Depression

Question 1

A patient became severely depressed when the last of the familys six children moved out of the home 4 months ago. The patient repeatedly says, No one cares about me. Im not worth anything. Which response by the nurse would be the most helpful?

Answer 1

Ill sit with you for 10 minutes now and 10 minutes after lunch to help you feel that I care about you.

Question 2

A patient became depressed after the last of the familys six children moved out of the home 4 months ago. Select the best initial outcome for the nursing diagnosis Situational low self-esteem related to feelings of abandonment. The patient will:

Answer 2

verbalize realistic positive characteristics about self by (date).

Question 3

A patient diagnosed with major depression says, No one cares about me anymore. Im not worth anything. Today the patient is wearing a new shirt and has neat, clean hair. Which remark by the nurse supports building a positive self-esteem for this patient?

Answer 3

Youre wearing new shirt

Question 4

An adult diagnosed with major depression was treated with medication and cognitive behavioral therapy. The patient now recognizes how passivity contributed to the depression. Which intervention should the nurse suggest?

Answer 4

social skills training

Question 5

Priority interventions for a patient diagnosed with major depression and feelings of worthlessness should include

Answer 5

careful unobtrusive observation around the clock

Question 6

When counseling patients diagnosed with major depression, an advanced practice nurse will address the negative thought patterns by using:

Answer 6

cognitive behavioral therapy.

Question 7

A patient says to the nurse, My life doesnt have any happiness in it anymore. I once enjoyed holidays, but now theyre just another day. The nurse documents this report as an example of:

Answer 7

anhedonia

Question 8

A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago. Today the patient says, I dont think I can keep taking these pills. They make me so dizzy, especially when I stand up. The nurse will:

Answer 8

teach the patient strategies to manage postural hypotension.

Question 9

A patient diagnosed with depression is receiving imipramine (Tofranil) 200 mg qhs. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?

Answer 9

Urinary retention

Question 10

A patient diagnosed with major depression tells the nurse, Bad things that happen are always my fault. Which response by the nurse will best assist the patient to reframe this overgeneralization?

Answer 10

Lets look at one bad thing that happened to see if another explanation exists.

Question 11

A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve. The nurse is most at risk for feelings of:

Answer 11

ineffectiveness and frustration.

Question 12

A patient diagnosed with depression begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. The nurse should provide information to the patient and family about:

Answer 12

reporting increased suicidal thoughts.

Question 13

A nurse taught a patient about a tyramine-restricted diet. Which menu selection would the nurse approve?

Answer 13

Avocado salad, ham, creamed potatoes, asparagus, chocolate cake

Question 14

What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy treatment?

Answer 14

Supporting physiological stability

Question 15

A nurse provided medication education for a patient diagnosed with major depression who began a new prescription for phenelzine (Nardil). Which behavior indicates effective learning? The patient:

Answer 15

confers with a pharmacist when selecting over-the-counter medications.

Question 16

Major depression resulted after a patients employment was terminated. The patient now says to the nurse, Im not worth the time you spend with me. I am the most useless person in the world. Which nursing diagnosis applies?

Answer 16

Situational low self-esteem

Question 17

A patient diagnosed with major depression does not interact with others except when addressed, and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the patient. Which communication technique will be effective?

Answer 17

. Make observations.

Question 18

A patient being treated for depression has taken 300 mg amitriptyline (Elavil) daily for a year. The patient calls the case manager at the clinic and says, I stopped taking my antidepressant 2 days ago. Now I am having cold sweats, nausea, a rapid heartbeat, and nightmares. The nurse will advise the patient to:

Answer 18

Take a dose of your antidepressant now and come to the clinic to see the health care provider.

Question 19

Which documentation for a patient diagnosed with major depression indicates the treatment plan was effective?

Answer 19

Slept 6 hours uninterrupted. Sang with activity group. Anticipates seeing grandchild.

Question 20

A patient was diagnosed with seasonal affective disorder (SAD). During which month would this patients symptoms be most acute?

Answer 20

January

Question 21

A patient diagnosed with depression repeatedly tells staff, I have cancer. Its my punishment for being a bad person. Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.

Answer 21

Risk for suicide

Question 22

A patient diagnosed with major depression refuses solid foods. In order to meet nutritional needs, which beverage will the nurse offer to this patient?

Answer 22

milk

Question 23

During a psychiatric assessment, the nurse observes a patients facial expression is without emotion. The patient says, Life feels so hopeless to me. Ive been feeling sad for several months. How will the nurse document the patients affect and mood?

Answer 23

Affect flat; mood depressed

Question 24

A disheveled patient with severe depression and psychomotor retardation has not showered for several days. The nurse will:

Answer 24

firmly and neutrally assist the patient with showering.

Question 25

A patient diagnosed with major depression began taking escitalopram (Lexapro) 5 days ago. The patient now says, This medicine isnt working. The nurses best intervention would be to:

Answer 25

explain the time lag before antidepressants relieve symptoms.

Question 26

A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate from this patient?

Answer 26

Eyes pointed downward

Question 27

A patient diagnosed with major depression received six electroconvulsive therapy sessions and aggressive doses of antidepressant medication. The patient owns a small business and was counseled not to make major decisions for a month. Select the correct rationale for this counseling.

Answer 27

Temporary memory impairments and confusion may occur with electroconvulsive therapy.

Question 28

A nurse instructs a patient taking a medication that inhibits the action of monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of:

Answer 28

hypertensive crisis.

Question 29

Transcranial Magnetic Stimulation (TCM) is scheduled for a patient diagnosed with major depression. Which comment by the patient indicates teaching about the procedure was effective

Answer 29

I might be a little dizzy or have a mild headache after each procedure.