Ch 15 Adaptive Quiz

which statement is associated directly with Beck's cognitive triad? "I'm not worth much; I can't do anything right" "Things will only get worse; they never get better" "I'll never find anyone who loves or values me" "I don't think other people are worthless" "Good luck happens to good people"

"I'm not worth much; I can't do anything right." "Things will only get worse; they never get better" "I'll never find anyone who loves or values me"

a nurse is assessing a patient and observes that the patient looks older than the age mentioned in the medical record. the patient avoids making eye contact with the nurse and speaks in monotone. there are no signs and symptoms of a physical illness. which assessment tool would the nurse use to assess the patient? a. zung depression scale b. geriatric depression scale c. psychogeriatric assessment scale d. montreal cognitive assessment

A

a patient was admitted to an intensive care unit after reporting chest pain, an elevated heart rate, and a very high body temperature. the patient's family reported that the patient was taking antidepressants and started having chest pain after eating avocados and cheese. which antidepressant medication was the patient likely taking that would have caused this infection? a. isocarboxazid b. despiramine c. trazodone d. duloxetine

A

the nurse has developed a plan for a patient with a severe sleep pattern disturbance to spend 20 minutes in the gym exercising each afternoon. which intervention would be scheduled upon returning to the unit? a. rest b. group therapy c. protein-based snack d. unstructured private time

A

the nurse remarks to a patient diagnosed with depression, "i see you are trying not to cry. tell me what is happening." which action would the nurse prepare to implement? a. wait quietly for the patient to reply b. prompt the patient if the reply is slow c. repeat the question if the patient does not answer promptly d. review the patient's medical record to support the patient's response

A

which food is safe for a patient prescribed phenelzine to consume? a. fresh fish b. pepperoni c. chocolate d. guacamole

A

which method is appropriate to implement to reduce anorexia in a patient who has undergone a hysterectomy, has low self-esteem, and is avoiding taking food? a. allow family members to remain with the patient during meals b. provide food low in fiber to the patient c. provide a large quantity of low-calorie foods to the patient d. offer tea and coffee frequently to the patient

A

which area of the brain is implicated in the development of depression? amygdala limbic system hippocampus hypothalamus prefrontal cortex

ALL OF THE ABOVE

a nurse is performing an assessment of a patient diagnosed with depression who is prescribed antidepressants. the patient reports, "I have to drink a lot of water now because I am feeling very thirsty and I'm not able to pass urine properly." which interpretation about the patient can be made from these observations? a. exercising nonadherence to the medications b. experiencing side effects of amitriptyline c. experiencing food-drug interactions d. experiencing side effects of mirtazapine

B

a patient admitted with a diagnosis of depression has been having angry outbursts with staff and peers on the unit since being admitted. which primary concern exists based on the patient's behavior? a. the nurse should encourage the patient's newfound assertiveness b. this type of behavior places a depressed a patient at high risk for self-harm c. the patient who is angry and depressed is likely experiencing transference d. the patient is likely angry with someone else and projecting that anger to staff

B

a patient has taken citalopram for 2 years for dysthymic disorder. the outcomes have been achieved, and this patient wants to discontinue the medication. which information should be provided to this patient? a. "Citalopram is an antidepressant medication that is usually taken for life" b. "It's important for you to gradually stop taking this drug over 2 to 4 weeks" c. "Because your depression is alleviated, you may now discontinue the medication" d. "Stopping this medication all of a sudden can cause neuroleptic malignant syndrome"

B

the nurse is working with a patient who was just admitted after an intentional overdose of acetaminophen. which assessment question would the nurse ask first? a. "Is this your first suicide attempt?" b. "do you still feel like hurting yourself?" c. "has anyone in your family committed suicide?" d. "do you have access to a gun outside of the hospital?"

B

which assessment technique will the nurse use when attempting to substantiate a patient's diagnosis of major depression? a. assess the patient for signs of anorexia b. ask the patient whether they have ever been depressed like this before c. assess the patient for behaviors associated with drug abuse d. ask the patient whether they are having any problems falling or staying asleep

B

which brain stimulation therapy requires an implant to be placed in the patient's chest? a. deep brain stimulation (DBS) b. vagus nerve stimulation (VNS) c. electroconvulsive therapy (ECT) d. transcranial magnetic stimulation (TMS)

B

which entree can the patient prescribed a monoamine oxidase inhibitor (MAOI) safely eat? a. avocado salad plate b. fruit and cottage cheese plate c. kielbasa and sauerkraut d. liver and onion sandwich

B

which information should be provided about a prescription for fluoxetine to a patient with late luteal phase dysphoric disorder? a. stop the medication immediately if the side effects are severe b. consult the health care provider if there is loss of libido c. take acetaminophen if there is fever d. it may cause dry mouth and blurred vision

B

which information will be provided to a patient when preparing the patient for electroconvulsive therapy (ECT)? a. maintenance treatments are seldom required b. the initial course of therapy requires 6 to 12 treatments c. this form of therapy is particularly successful for positive symptoms of schizophrenia d. the initial therapy involves an ECT treatment repeated once a week for a prescribed time period

B

which medication is classified as a selective serotonin reuptake inhibitor (SSRI)? a. bupropion b. paroxetine c. duloxetine d. venlafaxine e. mirtazapine

B

a 28-year-old female second-grade teacher is diagnosed with major depressive disorder. the teacher grew up in Texas but moved to Alaska 10 years ago to separate from an abusive mother. the teacher's father died by suicide when she was 12 years old. which combination of factors in this scenario most determines the stress-diathesis model? a. cold climate coupled with history of abuse b. current age of 28 coupled with family history of depression c. family history of mental illness coupled with history of abuse d. female sex couples with the stressful profession of teaching

C

a nurse caring for a patient diagnosed with depression instructs the patient to rest after group activity. the nurse provides warm milk to the patient in the morning and at night. which change does the nurse expect in the patient after implementation of these interventions? a. interacts with the nurse b. maintains good hygiene c. sleeps properly d. has an increased appetite

C

a nurse tries to communicate with a patient diagnosed with depression who is mute and avoids interaction. which approach would be implemented with this patient? a. leave the patient alone b. ask the patient about their family members c. talk to the patient about the weather d. tell the patient everything will be fine and they shouldn't be upset

C

a patient diagnosed with depression is observed pacing often, pulling at their clothes, and wringing their hands. which situation do these behaviors indicate? a. senile dementia b. hypertensive crisis c. psychomotor agitation d. serotonin syndrome

C

a patient diagnosed with depression is prescribed rapid transcranial magnetic stimulation (rTMS). which information would the nurse provide the patient's guardians before performing rTMS? a. there will be slight memory loss after the therapy b. the patient will be made unconscious during the therapy c. the patient will experience scalp tingling after the therapy d. confusion and disorientation will be present for a few weeks after the therapy

C

a patient diagnosed with depression, "there is no sense in trying. I am never able to do anything right!" which cognitive distortion does this represent? a. self-blame b. catatonia c. learned helplessness d. discounting positive attributes

C

a patient states, "I once enjoyed going to parks and museums with my family but that is not fun anymore." which term would be used to document this statement? a. anergia b. euthymia c. anhedonia d. self-depreciation

C

an adult patient diagnosed with depression and recently prescribed paroxetine reports, "My depression might be getting worse. I've started having more difficulty with sleep." which information would the nurse provide to this patient? a. the sleep problems are more likely to be associated with the depression than with the medication b. the medication is stimulating dreaming, which will help resolve unconscious conflicts c. selective serotonin reuptake inhibitors (SSRIs), such as paroxetine, often cause sleep disturbances when first taken. the problem may be short term d. SSRIs, such as paroxetine, more commonly cause hypersomnolence rather than insomnia

C

assessment findings on a patient diagnosed with major depressive disorder include psychosis and repeated threats to murder members of the immediate family. which treatment modality is most likely to be implemented for this patient? a. light therapy b. st.john's wort c. electroconvulsive therapy d. cognitive behavioral therapy

C

at which season will a patient diagnosed with seasonal affective disorder be likely to begin experiencing fewer symptoms? a. fall b. winter c. spring d. summer

C

the health care provider prescribes a low-dose antidepressant for a hospitalized adolescent diagnosed with major depressive disorder. which action would be considered about the use of antidepressant medications in younger patients? a. notify the facility's patient advocate about the new prescription b. teach the adolescent about black box warnings associated with antidepressant medication c. monitor the adolescent closely for evidence of adverse effects, particularly suicidal thinking or behavior d. remind the health care provider about warnings associated with the use of antidepressants in children and adolescents

C

which advice is appropriate to provide to the family of a patient diagnosed with depression who is prescribed a tricyclic antidepressant medication? a. do not give full dose to the patient at bedtime b. double the dose if the patient forgets to take the bedtime dose c. advise the patient to be cautious while driving d. stop the medication if hypotension occurs

C

which assessment information would the nurse check for in a patient's case history before administering a tricyclic antidepressant medication? a. suicidal ideation b. loss of appetite c. oral contraceptive use d. insomnia

C

which intervention can be implemented to impact the most people at potential risk for depression among a population? a. provide a depression screening at a local afterschool program site b. present educational programming on depression to a group of older adults c. routinely assess all chronically ill patients for depression during their admission review d. include the signs of postpartum depression in the discharge packet for each new mother

C

which patient would be a candidate for electroconvulsive therapy (ECT)? a. diagnosed with atypical depression b. has been depressed since getting a divorce 3 years ago c. has tried fiver different antidepressants with poor response d. diagnosed with major depressive disorder and alcohol use disorder

C

which statement by a patient indicated understanding the education provided about a prescribed selective serotonin reuptake inhibitor (SSRI)? a. "I will make sure to get plenty of sunshine and not use sunscreen to avoid a skin reaction." b. "I will not take any over-the-counter medication while on this medication" c. "I will immediately report any symptoms of high fever, fast heartbeat, or abdominal pain" d. "I will report increased thirst and urination to my primary health care provider"

C

which statement made by a depressed patient provides insight into a common feeling associated with depression? a. "I still pray and read my bible every day" b. "My mother wants to move in with me, but I want to be independent" c. "I still feel bad about my sister dying of cancer. I should have done more for her" d. "I've heard others say that depression is a sign of weakness"

C

which statement regarding sleep would be expected from a patient diagnosed with major depression? a. "I usually take a nap for about 30 minutes in the afternoon" b. "it takes me about 15 minutes to fall asleep. i often have vivd dreams" c. "i wake up about 4 am and cannot go back to sleep. i feel tired all the time" d. "i often fall asleep in the middle of an activity. when i wake up, i feel better."

C

which thought process is likely to present in a patient diagnosed with depression? a. good memory and concentration b. delusions of persecution c. self-deprecatory ideation d. sexual preoccupation

C

a patient states, "I had my first depression after I got divorced about 10 years ago. I recognized what was happening to me because both of my patients suffer from depression." which theory regarding the etiology of depression has the patient described? a. cognitive theory b. biochemical factors c. learned helplessness d. stress-diathesis model

D

over the last 2 months, a patient made eight suicide attempts with increasing lethality. the health care provider informs the patient and the patient's family that electroconvulsive therapy (ECT) is needed. a family member whispers to the nurse, "isn't this a dangerous treatment?" which reply is correct? a. "our facility has an excellent record of safety associated with the use of ECT" b. "your family member will eventually be successful with suicide if aggressive measures are not promptly taken" c. "yes, there are hazards with ECT. you should discuss these concerns with the health care provider" d. "Electroconvulsive therapy is effective when urgent help is needed. Your family member will be carefully evaluated for possible risks"

D

the nurse cares for an adult who repeatedly says, "My dead relatives try to talk to me and penetrate my body." which disorder is this patient likely to have? a. seasonal affective disorder b. substance-induced depressive disorder c. disruptive mood dysregulation d. psychotic depression

D

which action is appropriate to include in the treatment plan of a pregnant patient diagnosed with seasonal affective disorder? a. administer St. John's wort (Hypericum perforatum) regularly b. administer selective serotonin reuptake inhibitors regularly c. advise the patient to rest and avoid exercising d. instruct the patient to get exposed to a light source for 30 to 45 minutes daily

D

which antidepressant medication acts by increasing the availability of noradrenaline and serotonin at the postsynaptic receptros? a. bupropion b. vilazodone c. sertraline d. impiramine

D

which food would a patient taking a monoamine oxidase inhibitor (MAOI) be advised to avoid? a. apples b. spinach c. cottage cheese d. parmesan cheese

D

which risk factor is associated with the development of depression? a. male sex b. social supports c. age 40 or older d. chronic medical illness

D

which statement regarding depression is true? depression can be present in association with other mental and physical disorders while depression coexists with other disorders, it does not impact these disorders the symptomology of depression is relatively similar regardless of age or culture social relationships can suffer when an individual is depressed depression can range from mild to severe in its effect on individuals

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

which statement is true regarding depression? depression is the leading cause of disability worldwide the incidence of depression in women and men is equal the lifetime prevalence of major depressive disorder is 6.7% men are more likely than women to self-medicate when experiencing depression the incidence of depression is increasing for children and adolescents and decreasing for older adults

depression is the leading cause of disability worldwide men are more likely than women to self-medicate when experiencing depression

which assessment finding is a primary risk factor for depression? male sex history of physical abuse as a child middle-class socioeconomic status history of alcohol abuse married

history of physical abuse as a child history of alcohol abuse

which assessment supports the suspicion that a depressed patient is demonstrating self-directed anger? is hospitalized for alcohol detoxification is diagnosed as being morbidly obese is a three pack a day cigarette smoker has had multiple failed marriages has declared bankruptcy twice

is hospitalized for alcohol detoxification is diagnosed as being morbidly obsese is a three-pack-a-day cigarette smoker

which neurotransmitter is involved in mood stabilization and is considered a main regulator? acetylcholine dopamine glutamate norepinephrine serotonin

norepinephrine serotonin

which statement is true regarding serotonin syndrome? patients should discontinue all selective serotonin reuptake inhibitors (SSRIs) for 2 to 5 weeks before starting monoamine oxidase inhibitor (MAOI) it is believed to be associated with underactivation of serotonin receptors symptoms include hypertension and delirium death can result from severe symptomology hypothermia and septic shock are severe manifestations of the disorder

patients should discontinue all selective serotonin reuptake inhibitors (SSRIs) for 2 to 5 weeks before starting monoamine oxidase inhibitor (MAOI) symptoms include hypertension and delirium death can result for severe symptomology