PSY Ch. 19 Qs
A client with depression has been taking a selective serotonin reuptake inhibitor (SSRI), fluoxetine, for the last 3 months and has noticed improvement of symptoms. As the client inquires about any side effects, which would the nurse expect the client to report?
A decrease in sexual pleasure during intimacy
A client with depression who is receiving antidepressant therapy comes to the clinic for a follow-up appointment. The client tells the nurse, "I've been having trouble moving my bowels since I started this medicine. Is there something I can do to help?" After teaching the person about measures to address this problem, which statement by the client indicates the need for additional teaching?
"I'll be sure to drink no more than 4 glasses of water daily."
The nurse working on a mental health unit is teaching a nursing student. The student asks the nurse about what constitutes a diagnosis for major depressive disorder. What is the nurse's best response?
"The primary diagnostic criterion is one or more major depressive episodes for at least 2 weeks with other symptoms present."
A client who is depressed begins to cry and states, "I'm just really sick of feeling this way. Nothing ever seems to go right in my life." Which would be the most appropriate response by the nurse?
"You are feeling really sad right now. It's a hard time."
A client's depression is being treated in the community with phenelzine. The client has presented to the clinic stating, "I had a few beers and I'm feeling absolutely miserable." What is the nurse's best action?
Assess the client's blood pressure
A client has been diagnosed with depression and the primary care provider has believes that a sustained serotonin reuptake inhibitor would be effective. The client has asked the nurse, "Do you really think that's necessary?" What is the nurse's best action?
Assess the reasons underlying the client's reluctance to take antidepressants
A nurse is caring for a client receiving a tricyclic antidepressant and is monitoring for anticholinergic side effects. Anticholinergic effects include which of the following?
Blurred vision
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?
Collaborate with the client to choose a manageable amount of exercise and acknowledge the client's subsequent effort
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?
Ensuring that the client is not permitted to use anything that would be potentially dangerous.
Which disorder is characterized by at least 2 years of depressed mood for more days than not with some additional, less severe symptoms that do not meet the criteria for a major depressive episode?
Dysthymic disorder
A client has been taking a tricyclic antidepressant (TCA) for several months and is now reporting urinary hesitation. What is the nurse's best action?
Encourage the client to increase fluid intake
Which antidepressant medication is classified as a selective serotonin reuptake inhibitor (SSRI)?
Fluoxetine
A client with severe depression has experienced anhedonia for the past 3 months. The nurse caring for this client understands that this term describes what?
Loss of interest or pleasure
A depressed older adult client is being treated with a tricyclic antidepressant (TCA). For which clinical manifestations should the nurse monitor the client?
Orthostatic hypotension and urinary retention
A psychiatric-mental health nurse is conducting a pharmacology review class for a group of nurses. The topic is antidepressant medications. The nurse determines that the review was successful when the group identifies which class of antidepressant as associated with fewer side effects?
Selective serotonin reuptake inhibitors (SSRIs)
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?
Selective serotonin reuptake inhibitor
A client who is taking paroxetine reports to the nurse that the client has been nauseated since beginning the medication. Which action is indicated initially?
Suggest that the client take the medication with food.
Which outcome would be appropriate to determine an early favorable response to antidepressant medication?
The client will establish a balance of rest, sleep, and activity.
The nurse is planning care for a client with major depression. Which is an appropriate expected outcome?
The client will independently carry out activities of daily living.
When developing a plan of care for a client with depression who is receiving medication therapy, what would the nurse identify as the primary goal during the acute phase?
symptom reduction
