Mood disorders and suicide assessment

A nurse at a mental health unit is using the SAD PERSONS scale to assess the risk of suicide among several clients. Which of the following client should the nurse identify as having the highest risk?

A 15-year-old male client The nurse should identify that clients are less than 19 years of age and older than 45 years of age have an increased risk of suicide. Clients who are male also have an increased risk of suicide

The school nurse is preparing a presentation about suicide prevention for high school. Which of the following should the nurse include as a modifiable risk factor for suicide?

Access to fire arms

A nurse is creating a presentation about depression for a community health fair. The nurse should plan to report that depression is more prevalent among which of the following demographics?

Adult females The nurse should identify that the prevalence of depression in the US adults, age 18 or older in 2017 was estimated at 17.3 million, with higher prevalence among females.

A nurse on an inpatient mental health unit is teaching newly licensed nurses about suicide prevention. Which of the following statements made by the newly licensed nurse, indicates an understanding of the information presented?

All sharp object should be removed from the clients room

A school nurse is preparing a presentation for high school students on the relationship between substances and depression. Which of the following substances should a nurse plan to include as a contributing factor in the development of substance induced depressive disorder?

Amphetamines Medication induced depressive disorder occurs soon after the client begins, taking or withdrawing from a substance, with the most common occurrence, when the client is using alcohol, hallucinogens, inhalants, opioids, and amphetamines

A nurse is reviewing the medical record of a client who has major depressive disorder. Which of the following assessment findings should the nurse expect for a client has major depressive disorder?

Client reports having thoughts of death The nurse should I expect a client who has major depressive disorder to report experiencing recurrent thoughts of death, not just fears of dying. This client may also have thought of suicidal ideation, or suicide attempts

A nurse is caring for a child, who is exhibiting tantrums, dysfunction in school, trouble with peers, and suicidal ideation. Which of the following should the nurse identify as being consistent with the clients findings?

Disruptive mood dysregulation disorder

A nurse in a mental health clinic is taking a medical history on a client. The nurse should identify that which of the following factors in the clients history increases the risk for mental illness?

Early exposure to violence

A school nurse is creating a presentation about mental health for a group of middle school students. Which of the following topic should the nurse prioritize when preparing this presentation?

Factors that contribute to suicide

A nurse is caring for a client in a behavioral health clinic. Which of the following three statements indicates that the client needs further instruction regarding phenelzine

I can expect my blood pressure to go up with this medication It's OK if I drink imported beer, but I must avoid wine. I love overripe bananas. I'm glad I don't have to give them up.

A nurse is caring for a client who is scheduled for transcranial. Magnetic stimulation. When preparing the client for the procedure, which of the following statement should the nurse make?

This procedure is effective when combined with psychotherapy. This is a treatment for depression

A nurse is discussing findings of depression with a group of clients. Which of the following client statements indicates an understanding of the information?

Thyroid problems can cause depression

A nurse is providing teaching to a client who is to undergo electro, convulsive therapy, (ECT) for depression. Which of the following information should the nurse provide?

Your provider will likely schedule you for several treatments over a period of weeks.

A nurse is providing teaching to a client who is to undergo transcranial magnetic stimulation (TMS) for depression. Which of the following information should the nurse provide?

You may experience of mild headache, following the procedure

A nurse is caring for a client in an outpatient clinic. Priority assessments

Safety Medication regimen, noncompliance

A nurse is caring for a client who is hyper active pacing down the hallway and exhibiting poor concentration during group therapy. Which of the following is characteristic of the clients manifestations?

Mania

A public health nurse is preparing a suicide prevention program for patrons of the local library. The nurse should inform the attendees that suicide is the second leading cause of death and which of the following age groups?

10 to 34 years of age

A nurse is caring for a client who is admitted with suicidal ideation. The client tells the nurse they have several guns in their home. Which of the following types of interventions is the priority for the nurse to initiate?

Create a protective environment

A nurse and an outpatient clinic is caring for a client who has major depressive disorder and has reported suicidal thoughts. Which of the following is the first information the nurse should try to obtain from the client?

Does the client have a suicide plan?

A nurse is caring for a client who has persistent depressive disorder. When educating the client about their illness, which of the following statements should the nurse make?

Persistent depressive disorder is a mild chronic form of depression

A nurse is assessing a client who has a diagnosis of mania related to bipolar disorder. Which of the following behavior should the nurse expect the client to exhibit?

The client is demonstrating risky behavior Impulsivity, overactivity, pacing, sleeplessness, fast beach, being overconfident

A nurse on an inpatient mental health unit is evaluating a client who is admitted for suicidal ideation for readiness for discharge. Which of the following statements by the client indicates that they may be ready for discharge?

When I get home, I will reach out to my friends by start feeling down

A nurse is caring for an adult client who has brought to the emergency department from their extended care facility for reports of altered mental status and decrease oral intake for the past two days due to nausea Findings that require immediate follow up

Altered mental status Blurred vision Dry, oral, mucous membranes, poor skin, turgor, pronounce, intention, tremor Ibuprofen 600 mg by mouth three times a day BUN 48, creatinine, 2.4. Lithium 2.5. Bradycardia rate 52