Week 11: Mood & Affect

Psychomotor agitation

A depressed client is noted to pace very often, pull at her or her clothes, and wring his or her hands. What do these behaviors indicate?

-Ingesting pills -Cutting ones wrists

The nurse is discussing suicide risk with the parent of a group of adolescents. Which types of suicide would the nurse discuss when talking about soft methods?

-Dry mouth -Drowsiness -Constipation -Orthostatic hypotension

The nurse is teaching a client about tricyclic antidepressants. Which potential side effects would the nurse include?

Olanzapine -Ziprasidone -Aripiprazole

The nurse recognizes which atypical antipsychotics as being approved for long term use to prevent the recurrence of mood episodes in clients with bipolar disease?

The nurse should talk to the client about the weather

The nurse tries to communicate with the depressive client who is mute and avoids interaction. How should the nurse approached the client

-Depression can be present in association with other mental and physical disorders. -Social relationships can suffer when an individual is depressed. -Depression can range from mild to severe in its effect on individuals.

What statement regarding depression is true? Select all that apply?

Spring

When is a client diagnosed with seasonal affective disorder likely to begin experiencing fewer symptoms?

Be firm, consistent, and understanding while focusing on specific target behaviors

Which action would the nurse take for a client with borderline personality disorder?

Sertraline

Which antidepressant may be prescribed to a new mother diagnosed with depression?

-Verbal abuse -Jealous, controlling -Enforces rigid sex roles -Hypersensitive, easily insulted -Isolates partner form family and friends -Makes others responsible for their feelings

Which behavior is an early sign of an abusive personality?

Grandeur

Which feeling would the nurse anticipate a manic client with bipolar 1 disorder is likely experiencing?

-Schizotypal

Which personality disorder would the nurse suspect in a client telling a rambling, lengthy, unclear, and overly detailed story about their dog, who they say is the president?

Electroconvulsive therapy (ECT)

Which prescribed treatment would a nurse anticipate for a client with severe, persistent, intractable depression and suicidal ideation?

"You're crying. Lets talk about it."

Which response would the nurse make to a depressed, crying client on the evening of admission?

Mood changes

Which side effect would the nurse assess for in a child receiving prednisone?

-Alcohol -Caffeine -Cannabis -Gambling -Hallucinogens -Anti-anxiety medications

Which substance is considered addictive in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)?

Aggression

Which term describes a display of anger that is socially unacceptable?

Anhedonia

Which term would the nurse use to describe a female client who states that she no longer enjoys any of the activities that she once found fun and pleasurable?

-Reflecting -Offering self -Using silence -Paraphrasing -Asking open ended questions -Encouraging comparison

Which therapeutic communication technique would be useful for a client with major depressive disorder?