Depression

A nurse is caring for depressed older adults. What precipitating factors for depression are most common in the older adult without cognitive problems? Select all that apply. 1 Dementia 2 Multiple losses 3 Declines in health 4 A milestone birthday 5 An injury requiring hospitalization

A client is admitted with a bipolar disorder, depressed episode. The nursing history indicates a progressive increase in depression over the past month. What should the nurse expect the client to display? 1 Elated affect related to reaction formation 2 Loose associations related to a thought disorder 3 Physical exhaustion related to decreased physical activity 4 Decrease of verbal expression related to slowed thought processes

A client diagnosed with depression is prescribed phenelzine. Which foods consumed along with this drug would cause a hypertensive crisis? 1 Yogurt 2 Soy sauce 3 Cream cheese 4 Soybean paste 5 Over-ripened bananas

A registered nurse provides dietary instructions to a client who is prescribed isocarboxazid for depression. Which statements made by the client indicates a need for further education? 1 "I will limit my intake of fish." 2 "I will limit my intake of yogurt." 3 "I will limit my intake of bananas." 4 "I will limit my intake of beer." 5 "I will limit my intake of chocolate."

A male client with the dual diagnosis of major depression and polysubstance abuse has been attending group therapy. One day the client tells the nurse, "The things they talk about in group don't really pertain to me." What is the most therapeutic response by the nurse? A) Confronting the client with realistic feedback B) Identifying the client's stress-coping tolerance C) Informing the client that he needs to get more involved D)Asking the client what therapy he thinks would be more helpful

The primary healthcare provider notices that a client exhibits a period of mania followed by hypomania and depression and prescribes lithium carbonate. What is the mode of administration of the prescribed drug? 1 Oral route 2 Sublingual route 3 Intravenous route 4 Transdermal route

The nurse suspects serotonin syndrome in a client prescribed second-generation antidepressants for depression. Which assessment findings observed by the nurse would be beneficial in diagnosing the severity of the syndrome? Select all that apply. 1 Delirium 2 Hyperreflexia 3 Hyperthermia 4 Muscle spasms 5 Rhabdomyolysis

A client with depression is to be given fluoxetine. What precaution will the nurse consider when initiating treatment with this drug? 1 It must be given with milk and crackers to prevent hyperacidity and discomfort. 2 Eating cheese or pickled herring or drinking wine may cause a hypertensive crisis. 3 The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks. 4 The blood level should be checked weekly for 3 months to monitor for an appropriate level.

A client is experiencing feelings of sadness and is having difficulty concentrating and sleeping. What are additional common signs and symptoms of depression that the nurse should expect when performing an assessment of this client? 1 Rigidity and a narrowing of perception 2 Alternating episodes of fatigue and high energy 3 Diminished pleasure in activities and alteration in appetite 4 Excessive socialization and interest in activities of daily living

Which statements regarding the use of selegiline to treat depression are true? Select all that apply. 1 Carbamazepine lowers selegiline levels. 2 Oxcarbazepine significantly raises the level of selegiline. 3 Oral forms of selegiline are approved for bipolar disease. 4 The most common adverse reaction of selegiline is a localized rash. 5 Transdermal selegiline is the only transdermal treatment for major depression.

A client with depression was prescribed fluoxetine. After two days, the client arrives at the hospital and reports restlessness, confusion, and poor concentration. Upon assessment, the nurse finds an elevated body temperature. Which intervention by the healthcare provider would be beneficial to the client? 1 Withdrawing the drug 2 Administering isocarboxazid 3 Reducing the dose of the drug 4 Informing the client that these are expected side effects

A depressed client has been prescribed a tricyclic antidepressant. How long does the nurse inform the client that it usually takes before clients notices a significant change in the depression? 1 4 to 6 days 2 2 to 4 weeks 3 5 to 6 weeks 4 12 to 16 hours

Which assessment finding is associated with depression? 1 The client has islands of intact memory. 2 The client has impaired recent and remote memory. 3 The client has impaired recent and immediate memory. 4 The client needs step-by-step instructions for simple tasks.

A client is admitted to the mental health unit because of a progressively increasing depression over the past month. What clinical finding does a nurse expect during the initial assessment of the client? 1 Elated affect related to reaction formation 2 Loose associations related to thought disorder 3 Physical exhaustion resulting from decreased physical activity 4 Diminished verbal expression caused by a slowed thought process

One morning a client with the diagnosis of acute depression says, "God is punishing me for my past sins." What is the best response by the nurse? 1 "Why do you think that?" 2 "You sound very upset about this." 3 "Do you believe that God is punishing you for your sins?" 4 "If you feel this way, you should talk to your spiritual advisor."

During a home visit the nurse obtains information regarding a postpartum client's behavior and suspects that she is experiencing postpartum depression. Which assessments support this conclusion? Select all that apply. 1 Lethargy 2 Ambivalence 3 Emotional lability 4 Increased appetite 5 Long periods of sleep

After reviewing the data of a client with depression, the primary healthcare provider decided not to prescribe bupropion. Which statements made by the client would support the decision? Select all that apply. 1 "I have a history of epilepsy." 2 "I have not used phenelzine for two months." 3 "I have recently been diagnosed with glaucoma." 4 "I have a history of congestive heart failure." 5 "I have recently been diagnosed with anorexia nervosa."

A client is receiving imipramine, a tricyclic antidepressant, for depression. The nurse assesses the client for side effects and adverse effects. Which adverse effect requires further assessment and possible medical intervention? 1 Dry mouth 2 Weight gain 3 Blurred vision 4 Urinary hesitancy

While conducting an assessment, the nurse finds that the client shivers uncontrollably and experiences memory loss, depression, and poor judgment. What might the client's body temperature be? 1 29° C 2 33° C 3 36° C 4 38° C

A client with major depression is admitted to the hospital. What is the most therapeutic initial nursing intervention? 1 Introducing the client to one other client 2 Requiring participation in therapy sessions 3 Encouraging interaction with others in small groups 4 Conveying an attitude of concern that is not intrusive

A client with mild Alzheimer disease has been taking galantamine, and the primary healthcare provider prescribes paroxetine for depression. For what effect will a nurse assess the client when these medications are taken concurrently? 1 Allergic 2 Dystonic 3 Additive 4 Extrapyramidal

A client is responding within 5 minutes of receiving naloxone to combat respiratory depression from an overdose of heroin. Why will a nurse continue to closely monitor this client's status? 1 The drug may cause peripheral neuropathy. 2 Naloxone and heroin can cause cardiac depression when combined. 3 Symptoms of the heroin overdose may return after the naloxone is metabolized. 4 Hyperexcitability and amnesia may cause the client to thrash about and become abusive.

A 65-year-old man is admitted to the hospital with a history of depression. The client, who speaks little English and has had few outside interests since retiring, says, "I feel useless and unneeded." The nurse concludes that the client is in which Erikson's developmental stage? 1 Initiative versus guilt 2 Integrity versus despair 3 Intimacy versus isolation 4 Identity versus role confusion

What should the nurse teach parents about childhood depression? 1 May appear as acting-out behavior 2 Looks almost identical to adult depression 3 Does not respond to conventional treatment 4 Is short in duration and has an early resolution

An adolescent has pinpoint pupils, respiratory depression, and cyanosis. Upon assessment, the school nurse observes needle marks on arms and legs. Which drug is the adolescent probably abusing? 1 Cocaine 2 Narcotics 3 Hallucinogens 4 Central nervous system (CNS) stimulants

A client is known to be on lithium therapy for the treatment of depression. What is the expected adverse effect of this drug? 1 Ataxia 2 Confusion 3 Blurred vision 4 Paradoxical anxiety

An older client is admitted to the hospital with the diagnosis of dementia of the Alzheimer type and depression. Which signs of depression does the nurse identify? Select all that apply. 1 Loss of memory 2 Increased appetite 3 Neglect of personal hygiene 4 "I don't know" answers to questions 5 "I can't remember" answers to questions

A nurse is caring for a client who is experiencing major depression. What feeling should the nurse anticipate that the client will likely have difficulty expressing? 1 Need for comforting 2 Anger toward others 3 Remorse for past behaviors 4 Feelings of low self-esteem

An adolescent having premenstrual syndrome displays pelvic fullness, irritability, depression, fatigue, and backaches. What instructions should the nurse provide to the adolescent to help obtain relief? Select all that apply. 1 Do aerobics 3 to 4 times a week. 2 Follow stress reduction techniques. 3 Take NSAIDs or progesterone. 4 Consume sugar, salt, red meat, alcohol, and coffee regularly. 5 Eat food rich in complex carbohydrates and fiber in three small portions.

The nurse finds that a client prefers Reiki to antidepressants for treating depression. Which intervention of the nurse indicates open-mindedness? 1 Respecting the client's preference 2 Suggesting other options in addition to Reiki 3 Dissuading the client against continuing Reiki 4 Emphasizing that not taking antidepressants may be harmful

A client has been hospitalized for 3 weeks while receiving a tricyclic medication for severe depression. One day the client says to the nurse, "I'm really feeling better; my energy level is up." After the encounter an aide tells the nurse that the client has given away a favorite jacket. What should the nurse conclude that the client's statement indicates? 1 Improved mood 2 Improved socialization 3 Increased risk for suicide 4 Heightened need for independence

A client is admitted with the diagnosis of borderline personality disorder and possible depression. The client has a history of abusive acting-out behavior. What is most important to assess when caring for this client? 1 Degree of anger 2 Potential for suicide 3 Level of intelligence 4 Ability to test reality

The nurse is making rounds on a client who has developed severe bone marrow depression after receiving chemotherapy for cancer. Which of these actions by the nurse is appropriate? Select all that apply. 1 Monitor for signs of alopecia. 2 Encourage an increase in fluids. 3 Wash hands before entering the client's room. 4 Advise use of a soft toothbrush for oral hygiene. 5 Report an elevation in temperature immediately. 6 Encourage the client to eat raw, fresh fruits and vegetables.

A client in a psychiatric hospital with the diagnosis of major depression is tearful and refuses to eat dinner after a visit with a friend. What is the most therapeutic nursing action? 1 Allowing the client to skip the meal 2 Offering an opportunity to discuss the visit 3 Reinforcing the importance of adequate nutrition 4 Providing the client with adequate quiet thinking time

The nurse noticed increased blood pressure in a client on treatment for depression. Which antidepressant drug does the nurse ask the primary healthcare provider to reconsider? 1 Fluoxetine 2 Bupropion 3 Trazodone 4 Mirtazapine

As depression begins to lift, a client is asked to join a small discussion group that meets every evening on the unit. The client is reluctant to join and says, "I have nothing to talk about." What is the best response by the nurse? 1 "Maybe tomorrow you'll feel more like talking." 2 "Could you start off by talking about your family?" 3 "A person like you has a great deal to offer the group." 4 "You feel you won't be accepted unless you have something to say?"

A client with depression has not responded to a tricyclic antidepressant and outpatient electroconvulsive therapy (ECT). The healthcare provider prescribes selegiline, and the nurse teaches the client about food to be avoided while taking this medication. Which foods identified by the client allow the nurse to conclude that the instructions have been understood? Select all that apply. 1 Fresh fish 2 Beer 3 Fried chicken 4 Licorice 5 Leafy vegetables

When caring for a client with major depression, what do nurses usually have the most difficulty dealing with? 1 The client's lack of energy 2 Negative nonverbal responses 3 The client's psychomotor retardation 4 The pervasive quality of the depression

A client with a history of alcohol abuse says to the nurse, "Drinking is a way out of my depression." Which strategy will probably be most effective for the client at this time? 1 A self-help group 2 Psychoanalytical therapy 3 A visit with a religious advisor 4 Talking with an alcoholic friend

Which symptoms of depression, often overlooked in the older adult client, should the nurse include in the assessment process? Select all that apply. 1 Anxiety 2 Insomnia 3 Weight loss 4 Weight gain 5 General fatigue

A new mother is diagnosed with depression. Which antidepressant may be prescribed to this client? 1 Sertraline 2 Fluoxetine 3 Amphetamine 4 Carbamazepine

A client is found to have an adjustment disorder with mixed anxiety and depression. What should the nurse anticipate as the client's primary problem? 1 Low self-esteem 2 Deficient memory 3 Intolerance of activity 4 Disturbed personal identity

Two weeks after a client has been admitted to the mental health hospital, the client's depression begins to lift. What is the primary reason the nurse encourages involvement with unit activities? 1 They support self-confidence. 2 They provide for group interaction. 3 They limit opportunities for suicide. 4 They allow verbalization of repressed feelings of hostility.

Which drug would the nurse administer transdermally to treat a client with major depression? 1 Selegiline 2 Phenelzine 3 Isocarboxazid 4 Tranylcypromine

A client with a history of schizophrenia has recently begun reporting symptoms of depression and is now prescribed a selective serotonin reuptake inhibitor (SSRI). In light of the information in the client's chart, what is the nurse's priority? 1 Educating both the client and family on how to identify the early signs of extrapyramidal symptoms 2 Requesting a gastrointestinal consult to identify the cause of the client's need for frequent antacids 3 Stressing the importance of managing the client's diet while taking the prescribed antidepressant 4 Discussing the stressors that have developed since the client moved in with the sister and brother-in-law

A client with a history of schizophrenia who responds poorly to medication is now being treated for acute depression. In light of the information elicited from the medication list and laboratory results, what does the nurse advise? 1 Come in for weekly blood tests to monitor for drug-induced agranulocytosis. 2 Report incidents of unusual bleeding or easy bruising while taking fluoxetine. 3 Expect to be prescribed only 1 week's supply of fluoxetine at a time. 4 Consume a high-protein diet to offset the risk of anemia while taking clozapine.

A client with a diagnosis of major depression tells a nurse, "No matter what I do, everything turns out bad." The nurse recognizes this as an example of what? 1 Using a cognitive distortion 2 Seeking sympathy from the nurse 3 Regressing to an earlier developmental level 4 Avoiding responsibility for previous behavior

Laboratory results of a client's blood after chemotherapy indicate bone marrow depression. What should the nurse encourage the client to do? Select all that apply. 1 Use a soft toothbrush. 2 Sleep with the head of the bed elevated. 3 Increase activity levels and take frequent walks. 4 Drink more citrus juices and eat more citrus fruits. Correct 5 Read the ingredients in over-the-counter drugs before taking them.

A nurse is caring for a primigravida during labor. At 7 cm of dilation a prescribed pain medication is administered. Which medication requires monitoring of the newborn for the side effect of respiratory depression? 1 Butorphanol 2 Hydroxyzine 3 Promethazine 4 Diphenhydramine

A nurse is discharging a client from the mental health unit who has been treated for major depression. Which statement is most therapeutic at this time? 1 "I'm going to miss you; we've become good friends." 2 "I know that you're going to be all right when you go home." 3 "Call the contact number we gave you if you have an emergency." 4 "This is my phone number; call and let me know how you're doing."

The primary healthcare provider prescribed imipramine to a client with depression. Which adverse effects would the nurse anticipate in the client? Select all that apply. 1 Asthenia 2 Skin rash 3 Hepatotoxicity 4 Photosensitivity 5 Blood dyscrasias

A client is admitted to a mental health facility for depression. What action should a nurse take to help the client develop a positive self-regard? 1 Set limits on the client's negative behaviors. 2 Involve the client in activities that promote success. 3 Demonstrate approval of the client's efforts at every opportunity. 4 Encourage the client to participate in activities with other clients.

A client is not responding to antidepressant medications for treatment of major depression with suicidal ideation. After learning about electroconvulsive therapy (ECT), the client discusses the advantages and disadvantages with the primary nurse. The nurse concludes that the client understands the disadvantages of ECT when the client states that what is one major disadvantage of ECT? 1 The seizures may cause bone fractures. 2 Relief of symptoms requires many weeks of treatment. 3 Memory is impaired after the treatment. 4 Loss of mental function occurs and continues for a long time.

Certain foods and drugs are known to cause serious adverse effects when used in combination with monoamine oxidase inhibitors (MAOIs). Which adverse effect could occur in clients treated with MAOIs for depression? 1 A serious drop in blood pressure 2 A serious increase in blood pressure 3 A significant increase in liver enzymes 4 A significant increase in cholesterol levels

An older client with depression is prescribed a tricyclic antidepressant. What is the priority nursing intervention in this situation? 1 Providing psychotherapy to the client 2 Teaching strategies to overcome depression 3 Encouraging the client to walk for 30 minutes 4 Requesting that the physician change the drug

A client with major depression that includes psychotic features tells the nurse, "All of my relatives have been killed because I've been sinful and need to be punished." What is the primary focus of nursing interventions? 1 Protecting the client against any suicidal impulses 2 Supporting the client's interest in the outside world 3 Helping the client manage the concern for family members 4 Reassuring the client that past behaviors are not being punished

A client whose depression is beginning to lift remains aloof from the other clients on the mental health unit. How can a nurse help the client participate in an activity? 1 Find solitary pursuits that the client can enjoy. 2 Speak to the client about the importance of entering into activities. 3 Ask the primary healthcare provider to speak to the client about participating. 4 Invite another client to take part in a joint activity with the nurse and the client.

A client with phobias about elevators and large crowds comes to the clinic for help because of feelings of depression related to these fears. What is an appropriate short-term goal for this client? 1 Riding an elevator without anxiety when accompanied by the nurse 2 Describing the thoughts and feelings experienced in terrifying situations 3 Experiencing an elevation of mood and relief from feelings of depression 4 Identifying the early childhood conflicts that resulted in the development of these fears

A breastfeeding mother requires treatment for depression. Which drug would be safe to use if the mother wishes to continue breastfeeding the newborn? 1 Fluoxetine 2 Paroxetine 3 Valproic acid 4 Methotrexate

Which priority assessments should be included by the nurse when caring for a client who is experiencing depression? Select all that apply. 1 Appetite 2 Irritability 3 Restlessness 4 Activity status 5 Emotional status

A nurse is assigned to care for a group of clients who have been found to have depression. Which clinical manifestations does the nurse anticipate? Select all that apply. 1 Lability of affect 2 Specific food cravings 3 Neglect of personal hygiene 4 "I don't know" answers to questions 5 Apathetic response to the environment

A 37-year-old woman is admitted to the unit with severe menorrhagia. During assessment the nurse learns that she has a history of fibroids, menorrhagia, pelvic pain, and depression. The client has been undergoing hormone therapy in hopes of easing the symptoms and reducing the size of the fibroids, without success. The lab reports hemoglobin and hematocrit readings of 6.8 g/dL (68 mmol/l) and 20.2 (20%), respectively. The client begins to sob and cries, "I don't know what to do—my primary healthcare provider is recommending a hysterectomy, but I haven't had children yet!" What is the best response by the nurse? 1 "There are so many children up for adoption, looking for a mother." 2 "This must be so difficult for you. Children are really important to you?" 3 "You really have no choice but to follow the recommendation; the primary healthcare provider is right." 4 "Believe me when I tell you that kids are so difficult to raise—you're better off without them."

A client with a diagnosis of major depression refuses to participate in unit activities, claiming to be "just too tired." What is the best nursing approach? 1 Planning one rest period during each activity 2 Explaining why the staff believes that the activities are therapeutic 3 Encouraging the client to express negative feelings about the activities 4 Accepting the client's feelings about activities calmly while setting firm limits

A client with a history of depression tells the nurse about planning to retire from work next year. What common dynamic about retirement should the nurse consider when interacting with this client? 1 It is damaging to self-esteem. 2 It is a developmental task of significance. 3 It is a negative event associated with the concept of aging. 4 It is a milestone that is eagerly anticipated by most older people.

What treatment should a nurse anticipate will be prescribed for a client with severe, persistent, intractable depression and suicidal ideation? 1 Electroconvulsive therapy 2 Short-term psychoanalysis 3 Nondirective psychotherapy 4 High doses of anxiolytic drugs

A pregnant client is treated with sertraline for depression. What can be inferred about the drug's action? 1 It will only affect the client. 2 It will only affect the fetus. 3 It will affect both the client and the fetus. 4 It will not have any effect on both client and the fetus.

The nurse is caring for a client who had a brain attack (cerebrovascular accident) and who has varying moods. The moods range from anger to depression to concern about the aphasia, hemiparesis, and the gavage feedings. Which behavior best indicates the client's acceptance of physical limitations? 1 Performs tube feedings without assistance 2 Allows family members to assist with care 3 Smiles and becomes more extroverted 4 Walks in the hall and sits in the lounge

An older adult who is undergoing follow-up treatment for mild depression at a local walk-in mental health clinic reports the onset of nausea, headache, and episodes of double vision during the past few weeks. In light of the assessment information, what is the nurse's priority? 1 Performing an in-depth cardiac assessment 2 Arranging for an ophthalmic consultation immediately 3 Initiating a conversation about the son's cancer diagnosis 4 Inquiring when the client began therapy for hypertension

A client scheduled to begin electroconvulsive therapy (ECT) to treat severe depression that has not responded to any of the antidepressant medications tells the nurse, "I'm scared that I'll lose my memory forever after the treatment." What is the most therapeutic response by the nurse? 1 "Your memory loss may be permanent, but usually it's just temporary." 2 "You won't experience a permanent memory loss, so there's no need to be frightened." 3 "You'll experience a temporary loss of memory, and feeling frightened about it is expected." 4 "Your memory loss will be temporary, and it will help block out many of your painful past experiences."

What should the nurse ask while assessing a Latina woman with depression for the risk of self-harm? 1 "When did you last spend time with friends?" 2 "How do you express yourself when you're angry?" 3 "When did you first notice that you were depressed?" 4 "Do you have interests outside your work and home?"

Fourteen months after the traumatic death of a spouse, a client comes to the mental health clinic complaining of continuing depression and states, "I haven't been seeing any of my friends or attending any of the activities I previously enjoyed. My children are married and live in another state, and I almost never see them." What does the nurse determine that the client is experiencing? 1 Difficulty grieving 2 Ineffective family interactions 3 Problems in communicating with others 4 Low motivation to resume daily activities

A client is admitted with bipolar disorder, depressed episode. The nursing history indicates a progressive increase in depression over the past month. What should the nurse expect the client to display? 1 Elated affect related to reaction formation 2 Loose associations related to a thought disorder 3 Physical exhaustion related to decreased physical activity 4 Paucity of verbal expression related to slowed thought processes

A nursing student is listing the steps that need to be followed for applying developmental theory when caring for chronically ill older adults with depression. Which step listed by the nursing student needs correction? 1 "The nurse should understand adult development and its implications for practice." 2 "The nurse should be aware of signs of depression such as general fatigue or insomnia." 3 "The nurse should recognize the need to identify depression so that heart failure can be prevented." 4 "The nurse should understand the older adult's concept of depression and views on treatment for mental illness."

Which drug is used to treat both generalized anxiety disorder and depression? 1 Fluoxetine 2 Bupropion 3 Duloxetine 4 Mirtazapine

A client with chronic depression has a history of suicidal ideations. Place the following nursing assessment questions in the appropriate order to best ensure client safety. Correct 1. "Are you thinking about hurting yourself?" 2. "Have you decided upon a plan to harm yourself?" 3. "What is your plan for killing yourself?" 4. "How would you get what you need to end your life?

A nurse in the mental health clinic is counseling a client with the diagnosis of depression. During the counseling session the client says, "Things always seem the same. They never change." The nurse suspects that the client is feeling hopeless. For what indication of hopelessness should the nurse assess the client? 1 Outbursts of anger 2 Focused concentration 3 Preoccupation with delusions 4 Intense interpersonal relationships

The registered nurse instructed the nursing student to care for a client who suffers from depression. During a follow up visit, the registered nurse finds that the client's symptoms have not improved. Which activity of the nursing student would the registered nurse relate this to? 1 Modifying the environment 2 Limiting the client's choices of diet and clothing 3 Encouraging fluid intake 4 Discouraging social interaction to avoid the client's distraction from outside environment

A client is hospitalized because of severe depression. The client refuses to eat, stays in bed most of the time, does not talk with family members, and will not leave the room. The nurse attempts to initiate a conversation by asking questions but receives no answers. Finally the nurse tells the client that if there is no response, the nurse will leave and the client will remain alone. How should the nurse's behavior be interpreted? 1 A system of rewards and punishment is being used to motivate the client. 2 Leaving the client alone allows time for the nurse to think of other strategies. 3 This behavior indicates the client's desire for solitude that the nurse is respecting. 4 This threat is considered assault, and the nurse should not have reacted in this manner.

The nurse is assisting the primary healthcare provider, who is examining the client's skull radiograph. An abnormality in the endocrine gland situated in a depression of the sphenoid bone is suspected. Which hormone release is most probably affected? 1 Glucagon 2 Cortisol 3 Aldosterone 4 Corticotropin

The practitioner prescribes a tricyclic antidepressant medication to ease a suicidal client's depression. What factor should the nurse consider when initiating treatment with this type of medication? 1 Eating aged cheese may cause a hypertensive crisis. 2 There may not be a noticeable improvement for 2 to 3 weeks. 3 They must be given with milk to avoid gastrointestinal irritation. 4 Blood specimens are required weekly for 3 months to check for a therapeutic drug level.

A male client is brought to the psychiatric emergency department with severe depression with bouts of crying on and off throughout the day. He is unable to sleep at night. He feels hopeless and discouraged. The client's wife states that he lost his job several months ago and has been unable to find another one. The priority nursing intervention at this time is assessing the client for what? 1 Feelings of failure 2 Marital difficulties 3 Past episodes of depression 4 Plans of committing suicide

The nurse is caring for an Asian-American client with a diagnosis of depression. While interviewing this client the nurse notes that the client maintains traditional cultural beliefs and values. What is the most important information for the nurse to obtain about the client? 1 Dietary practices 2 Concept of space 3 Immigration status 4 Role within the family

The nurse notices that one of her clients, who has depression, is sitting by the window crying. What is the most appropriate response by the nurse? 1 "It's okay. No need to cry or worry while you're here. We all feel down now and then." 2 "Please don't consider suicide. It really isn't an appropriate way out of your troubles." 3 "You seem to be experiencing a sad moment. I'll sit here with you for a while and talk if you would like." 4 "Why don't you go into the dayroom and join the card game going on? That'll take your mind off of your problems for a while."

A client is admitted to the psychiatric unit for severe depression with the potential for suicide. What is the most therapeutic nursing intervention when the client becomes more energized and communicative? 1 Continuing to assess the client at regular intervals 2 Encouraging the client to participate in group activities 3 Giving the client more autonomy to decide about privileges 4 Starting to teach the client about medications in preparation for discharge

The primary healthcare provider prescribes the tricyclic antidepressant imipramine for a client with depression. The client asks the nurse what the medication will do. How does the nurse respond? 1 "It will help you forget why you are depressed." 2 "It will help keep you alert and cure your insomnia." 3 "It will help you feel better after taking it for several days." 4 "It will help you feel better, but make sure to report feelings of self-harm."

Four clients are admitted to a hospital with different symptoms associated with depression. Which client would benefit from mirtazapine? 1 Client 1 2 Client 2 3 Client 3 4 Client 4

A client with a history of smoking is suspected of having depression. The primary healthcare provider prescribes a drug that would be beneficial in treating depression and would aid in smoking cessation. Which adverse effects would the nurse suspect in this client? Select all that apply. 1 Asthenia 2 Confusion 3 Tachycardia 4 Constipation 5 Increased appetite

A client who was forced into early retirement is found to have severe depression. The client says, "I feel useless, and I've got nothing to do." What is the best initial response by the nurse? 1 "Tell me more about feeling useless." 2 "Volunteering can help you fill your time." 3 "Your illness is adding to your current feelings." 4 "Let's talk about what you'd like to be doing right now."

A client is admitted to the psychiatric service with a diagnosis of severe depression. When approached by the nurse, the client says, "You know I'm a sorry, lazy person. I don't deserve a job. I'm just stupid and no good." What does the nurse conclude that the client is experiencing? 1 Nihilistic delusions 2 Delusions of persecution 3 Feelings of self-deprecation 4 Experiences of depersonalization

A client is admitted to the hospital with a diagnosis of depression. What clinical manifestations of depression does the nurse expect when assessing this client? 1 Flight of ideas 2 Suspicion of others 3 Psychomotor retardation 4 Intrusive social behaviors

A client is admitted to the mental health hospital with the diagnosis of major depression. What is a common problem that clients experience with this diagnosis? 1 Loss of faith in God 2 Visual hallucinations 3 Decreased social interaction 4 Feelings about the future are absent

What characteristics are commonly associated with adolescent depression? Select all that apply. 1 Exercising daily 2 Having suicidal ideation 3 Exhibiting tearfulness 4 Having poor muscle tone 5 Avoiding previously enjoyed activities and relationships

An older client who is hospitalized for depression is receiving citalopram. During discharge teaching, the client asks the nurse whether there is anything that should be known about taking this medication. What is the nurse's reply? 1 "You're concerned about taking this medication." 2 "You should take each dose of medication as prescribed." 3 "You must discontinue the medication if side effects occur." 4 "You may find it necessary to adjust the dosage if side effects occur."

The nurse is providing instructions to a client who is on isocarboxazid for depression. Which statements made by the client indicate effective learning? Select all that apply. 1 "I will include yogurt in my diet." 2 "I will avoid soy sauce in my diet." 3 "I will avoid pepperoni in my diet." 4 "I will include cream cheese in my diet." 5 "I will avoid fermented bean curds in my diet."

A client who has been attending a day treatment facility for 1 month with the diagnosis of major depression is to be discharged in a week. Because the nurse and the client are aware of this, what is the most appropriate comment by the nurse? 1 "We have just a few sessions left. I'm really pleased at your progress." 2 "Your discharge date has been set for next week. That's wonderful news." 3 "We have five sessions remaining. We need to start making plans to end our sessions." 4 "I understand that your discharge is set for next week. I'm wondering how you feel about that."