-care deficit related to impaired ability to provide personal hygiene.
Which of the following is an important intervention for a patient taking nortriptyline?
Monitor for anticholinergic side effects
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
A,B,D,F
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
A,D,E
