ch 17 psy

A client has been recently diagnosed with depression and has just started taking an antidepressant medication. Which of the client's statements indicates an accurate understanding of this aspect of treatment? "I understand that I probably won't feel much better for a couple of weeks after I start the drugs." "I can tell that I get a lift each morning after I take my antidepressant." "I'm still trying to decide whether antidepressants will be helpful in my treatment." "I know that few people actually see an improvement in their mood with antidepressants, but I suppose I'll try anyhow.

"I understand that I probably won't feel much better for a couple of weeks after I start the drugs."

While caring for a client in the hospital, the nurse becomes concerned that the client may be having thoughts of suicide. Which statement would be most therapeutic? "I've noticed something is bothering you. Please share you thoughts with me." "Have you tried taking medication?" "Are you feeling sad?" "Do you have support at home?"

"I've noticed something is bothering you. Please share you thoughts with me

A client with major depression is admitted to the health facility and expresses feelings of worthlessness and abandonment by significant others. Which replies by the nurse would convey empathy? "I can understand what is going on with you." "Are you feeling like others have abandoned you?" "Can you tell me what you are thinking right now?" "It sounds like this is a really difficult time for you."

"It sounds like this is a really difficult time for you.

A client with bipolar disorder is receiving lithium therapy. The nurse is reviewing the client's serum plasma drug levels and determines that the client's level is therapeutic based on what? 2.6 mEq/L 1.6 mEq/L 2.0 mEq/L 1.0 mEq/L

1.0 mEq/L

Research has shown that risk of suicide increases within which time frame for initiation of antidepressant therapy? 42 days 14 days 28 days 35 days

14 days

The nurse is working in a psychiatric-mental health facility and assessing the clients' risk for suicidal behaviors. Which client would be at highest risk? A client with anorexia nervosa who is refusing to eat A client with borderline personality disorder who has no support system A client with schizophrenia who has had a previous suicide attempt A client with panic disorder who has never had a suicide attempt

A client with schizophrenia who has had a previous suicide attempt

The nurse is working in a psychiatric-mental health facility and assessing the clients' risk for suicidal behaviors. Which client would be at highest risk? A client with anorexia nervosa who is refusing to eat A client with schizophrenia who has had a previous suicide attempt A client with borderline personality disorder who has no support system A client with panic disorder who has never had a suicide attempt

A client with schizophrenia who has had a previous suicide attempt

A client was abandoned by the parents at age 3, resulting in the client's perception of the world as a hostile place and the subsequent development of rage against men. This statement is an example of what? A psychodynamic interpretation of the client's major depressive disorder. A feminist viewpoint of depression. A reason the client has become lesbian at the age of 23. A biological explanation for the client's depressive disorder.

A psychodynamic interpretation of the client's major depressive disorder.

Nursing interventions for the depressed person should include which approach? Acceptance, honesty, empathy, and patience Decisiveness and businesslike efficiency Cheerfulness, gregariousness, and happiness Confrontation, questioning, and authority

Acceptance, honesty, empathy, and patience

A loss of pleasure or interest in a client diagnosed with depression would be documented as what? Hopelessness Discouragement Anhedonia Flat affect

Anhedonia

A psychiatric-mental health nurse can best prevent suicide by performing what action? Administer antidepressants as prescribed Administer antipsychotics as prescribed Assess clients carefully for the warning signs of suicide Educate clients about the epidemiology of suicide

Assess clients carefully for the warning signs of suicide

A 20-year-old client was admitted to the inpatient unit following a suicide attempt. The client is disheveled, disorganized, and dehydrated. The priority for the client's care during the first 24 hours of admission will be what? Rehydrating the client by forcing fluids. Assisting the client with activities of daily living, including a shower and clean clothing. Assessing the client's recent suicide attempt and identifying factors that may have contributed to it. Assessing the client's current suicidal ideation and putting the client on suicide precautions.

Assessing the client's current suicidal ideation and putting the client on suicide precautions.

Which is a food that might be incorporated into the plan of care for a client diagnosed in the manic phase of bipolar disorder? steak banana

Bananas

A client who suffers from bipolar disorder is admitted to a mental health unit for a manic episode. The nurse knows that which takes priority? Phamacotherapy Distraction therapy Client safety Cognitive-behavioral therapy

Client safety

A client has just been admitted to the inpatient psychiatry unit following a suicide attempt. During the client's first 24 hours of care, what outcome should be identified? Client will express that the client feels safe on the unit Client will participate actively in cognitive behavioral therapy Client will implement strategies for managing stress Client will state that the client feels optimistic about the client's future

Client will express that the client feels safe on the unit

A client has just been admitted to the inpatient psychiatry unit following a suicide attempt. During the client's first 24 hours of care, what outcome should be identified? Client will implement strategies for managing stress Client will state that the client feels optimistic about the client's future Client will participate actively in cognitive behavioral therapy Client will express that the client feels safe on the unit

Client will express that the client feels safe on the unit

The major difference between bipolar I and bipolar II disorder is what? Clients with bipolar I have no symptoms of mania, but only depression. Both disorders are the same, except that clients with bipolar I disorders have a much higher incidence of suicide. Clients with bipolar II disorder do not have symptoms of mania that interfere enough to cause marked functional disturbances. The prognosis for bipolar I is much better than for bipolar II.

Clients with bipolar II disorder do not have symptoms of mania that interfere enough to cause marked functional disturbances.

The nurse is planning the inpatient care of a client who has been admitted with major depression. The client's plan of care includes regular exercise, but the client is reluctant to participate due to a lack of energy and motivation. What is the nurse's best action? Teach the client isometric exercises that the client can complete while in bed Collaborate with the client to choose a manageable amount of exercise and acknowledge the client's subsequent effort Arrange for the client to exercise approximately 1 hour after antidepressant administration Describe the benefits of exercise to the client and state that privileges will be lost if the client does not participate

Collaborate with the client to choose a manageable amount of exercise and acknowledge the client's subsequent effort

The nurse is planning the inpatient care of a client who has been admitted with major depression. The client's plan of care includes regular exercise, but the client is reluctant to participate due to a lack of energy and motivation. What is the nurse's best action? Teach the client isometric exercises that the client can complete while in bed Arrange for the client to exercise approximately 1 hour after antidepressant administration Describe the benefits of exercise to the client and state that privileges will be lost if the client does not participate Collaborate with the client to choose a manageable amount of exercise and acknowledge the client's subsequent effort

Collaborate with the client to choose a manageable amount of exercise and acknowledge the client's subsequent effort

When a nurse assesses prior self-harm behavior, this can provide information about the motivation behind the client's actions and allows the nurse to do what? Create a judgmental attitude Ignore the past attempts and focus on the here and now Communicate concern and empathy to the client Provide an understanding of the reactions of others

Communicate concern and empathy to the client

A nurse suspects that a client has overdosed on the prescribed tricyclic antidepressant. Which assessment finding would support this suspicion? Select all that apply. Orthostatic hypotension Confusion Hallucinations Agitation Headache

Confusion Hallucinations Agitation

A client has been successfully treated on the psychiatric mental health unit following a suicide attempt. In preparation for discharge, the nurse should prioritize what action? Documenting the client's psychiatric advance directive Communicating with the pharmacy where the client will obtain prescribed medications Ensuring that the client has created a commitment to treatment statement Ensuring a plan is in place for the client's community-based care

Ensuring a plan is in place for the client's community-based care

A client who has experienced the recent loss of an infant child and recent immigration to the United States is admitted to the inpatient psychiatric unit with severe symptoms of depression. The client has expressed thoughts of suicide. Which is the nurse's priority intervention for this client? Encouraging attendance at group cognitive-behavioral therapy on the unit. Exploring the grief and loss issues concerning the baby's death. Encouraging the client to express feelings of isolation following the recent immigration. Ensuring that the client is not permitted to use anything that would be potentially dangerous.

Ensuring that the client is not permitted to use anything that would be potentially dangerous

Following the failure of a woman's recent in vitro fertilization (IVF), the nurse recognizes that she may be at risk of depression. Which intervention is considered a primary suicide prevention measure? Beginning a course of therapy with a nurse-therapist or psychologist Placing the woman on suicide precautions and establishing a no-suicide contract Establishing a support system for the woman an d teaching her some coping measures Beginning treatment with a selective serotonin reuptake inhibitor

Establishing a support system for the woman and teaching her some coping measures

A client with a history of bipolar disorder is at home with family. The family calls the mental health clinic because they suspect that the client may be experiencing a relapse of mania. Which would support the family's suspicions? Focus on one topic Excessive energy levels Avoidance of people Lack of appetite

Excessive energy levels

On admission to the psychiatric unit, a client is dressed in a red leotard and exercise bra, with an assortment of chains and brightly colored scarves on the client's head, waist, wrists, and ankles. The client's first words to the nurse are, "I'll punch you, munch you, crunch you," as the client dances into the room, shadow boxing. The client shakes the nurse's hand and says cheerfully, "We need to become better acquainted. I have the world's greatest intellect, and you are probably an intellectual midget." How can the nurse document the client's mood? Belligerent and blunted. Suspicious and paranoid. Anxious and unpredictable. Expansive and grandiose.

Expansive and grandiose.

On admission to the psychiatric unit, a client is dressed in a red leotard and exercise bra, with an assortment of chains and brightly colored scarves on the client's head, waist, wrists, and ankles. The client's first words to the nurse are, "I'll punch you, munch you, crunch you," as the client dances into the room, shadow boxing. The client shakes the nurse's hand and says cheerfully, "We need to become better acquainted. I have the world's greatest intellect, and you are probably an intellectual midget." How can the nurse document the client's mood? Expansive and grandiose. Belligerent and blunted. Suspicious and paranoid. Anxious and unpredictable.

Expansive and grandiose.

A nurse providing community education for parents regarding adolescent suicide should include in the teaching session that the most frequent cause or motive for suicide in this age group is what? Progressive failure to adapt Feelings of anger or hostility Reunion wish or fantasy Feelings of alienation or isolation

Feelings of alienation or isolation

Which statement regarding gender and suicide is correct? Females are more likely than males to die from suicide. Females choose more violent means of suicide than males. Females are more likely to die by firearm than males. Females engage in suicidal behaviors more frequently than males.

Females engage in suicidal behaviors more frequently than males.

Which statement regarding gender and suicide is correct? Females choose more violent means of suicide than males. Females are more likely to die by firearm than males. Females engage in suicidal behaviors more frequently than males. Females are more likely than males to die from suicide.

Females engage in suicidal behaviors more frequently than males.

Following a change in job position, a minister asks a client how the client likes the new job. The client states, "Oh everything is great. I can really see myself going far in this new position." However, the client's voice is monotone and the client's face is nearly absent of affective expression. The minister is worried about this client and describes this facial expression as what? Constricted Inappropriate Flat Blunted SUBMIT ANSWER

Flat

A client in the clinic appears to have elevated self-esteem, is more talkative than usual, and is easily distracted. This client is exhibiting symptoms of what? Anorexia Depression Grandiosity Anxiety

Grandiosity

A nurse is caring for a client with major depression. The client tells the nurse that the client "just isn't sure that life is worth living." The nurse documents which nursing diagnosis as the priority? Self-esteem, low, related to depressive episode Anxiety related to lack of energy for self-care activities Thought processes, disturbed, related to memory loss and depression Hopelessness related to symptoms of depression

Hopelessness related to symptoms of depression

The nurse is providing teaching to a client with depression. Which statement by the client would indicate that the education has been effective? "All old people get depressed. It's a natural part of aging." "When I reduce the stress in my life, the depression will go away." "I'll begin to feel better in about 3 or 4 days." "I didn't realize so many factors could cause depression."

I didn't realize so many factors could cause depression.

The nurse is interviewing a client with a diagnosis of depression and the client states, "Honestly, I know my family would be a lot better off if I wasn't around to be a burden on them. That's just between you and me, though, okay?" What is the nurse's best response? "In my experience, nothing good ever comes of keeping secrets." "Why is it important to you that this be kept between you and I?" "I'm obliged to share what we talk about with the other people on your care team." "What can I do to get your permission to share with the other members of the care team?"

I'm obliged to share what we talk about with the other people on your care team.

While caring for a client in the hospital, the nurse becomes concerned that the client may be having thoughts of suicide. Which statement would be most therapeutic? "I've noticed something is bothering you. Please share you thoughts with me." "Have you tried taking medication?" "Are you feeling sad?" "Do you have support at home?"

I've noticed something is bothering you. Please share you thoughts with me.

Environmental factors may be associated with suicidal behavior. Which is an environmental factor? Pain Job loss Spinal cord injury HIV infection

Job loss

Environmental factors may be associated with suicidal behavior. Which is an environmental factor? Spinal cord injury HIV infection Pain Job loss

Job loss

A 56-year-old client who suffers from seasonal affective disorder is being assessed by the nurse in an outpatient mental health clinic. The nurse is aware which treatment is the most effective type of treatment for this condition? Psychotherapy Electroconvulsive therapy Antidepressant therapy Light therapy

Light therapy

Which psychotropic medication is administered based on an individualized dosage according to blood levels of the drug? Lithium carbonate Clozapine Alprazolam Thioridazine

Lithium carbonate

A 52-year-old client with bipolar disorder tells the nurse, "I read that there are chemicals in my brain that can cause my symptoms." Knowing that the client is referring to neurotransmitters, which would be the best response by the nurse? "Low levels of the neurotransmitter dopamine are associated with mania." "Recent studies have found that neurotransmitters do not play a role in bipolar disorders." "Clients with bipolar disorder often have high levels of gamma-aminobutyric acid (GABA) in manic states." "Low levels of the neurotransmitter serotonin are associated with mania."

Low levels of the neurotransmitter serotonin are associated with mani

A nurse is caring for a group of hospitalized clients with various psychiatric diagnoses. The nurse identifies which client as having the highest risk for a suicide attempt? Man with bipolar I disorder Man with major depressive disorder Woman with acute stress disorder Woman with somatoform disorder

Man with major depressive disorder

A nurse is caring for a group of hospitalized clients with various psychiatric diagnoses. The nurse identifies which client as having the highest risk for a suicide attempt? Man with bipolar I disorder Woman with somatoform disorder Woman with acute stress disorder Man with major depressive disorder

Man with major depressive disorder

A 30-year-old woman has been brought to the emergency department after causing a disturbance. She is wearing a pair of tight, pink yoga pants, high heels, a sports bra, and a bright-colored hat. The woman's care providers would recognize that the woman's dress may suggest what? Chronic low self-esteem Acute confusion Antisocial personality disorder Mania

Mania

The nurse is planning a presentation about suicide to a group of health professionals. Which should be included in the nurse's teaching plan? Suicide rates for women are highest among women with children. Suicide tends to be most prevalent in the those in the age group of 30 to 40. Men are more likely to commit suicide than women are. The most common method of committing suicide is the use of sleeping pills.

Men are more likely to commit suicide than women are.

The nurse is planning a presentation about suicide to a group of health professionals. Which should be included in the nurse's teaching plan? The most common method of committing suicide is the use of sleeping pills. Suicide tends to be most prevalent in the those in the age group of 30 to 40. Men are more likely to commit suicide than women are. Suicide rates for women are highest among women with children

Men are more likely to commit suicide than women are.

A client who has been taking lithium for bipolar disorder is admitted to the hospital with the following symptoms: dry mouth, nausea and vomiting, blurred vision, dizziness, and muscle twitching. What should the nurse suspect? Moderate lithium toxicity Need for an increased dose of medication Common side effects of the drug Interaction of lithium with another medication

Moderate lithium toxicity

A client in an acute manic phase is pacing the halls and talking in a loud voice with pressured speech. The client is overly involved with coclients and frequently threatens and disrupts others on the unit. After administering lithium treatment for the client, the nurse can expect the plan of care to include which additional intervention? Monitoring phototherapy response. Teaching the client to avoid foods with tyramine. Assessing for post-electroconvulsive therapy disorientation and confusion. Monitoring blood levels of the medication.

Monitoring blood levels of the medication.

A client in an acute manic phase is pacing the halls and talking in a loud voice with pressured speech. The client is overly involved with coclients and frequently threatens and disrupts others on the unit. After administering lithium treatment for the client, the nurse can expect the plan of care to include which additional intervention? Teaching the client to avoid foods with tyramine. Monitoring blood levels of the medication. Monitoring phototherapy response. Assessing for post-electroconvulsive therapy disorientation and confusion.

Monitoring blood levels of the medication.

For which reason is depression in older adults often undiagnosed and untreated? Older adult depression is often seen as "normal aging." Older adults are less likely to express their sadness. Older adults usually die prior to the onset of depression. Older adults do not enter the health care system as much as younger adults.

Older adult depression is often seen as "normal aging.

For which reason is depression in older adults often undiagnosed and untreated? Older adults do not enter the health care system as much as younger adults. Older adults are less likely to express their sadness. Older adult depression is often seen as "normal aging." Older adults usually die prior to the onset of depression.

Older adult depression is often seen as "normal aging."

A client has been diagnosed with major depression and placed on amitriptyline. Which is a side effect of amitriptyline? Weight loss Excessive salivation Orthostatic hypotension Diarrhea

Orthostatic hypotension

A newly admitted client's history includes multiple suicide attempts. How can the nurse on the psychiatric-mental health unit best protect the client's safety? Establishing a no-suicide contract with the client Administering the client's prescribed selective serotonin reuptake inhibitor Facilitating a referral for cognitive behavioral therapy Performing vigilant assessment and close observation

Performing vigilant assessment and close observation

A client on the inpatient psychiatric-mental health unit was discovered attempting to asphyxiate himself or herself using a blanket. Which measure should the care team prioritize in the client's immediate care? Managing the client's anxiety Teaching the client improved coping skills Placing the client under constant observation Assessing the specific motivation for the client's attempted suicide

Placing the client under constant observation

A 27-year-old woman has a 4-month-old baby. For the past 3 months, the client has been experiencing intense sadness, anxiety, and hopelessness. After having thoughts of killing her baby, she decided to seek help. What is the likely the cause of this client's experience? Major depression Postpartum blues Postpartum depression Dysthymic disorder

Postpartum depression

A client with bipolar disorder is experiencing acute mania. The client is unable to sit still, moving from place to place. Medication therapy has been prescribed but not yet initiated. Which would the nurse include in the plan of care to meet the client's physical needs? Instituting a sleep hygiene program Encouraging frequent rest periods Providing high energy snacks Increasing environmental stimuli

Providing high energy snacks

A client was admitted to the psychiatric unit with major depression after a suicide attempt. In addition to the client's feelings of sadness and hopelessness, the nurse would likely assess which physiologic symptoms of depression? Guilt, indecisiveness, and poor self-concept Meticulous attention to grooming and hygiene Anxiety, unconscious anger, and hostility Psychomotor retardation and poor appetite

Psychomotor retardation and poor appetite

When developing the plan of care for a client with major depression, which is the priority? Sleep Activity level Nutrition Safety SUBMIT ANSWER

Safety

A client with bipolar disorder has a plasma lithium concentration of 2.7 mE/L. Which finding would a nurse most likely assess in this client? Select all that apply. Incoordination Tinnitus Fasciculations Nystagmus Seizures

Seizures Nystagmus Fasciculations

A nursing student is caring for an elderly client who is taking sertraline for depression. The instructor quizzes the student about the medication and its actions. To what classification of drugs should the student assign sertraline? Serotonin 2 antagonist Monoamine-oxidase inhibitor Cyclic antidepressant Selective serotonin reuptake inhibitor

Selective serotonin reuptake inhibitor

According to the neurobiologic theory of mood disorders, a client with a diagnosis of depression is likely to have alterations in the levels and function of which neurotransmitters? Aspartate, gamma-Aminobutyric acid (GABA), and serine Serotonin, norepinephrine, and dopamine Epinephrine, histamine, and melatonin Acetylcholine, adenosine, and glutamate

Serotonin, norepinephrine, and dopamine

A client hospitalized for uncontrolled manic behavior constantly belittles other clients on the general ward and is demanding special favors from the nurses. Which is the most effective nursing intervention for this client? Ask other clients and staff members to ignore the client's behavior. Offer a variety of stimulating activities to distract the client from others and from making demands on the nurses. Provide an antianxiety agent whenever the client's belittling or demanding behavior occurs. Set limits with specific and consistent consequences for belittling or demanding behavior.

Set limits with specific and consistent consequences for belittling or demanding behavior

The nurse is working with a 50-year-old client admitted for a major depressive episode. The client has remained isolated and withdrawn since admission and is reluctant to speak. Which therapeutic communication skill is most likely to encourage the client to verbalize the client's feelings? Projective identification Direct confrontation Reality orientation Silence and active listening

Silence and active listening

Which is a primary risk factor for suicide? Poverty Economic deprivation Social isolation Unemployment

Social isolation

A parent of four small children lost a spouse in an automobile accident 3 months ago and is admitted to the hospital with severe depression. Since the spouse's death, the client's mood has been somber; until now, the client has refused treatment. What is this client at high risk for? Bipolar disorder Dysthymic disorder Schizophrenia Suicide

Suicide

A parent of four small children lost a spouse in an automobile accident 3 months ago and is admitted to the hospital with severe depression. Since the spouse's death, the client's mood has been somber; until now, the client has refused treatment. What is this client at high risk for? Schizophrenia Dysthymic disorder Bipolar disorder Suicide

Suicide

Trying to kill oneself and surviving the ordeal is identified as what? Suicide attempt Suicidal ideation Parasuicide Suicidal behavior

Suicide attempt

The nurse is assessing a 42-year-old client who is experiencing depression. The client's mother died by suicide 20 years ago. Which statement regarding this client's risk for suicide is correct? The client's risk for suicide will increase when the client reaches the age of 50. The client has a greater risk for suicide than the general population. The client's risk is equivalent to that of the general population. The client would have a greater risk for suicide if the client's father had died by suicide.

The client has a greater risk for suicide than the general population.

The nurse is assessing a client for warning signs of suicide. Which would be a concern? The client has engaged in risky behaviors and tends to be impulsive. The client has decreased substance use. The client is reaching out to family and friends. The client has forgiven those who have caused emotional pain.

The client has engaged in risky behaviors and tends to be impulsive.

The nurse is working with an inpatient who has a history of suicide attempts. What action by the client should the nurse follow up on because it may constitute a suicide planning behavior? The client has begun stockpiling food in the room The client has requested extra bedding despite the warm weather The client states that the client is agitated and would like to be in the comfort room The client is consistently late in coming to the nurses' station to receive scheduled medications

The client has requested extra bedding despite the warm weather

A client with major depression is scheduled to receive electroconvulsive therapy. The nurse understands that this treatment is typically used in which situation? Suicidality is of little concern. The client is tolerating the initial drug therapy. The level of depression is mild to moderate. The client is experiencing catatonia.

The client is experiencing catatonia.

A client admitted to the inpatient psychiatric unit changes clothes eight or nine times a day, wears heavy eye makeup, is intrusive with other clients, and makes inappropriate sexual advances toward staff members. Which goal would be most appropriate for this client? The client will refrain from being intrusive with others and change clothing only twice per day. The client will verbalize feelings of low self-esteem with nursing staff. The client will identify two trusted staff members of the opposite sex to help choose appropriate dress. The client will record the number of clothing changes per day.

The client will refrain from being intrusive with others and change clothing only twice per day.

Which is a true statement regarding depressive disorders? They are more prevalent in men than women. It is the fourth leading cause of years lost because of disability. Depression in older adults is easier to diagnose. The neurotransmitters norepinephrine, dopamine, and serotonin have been implicated.

The neurotransmitters norepinephrine, dopamine, and serotonin have been implicated.

A client is taking lithium carbonate and asks why regular blood tests are needed. The nurse explains that it is to detect lithium toxicity. The nurse can best explain lithium toxicity in what way? A common side effect of taking the medication Too much medication in the blood serum Not enough of the medication in the blood The level at which the medication is most effective

Too much medication in the blood serum

A 42-year-old client has been prescribed a monoamine oxidase inhibitor (MAOI). The client should be informed to avoid foods containing what? Arganine Sodium Tyramine Calcium

Tyramine

The client is taking a monoamine oxidase inhibitor (MAOI) for depression. The nurse educates the client to avoid foods containing what while taking this medication? Tyramine Potassium Sugar Calcium

Tyramine

A client has just been diagnosed with bipolar disorder and is upset with the diagnosis. The client tells the nurse, "It is probably my mother's fault, she has bipolar too." Which is the best response by the nurse? "While bipolar disorders are genetic, the gene can only be passed on by a father." "While bipolar disorders are genetic, there are other causes as well." "Genetics are a minor factor in bipolar; it is more heavily influenced by psychological factors." "Bipolar disorders have not been found to be genetic."

While bipolar disorders are genetic, there are other causes as well."

During assessment of a client with depression, the client states, "I just feel so sad and hopeless. I just don't care anymore. I don't even enjoy doing the crossword puzzles like I used to." The nurse documents this finding as indicative of: psychosis. anhedonia. delusion. dysthymic disorder.

anhedonia.

The genetic theory, when applied to the occurrence of depression, supports that the psychiatric nurse should ... prepare the client for diagnostic genetic testing to confirm the diagnosis. assess for depression in the client's family history. encourage the client to seek genetic counseling before considering a pregnancy. educate the client regarding the symptoms of related physical disorders.

assess for depression in the client's family history.

The nurse educates a class on factors that enhance the risk of suicide. The instructor determines the need for additional education when the class identifies what as one of these factors? loss delusions family member committing suicide cautiousness

cautiousness

The majority of suicides among men are attributed to: hanging. firearms. overdose. drowning.

firearms

A client who is depressed tells the nurse, "If I'm honest, I really see suicide as the only way out." In order to challenge the client's belief, the nurse should ... organize a family meeting. help the client to identify and explore other options. encourage the client to identify and attend outpatient support groups. provide distraction by organizing therapeutic recreation

help the client to identify and explore other options.

A nurse maintains a safe environment for a client who is suicidal by ... ensuring the client has access to all personal belongings to make the client feel at home. observing the client frequently. maintaining confidentiality at all times with the client. creating a stimulating environment.

observing the client frequently.

Which is the greatest predictor of a future suicide attempt? seriousness of suicidal ideation previous attempt degree of hopelessness suicide planning

previous attempt

A family member of an adolescent who has expressed a desire to commit suicide asks the nurse, "What might predict the possibility of future suicide attempts?" Which would the nurse include in the response? unemployment polydrug use death of a spouse previous suicide attempt

previous suicide attempt