Li Na Chen Part 1 vSim (Post-Sim Quiz)

Mr. Chen asks the nurse whether light therapy would be helpful for his wide. What is the nurse's best response?

"Light therapy is known to be effective for patients with mild-to-moderate depression associated with seasonal onset."

Mr. Chen asks the nurse at discharge if this two children are at risk for developing major depression like their mother. Which is the best response by the nurse?

"Possibly. Evidence shows a strong genetic link to depression, with children being at a higher risk if one parent is diagnosed."

The patient has overdosed on 50 tablets of nortriptyline. Which intervention is the priority action?

Obtain an order for an electrocardiogram

Mrs. Chen has been admitted after her third suicide attempt. What is the nurse's priority assessment of Mrs. Chen?

Assess Mrs. Chen for suicidality

Mrs. Chen has been taking sertraline and venlafaxine for several days. This morning she is smiling and engaging in conversation. During the conversation she tells the nurse, "I am feeling relieved." What is the nurse's priority assessment?

Assess the patient for suicidality and place her on closer observation

The provider suggests changing Mrs. Chen's medication to phenelzine. Mrs. Chen says to the nurse, "The provider says i will need to watch my diet if I take a new medication; but I'm not sure I want to do this. Which foods would I have to avoid?" Which foods should the nurse mention?

Blue cheese, beer, pepperoni

The patient has been prescribed sertraline and venlafaxine. The nurse recognizes that these medications given together can cause which condition?

Confusion

Mr. Chen asks the provider about additional treatments to consider if his wife relapses. The provider tells Mr. Chen that electroconvulsive therapy (ECT) may be an option if the new medication doe snot help Mrs. Chen manage her depression. Which of the following is part of teaching for a patient considering ECT?

ECT is a treatment that requires conscious sedation

When providing care for Mrs. Chen, the nurse realizes that patient is of Asian descent often do not verbalize depressive symptoms but rather report them as which of the following symptoms? (Select all that apply)

Imbalance Tiredness Weakness Headaches

Mrs. Chen begins to plan her aftercare to prevent another hospitalization. The case manager offers a partial hospitalization program after discharge. What is the priority rationale for this intervention to prevent relapse?

It provides the patient with a structure and additional teaching and coping strategies.