Mood Disorders

Question 1

Identify the physiologic changes that commonly occur with depression

Answer 1

Weight change (loss or gain), constipation, fatigue, lack of sexual interest, somatic complaints (awareness of pain or problems in the body), and sleep disturbances

Question 2

A client who has been withdrawn and tearful comes to breakfast one morning smiling and interacting with her peers. Prior to breakfast she gave her roommate her favorite necklace. What actions should the nurse take and why?

Answer 2

Assess for suicidal ideation, plan, and means of carrying out plan. Place on precautions as indicated. A sudden change in mood and giving away possessions are two possible signs that a suicide plan has been developed.

Question 3

Name the components of a suicide assessment

Answer 3

Existence of a plan, existence of a method, availability of method chosen, lethality (how capable something is of causing death) of method chosen, identified support system, and history of previous attempts
- Plan, Intent, Means

Question 4

A client on your unit refuses to go to group therapy. What is the most appropriate nursing intervention?

Answer 4

Accompany client to the group; do not give client option. Client needs to be mobilized

Question 5

A client is standing on a table loudly singing “The Star-Spangled Banner” and is encircled by sheets, which have been set afire. In order of priority, describe appropriate nursing actions.

Answer 5

Remove client and other persons in the vicinity to a safe area and activate hospital fire plan. When area is safe, place client in quiet environment with low stimulation and medicate as indicated