Mod 29: Self and Eating disorders

A nurse at a​ psychiatrist's office is reviewing the medication prescribed to several new clients for mood disorders. Which order would the nurse​ question? A prescription for sertraline for an​ 11-year-old girl with depression A prescription for paroxetine for a​ 15-year-old boy with depression A prescription for fluoxetine for a​ 14-year-old girl with depression A prescription for sertraline for a​ 10-year-old boy with​ obsessive-compulsive disorder

A prescription for paroxetine for a​ 15-year-old boy with depression

The spouse of a client being treated for depression believes the client is not responding to prescribed medication. What should the nurse respond to the spouse? Stop the medication immediately A trial and error period is the best way to determine which medication is the most effective. a trial of 4-6 weeks is usually done to see how people respond to the medication stay on the medication for 6 months to see if there is a response learn to live with the depression

A trial and error period is the best way to determine which medication is the most effective. a trial of 4-6 weeks is usually done to see how people respond to the medication

Which condition is associated with the highest rate of comorbidity with​ depression? Hypertension Obesity Alcohol abuse Back problems

Alcohol Abuse

In an adult​ client, the presence of lanugo and​ dry, brittle nails is suggestive of which of the following​ conditions? Anorexia nervosa Bulimia nervosa Pica ​Binge-eating disorder

Anorexia nervosa

The nurse is providing care to a client diagnosed with bulimia. The healthcare provider has prescribed medication to help decrease the​ client's binging and purging behavior. Which medication classification should the nurse include in the teaching plan for this​ client? Antipsychotics Antidepressants Mood stabilizers Anxiolytics

Antidepressants

A client with a​ 2-month-old child is experiencing​ insomnia, mood​ swings, and crying. Which interventions does the nurse anticipate being incorporated into a collaborative plan of care for the client experiencing postpartum​ depression? Select all that apply. Electroconvulsive therapy Antidepressants Psychosocial interventions Time management and exercise therapy ​Cognitive-behavioral therapy

Antidepressants Psychosocial interventions

An adolescent client hospitalized with asphyxiation following a suicide attempt tells the​ nurse, "I know other kids have the same problems I​ do, but I just wanted to make it​ stop." Which action by the nurse is the most​ appropriate? Ask what is so devastating that the client needed to commit suicide. Discuss the​ client's attendance at school and what activities are enjoyed. Suggest the client listen to music and read a light novel to reduce stress. Ask if the client would like to talk about stressors and problems.

Ask if the client would like to talk about stressors and problems

The nurse observes a client being treated for depression sitting with the head down and avoiding conversation with peers. Which nursing intervention is most appropriate for this​ client? Encourage a peer to sit with the client and the nurse. Ask the client​ closed-ended questions. Tell the client that lack of involvement leads to more depression. Ask​ open-ended questions about the​ client's feelings.

Ask open-ended questions about the client's feelings.

A client receiving pain medication for abdominal discomfort reports no relief of pain and continues to describe multiple somatic complaints. The client also describes feelings of discouragement and hopelessness related to the​ pain, because the healthcare team has not yet found a cause for the pain. Which action by the nurse is​ appropriate? Reviewing of the​ client's lab values Obtaining an order for different pain medication Contacting the family to talk to the client Assessing the client for depression

Assessing the client for depression

A client of Eastern European descent who gave birth to her third child on the previous shift tells the nurse that she wants to get cleaned up and have something to eat so that she can be ready to go home in the morning. What should the nurse do to assist this client? A) Suggest that the client take advantage of the rest since she has other children at home who will also need her care. B) Instruct the client to pace herself and that there is no hurry rush to go home. C) Assist the client with self-care requests and check on when the meals will be delivered. D) Suggest that her plans to go home depend upon her physician

Assist the client with self-care requests and check on when the meals will be delivered.

A client prescribed an antidepressant tells the nurse that the pill causes dizziness upon standing or changing position too quickly. This is a common side effect of which antidepressant​ medication? Monoamine oxidase inhibitor​ (MAOI) Selective serotonin reuptake inhibitor​ (SSRI) Atypical antidepressant Lithium

Atypical antidepressant

A clinic nurse is providing care for several clients. Which client is at the highest risk for anorexia​ nervosa? A​ 16-year-old Hispanic female client A​ 21-year-old Hispanic male client A​ 16-year-old non-Hispanic White female client A​ 22-year-old non-Hispanic White male client

A​ 16-year-old non-Hispanic White female client

Which individual has the most risk factors for​ depression? A​ 43-year-old man who was fired from his job 8 months ago and has been unable to find employment A​ 68-year-old man who lost his wife in a car accident and lives close to two of their three children A​ 19-year-old woman who was emotionally and physically abused as a child and dropped out of school at the age of 16 when she became pregnant A​ 38-year-old woman who recently moved away from all her family to go to graduate school

A​ 19-year-old woman who was emotionally and physically abused as a child and dropped out of school at the age of 16 when she became pregnant

The nurse is providing care to an adolescent client who has a history of vomiting after eating. Which diagnostic tests should the nurse anticipate when providing care to this​ client? Select all that apply. Blood urea nitrogen​ (BUN) and creatinine Urine drug screen Complete blood count Serum electrolytes Barium enema

BUN CBC Serum electrolytes

The nurse is planning care for an adult client demonstrating symptoms of depression. Which assessment technique is most​ appropriate? Mood Disorder Questionnaire Ask family members about the​ client's demeanor More time talking with the client Beck Depression Inventory

Beck Depression Inventory

The nurse is providing care to a client diagnosed with bipolar disorder. The​ client's family asks the nurse what this is. Which response by the nurse is​ appropriate? ​"Bipolar disorder is just another type of​ depression, except depression occurs in​ cycles." ​"Bipolar disorder just means that the mood alternates with the​ seasons, and it becomes worse in the​ winter." ​"Bipolar disorder is a type of depression that includes attention deficit disorder​ symptoms." ​"Bipolar disorder means there are cycles of depression as well as extreme elevations in​ mood, or​ mania."

Bipolar disorder means there are cycles of depression as well as extreme elevations in mood, or mania

A college student tells the nurse about being​ "out of​ control" with eating. The client​ states, "I am trying to keep my weight down so my mom​ doesn't call me fat.​ Usually, I make myself throw up after​ eating." Based on this​ data, the nurse should plan on providing care for which of the following​ disorders? Purging disorder Bulimia nervosa Anorexia nervosa ​Binge-eating disorder

Bulimia Nervosa

Which data should suggest to the home health nurse that the client experiencing postpartum depression is​ improving? Spouse making​ dinner, client in bed​ asleep, baby in rocker in the kitchen Client wearing clean​ clothes, holding baby while rocking in a chair Dirty dishes in the​ sink, beds​ unmade, and client wearing clothing for sleep Client watching television in the living room while the baby is in the crib crying

Client wearing clean​ clothes, holding baby while rocking in a chair

Which client observation indicates that interventions provided to a client in the manic phase of bipolar disorder have improved​ self-care activities? Washes hands after using the toilet when reminded Completed morning bath and changed clothes Cleaned liquid spilled on floor but did not change clothes Brushes own teeth every time when reminded

Completed morning bath and changed clothes

The nurse is performing an assessment on an​ 8-year-old child who the mother is concerned has depression. Which symptoms of depression are consistent with a child of this​ age? Poor​ self-care Regression in toilet training ​Self-destructive play themes Decrease in academic performance

Decrease in academic performance

Which neurotransmitter change is frequently associated with​ suicide? Increase in serotonin Decrease in dopamine Increase in dopamine Decrease in serotonin

Decrease in serotonin

A client who was widowed 3 years ago​ states, "I​ don't have many friends. The only people I visit with are some acquaintances at the local​ bar." Which health problem does the nurse realize the client is at risk for based on this​ statement? Depression Suicide Extended grief Bipolar disorder

Depression

The nurse is caring for a client with a chronic health condition. Which condition should the nurse identify as a common complication associated with reduced role​ function? Osteoporosis Diabetes Congestive heart failure Depression

Depression

a client was widowed 3 years ago and has nothing to do except visit with acquaintances at then neighborhood bar. of which health problem is this client demonstrating manifestations? Bipolar disorder depression sadness extended grief

Depression

A client who has been admitted with an eating disorder tells the​ nurse, "No matter what I​ do, I continue to be​ fat." Which of the following is the priority nursing diagnosis when planning care for this​ client? Disturbed Body Image Deficient Knowledge Impaired Tissue Integrity Ineffective Coping

Disturbed Body Image

A nurse is interviewing a client who recently attempted suicide. Which question is appropriate for the nurse to ask the​ client? ​"Did you feel​ unsafe?" ​"Why would you think about harming​ yourself?" ​"Do you currently have a plan for killing​ yourself?" ​"Do you ever think about hurting​ yourself?"

Do you currently have a plan for killing yourself

Which molecule has been implicated in the pathophysiology of​ depression? Brain natriuretic peptide Dopamine Calcitonin Epinephrine

Dopamine

A nurse who works in the emergency department is assessing a client with bulimia nervosa. Which assessment findings indicate that the client is​ dehydrated? Select all that apply. Dry mouth Concentrated urine Hypertension General weakness Poor skin turgor

Dry mouth concentrated urine general weakness poor skin turgor

A nurse manager working in labor and delivery is providing educational material to staff nurses regarding postpartum depression and the maternal role attainment (MRA) process. What information is true regarding the MRA process? A) Maternal role attainment occurs in five stages. B) During the formal stage of the MRA process, the woman is still influenced by the guidance of others and tries to act as she believes others expect her to act. C) During the formal stage of the MRA process, the woman looks to role models, especially her own mother, for examples of how to mother. D) The personal stage of the MRA process begins when the mother starts making her own choices about mothering

During the formal stage of the MRA process, the woman is still influenced by the guidance of others and tries to act as she believes others expect her to act.

Which nursing intervention would the nurse anticipate carrying out to meet the needs of the family of a client experiencing postpartum​ depression? Temporary placement of the newborn in foster care Emotional support for the newborn Emotional support for the father Child care for the newborn

Emotional support for the father

A client in the manic phase of bipolar disorder is unable to sleep during the night. Which interventions could be helpful to this​ client? Select all that apply. Extend daytime naps. Encourage the client to watch television. Engage in conversation. Encourage the client to listen to soothing music. Assist the client with a warm bath and provide a light snack.

Encourage the client to listen to soothing music. Assist the client with a warm bath and provide a light snack.

The nurse is instructing a new mother on the strategies to prevent the development of postpartum depression. Which instructions will the nurse include in the teaching session with the​ client? Select all that apply. Realize that feeling depressed after delivering a baby is normal and can last for months. Encourage the client to plan how to manage the​ baby's care needs at home to help adjust to motherhood. Restrict fluids and eat a​ low-fat diet help to avoid the onset of postpartum depression. Instruct the client to recognize the signs and symptoms of postpartum depression and phone the healthcare provider if these occur. The only way to avoid postpartum depression is to not have children.

Encourage the client to plan how to manage the​ baby's care needs at home to help adjust to motherhood. Instruct the client to recognize the signs and symptoms of postpartum depression and phone the healthcare provider if these occur.

The home care nurse is planning care for a client with a history of postpartum depression after the births of all her children. Based on this​ data, which will the nurse include in the​ client's plan of​ care? Select all that apply. Contacting the healthcare provider to ensure the client is prescribed medication for postpartum depression Encouraging the client to take advantage of those who want to help and maintain outside interests Instructing the client to eat a healthful diet with limited alcohol intake Ensuring the client is getting adequate sleep Focusing on the care the other children need

Encouraging the client to take advantage of those who want to help and maintain outside interests Instructing the client to eat a healthful diet with limited alcohol intake Ensuring the client is getting adequate sleep

The nurse is planning care for an adolescent client experiencing the manic phase of bipolar disorder. Which intervention would address hallucinations? A) Encourage spending time with others. B) Discuss a homework assignment. C) Keep isolated in a quiet room. D) Explain that hallucinations are not real.

Explain that the hallucinations are not real

A client tells the nurse that he feels pressure to spend every Sunday with his parents.​ However, the​ client's wife does not participate and stays at home waiting for the client to return. Which of the following elements is determining the​ client's self-concept? Stressors Family and culture Resources History of successes and failures

Family and Culture

A woman with bipolar disorder is taking lithium. She continues to take lithium until she realizes she is​ pregnant, which is 6 weeks into the pregnancy. Which potential adverse effect might the nurse tell the client about when she asks about lithium and​ pregnancy? Gastrointestinal defects Craniofacial defects Neural tube defects Heart defects

Heart Defects

A nurse working in labor and delivery is assessing a​ client's risk for developing postpartum depression. Which is a risk factor for this​ disorder? Multiparity​ (multiple pregnancies) Supportive relationship with spouse History of bipolar disorder Overwhelming family support

History of bipolar disorder

he nurse is providing care to a client who is diagnosed with bulimia. Which clinical manifestations does the nurse anticipate when conducting the​ client's physical​ assessment? Select all that apply. Increased urine output Hoarseness when speaking Elevated blood pressure Low body temperature Poor skin turgor

Hoarseness when speaking Poor skin turgor

A client in the manic phase of bipolar disorder is prescribed lithium and has a current lithium blood level of 0.4​ mEq/L. Which clinical manifestation does the nurse anticipate when assessing this​ client? Hyperactivity and pressured speech A return to baseline​ behavior, calm and rational Signs and symptoms of depression A decrease in manic behavior

Hyperactivity and pressured speech

To evaluate a​ client's personal​ identity, the nurse should consider what three aspects of the​ client's self? Authentic​ self, presented​ self, and perceived self Ideal​ self, private​ self, and public self Ideal​ self, real​ self, and public self Real​ self, goal​ self, and private self

Ideal self, real self, public self

A nurse working in a psychiatric hospital is performing a suicide assessment on a client diagnosed with major depressive disorder​ (MDD). Which actions by the nurse are appropriate when conducting a suicide​ assessment? Select all that apply. If the client has suicidal​ thoughts, assess whether or not the client would act on them. Ask if the client has any thought of suicide. Assess all clients for suicide risk by using indirect questioning. Assess the lethality of the suicide​ plan, if one exists. Avoid asking about suicide to avoid​ "planting the​ idea" in the​ client's mind.

If the client has suicidal​ thoughts, assess whether or not the client would act on them. Ask if the client has any thought of suicide. Assess the lethality of the suicide​ plan, if one exists.

A client who has attempted to commit suicide in the past tells the nurse about feeling better since being prescribed an antidepressant medication. Which conclusion by the nurse is appropriate based on the assessment​ data? Improved sleep Improved appetite Improved feelings of guilt Improved mood

Improved mood

A client being treated for depression reports the desire to get out of bed, shower, eat, and contact friends and family for socialization. What should the nurse realize this client is demonstrating? A) Risk factors for self-harm B) Improvement in depression C) Denial of the diagnosis of depression D) The need for assistance with activities of daily living

Improvement in depression

What is the greatest risk for a woman diagnosed with postpartum​ psychosis? Insomnia Infanticide Poor judgment Hallucinations

Infanticide

The nurse understands that bipolar disorders affect clients differently across the lifespan. Which is true regarding bipolar disorder and lifespan​ considerations? Children with bipolar disorders present with mood changes only. Children with bipolar disorders rarely exhibit violent tempers. Suicide risk does not increase in adolescents and teenagers who are diagnosed with bipolar disorders. Lifetime prevalence of bipolar disorders in adolescents is​ 0-3%.

Lifetime prevalence of bipolar disorders in adolescents is​ 0-3%.

The nurse caring for a postpartum client would consider the nursing diagnosis of ineffective coping when the client demonstrates which​ behavior? Lying in​ bed, lights​ dim, and refusing to spend time with the baby Talking with friends and family on the phone Reading material on care of a newborn Cuddling the new infant

Lying in​ bed, lights​ dim, and refusing to spend time with the baby

The nurse is providing care to a client who is exhibiting manifestations of a mood disorder. Which assessment findings indicate that the client may be at an increased risk for bipolar​ disorder? Select all that apply. Mother diagnosed with bipolar disorder Currently employed Recent major​ life-altering event Blood pressure​ 120/80 mmHg Works out at the gym every week

Mother diagnosed with bipolar disorder recent major life-altering event

A student nurse is assisting in the care of a client with bipolar disorder. The student nurse researches the disorder​ further, focusing on the pathophysiology and etiology of the disorder. Which are true regarding the pathophysiology and etiology of bipolar​ disorder? Select all that apply. No definitive cause or specific pathophysiology has been identified for bipolar spectrum disorders. Immunologic abnormalities may contribute to the pathophysiology of mania and bipolar disorder. Stressful life events and an emotionally​ overinvolved, hostile, and critical communication pattern are factors associated with heritability of the disorder. Bipolar​ disorders, anxiety​ disorders, and personality disorders share biological susceptibility and inheritance patterns. Children of parents with bipolar disorder have an increased risk of developing the disorder.

No definitive cause or specific pathophysiology has been identified for bipolar spectrum disorders. Immunologic abnormalities may contribute to the pathophysiology of mania and bipolar disorder. Stressful life events and an emotionally​ overinvolved, hostile, and critical communication pattern are factors associated with heritability of the disorder. Children of parents with bipolar disorder have an increased risk of developing the disorder.

A client who is breastfeeding has been diagnosed with postpartum depression after delivering her first child. Which medications does the nurse anticipate being prescribed for this​ client? Select all that apply. Diazepam Fluoxetine Paroxetine Phenytoin Sertraline

Paroxetine Sertraline

A client with depression is receiving electroconvulsive therapy​ (ECT). Which interventions should the nurse plan when caring for this​ client? Select all that apply. Place in the lateral recumbent position. Administer intravenous fluids for 8 hours postprocedure. Provide oral fluids immediately after the procedure. Place in the supine position with the head flat. Maintain​ nothing-by-mouth status until fully awake.

Place in the lateral recumbent position. Maintain​ nothing-by-mouth status until fully awake.

The home care nurse hears the spouse of a client say​ "With you being so sick​ lately, I​ can't maintain this home by​ myself, so I never invite family over anymore. I​ can't stand to have them see our house in this rundown​ state." The client engages in an argument with the​ spouse, and the spouse begins to cry. Which does the home care nurse identify as occurring with this​ couple? Spousal abuse Evidence of low blood glucose levels Financial struggles within the family Possible situational depression

Possible situational depression

The postpartum client states that she cannot understand why she does not enjoy being with her baby. Based on this​ data, which does the nurse suspect the client is​ experiencing? Postpartum blues Postpartum psychosis Postpartum infection Postpartum depression

Postpartum Depression

A client with a history of depression says that since taking yoga classes, the depressive episodes have decreased. What should the nurse explain about yoga? promotes alertness and enthusiasm raises levels of endorphins stimulates the production of serotonin increases blood flow to the brain improves physical energy

Promotes alertness and enthusiasm Improves physical energy

Which intervention is a primary prevention strategy for​ depression? Counseling clients about their risk for mood disorders Developing​ community-based mental health programs Provide education about stress management Regular screening for depression

Provide education about stress management

A client in the manic phase of bipolar disorder will not sit down to eat. Which can the nurse do to ensure adequate nutrition and improved​ self-care of this​ client? Select all that apply. Provide a sedative before meals. Ask the healthcare provider if intravenous feedings would be applicable. Provide nutritious liquids. Discuss​ finger-food options with the dietitian. Use a jacket restraint at meal times.

Provide nutritious liquids. Discuss​ finger-food options with the dietitian.

An older adult client recognizes the need for help with personal care at home yet does not want to move to a nursing home or assisted living facility. Which action by the nurse would best assist this​ client? Suggesting that the client move in with his adult children Recommending to the physician that the client be admitted to a nursing home immediately Referring the client to a personal care assistant who can help with activities of daily living Reminding the client that his physical strength will grow weaker at home until a nursing home is required

Referring the client to a personal care assistant who can help with activities of daily living

A nurse working on a psychiatric unit is caring for a client who has been diagnosed with major depressive disorder​ (MDD). Upon assessment of the​ client, which clinical manifestations does the nurse recognize as consistent with this​ diagnosis? ​Restlessness, fatigue, suicidal​ ideation, feelings of guilt Depressed mood sporadically for at least 2 years Depressed mood or loss of interest occasionally for at least 1 week ​Anxiety, change in​ appetite, grief, altered nutrition

Restlessness, fatigue, suicidal ideation, feelings of guilt

A client being treated for severe depression reports feeling better and having more energy. Which is a priority nursing diagnosis for the client at this​ time? Social Isolation Situational Low​ Self-Esteem Risk for​ Self-Directed Violence Hopelessness

Risk for Self-Directed Violence

A​ 76-year-old man was recently diagnosed with Alzheimer disease. His wife passed away 6 months ago due to metastatic breast cancer. The client states that he​ doesn't sleep​ well, often forgets to eat because he​ doesn't feel​ hungry, and he just​ doesn't get involved in social functions anymore because his kids​ don't want him to drive. He states that he feels isolated and lonely. What diagnosis should the nurse include as the highest priority in this​ client's plan of​ care? Grieving Risk for Loneliness Risk for Suicide Ineffective Activity Planning

Risk for suicide

The nurse is caring for a client with bipolar disorder who has expressed the desire to harm self. What is the priority nursing diagnosis for this​ client? Social Isolation Powerlessness Impaired Social Interaction Risk for Suicide

Risk for suicide

A client explains that she is experiencing high stress levels because her mornings are so hectic. She tells the nurse that before she arrives at work each​ morning, she needs to dress and feed her​ children, drop them off at​ daycare, and begin preparations for that​ evening's dinner. Based on this​ information, the nurse should anticipate that the client will require care related to which of the following​ issues? ​Self-esteem Role mastery Role ambiguity Role conflict

Role Conflict

A client tells the nurse about rarely going outdoors in the winter because of a lack of energy or desire. Based on this​ data, which does the nurse suspect the client is​ experiencing? Side effect of medication Anxiety Seasonal affective disorder Situational depression

Seasonal affective disorder

A nurse is caring for a client who displays symptoms associated with seasonal affective disorder​ (SAD). Which treatment would the nurse question as inappropriate for this​ client? Light therapy ​Cognitive-behavioral therapy Selective serotonin reuptake inhibitor​ (SSRI) Bupropion​ extended-release

Selective serotonin reuptake inhibitor (SSRI)

During an​ assessment, a client tells the nurse that she​ "can't stand her​ mother." The client also says she does​ "whatever Mom wants me to​ do" because the client​ "can't do anything right​ anyway." The nurse should use this information when determining which of the following items during the client​ assessment? Personal identity Role performance Body image ​Self-esteem

Self-esteem

During a routine physical​ examination, a preadolescent client tells the​ nurse, "I am too​ fat, and​ I'm going to do whatever I can to look like the girls on the cover of fashion​ magazines." The nurse should plan care for this client based on which risk factor for eating​ disorders? Societal influences on body weight A desire for a​ long-term profession Family influences on body weight Unrealistic expectations

Societal influences on body weight

Which statement about bipolar disorder is​ true? Some clients with bipolar disorder do not experience remission periods. The client will exhibit functional impairment at work during remission periods. Bipolar disorders typically appear between the ages of 25 and 50. Episodes associated with bipolar disorder tend to decrease in frequency with age.

Some clients with bipolar disorder do not experience remission periods.

A client states that he often wonders if everyone would be better off if he were dead. What does the nurse identify this​ as? Suicide planning A suicide threat A suicide attempt Suicidal ideation

Suicidal Ideation

The nurse is assessing a client who is 4 weeks postpartum. The client reports having no appetite and wanting to sleep all day. What does this information suggest to the​ nurse? The client is feeling​ blue, which is normal. The client may be experiencing postpartum depression. The client is developing postpartum psychosis. The​ client's sleep-wake cycle is disrupted.

The client may be experiencing postpartum depression

The nurse is providing teaching to a​ 71-year-old client who was prescribed escitalopram​ (Lexapro) for depression. The client is also taking medication for type II​ diabetes, hypertension, and heart disease. What should the nurse include in her​ teaching? The client may experience an increase in memory problems. The client will no longer need to take medication for hypertension. The client will not be able to drive. The client will need to come in for more frequent monitoring.

The client will need to come in for more frequent monitoring.

The nurse is caring for several clients who have plans to commit suicide. Which plan does the nurse identify as being most​ lethal? The individual who plans to jump off a tall building The individual who plans to jump off a bridge into a river The individual who plans to use a mild overdose of pharmaceuticals The individual who plans to slit across one wrist

The individual who plans to jump off a tall builing

A nurse educator is teaching a group of student nurses regarding​ depression, its​ pathophysiology, and the theories related to the disorder. What statements will the nurse instructor include about the theories of​ depression? Select all that apply. The sociocultural factor theory suggests that all people have an inborn need for interpersonal relationships. Sociocultural theory emphasizes the role that social stressors play in the development of depression. The learning theory states that individuals learn to be depressed in response to a​ self-perception of a lack of control over their life experiences. The sociocultural factor theory states that those who are depressed focus on negative messages in the environment and ignore positive experiences. The learning theory states that individuals with depression typically experience little success in achieving gratification and little positive reinforcement in coping with negative incidents.

The learning theory states that individuals learn to be depressed in response to a​ self-perception of a lack of control over their life experiences. The learning theory states that individuals with depression typically experience little success in achieving gratification and little positive reinforcement in coping with negative incidents. Sociocultural theory emphasizes the role that social stressors play in the development of depression.

The nurse is providing care to a client who has been diagnosed with anorexia nervosa. Which assessment findings indicate that the client has met some of the treatment goals related to the disease​ process? Select all that apply. The​ client's vital signs are within normal limits. The client is observed wearing wrinkled​ clothes, listening to a portable music​ device, and staring out the window. The client is overheard telling her mother that she will eat dinner if her mother buys her new jeans. The​ client's current weight is​ 75% of normal after 2 years of treatment. The client states that her menstrual cycle is regular and she is learning to prepare meals.

The​ client's vital signs are within normal limits. The client states that her menstrual cycle is regular and she is learning to prepare meals.

The nurse is providing care to a preadolescent client who was recently diagnosed with bulimia nervosa. The​ client's mother​ states, "I am very weight and exercise​ conscious, and I try to ensure my children stay in shape and eat well so that they can succeed in life. I have no idea how my daughter developed bulimia. She must have inherited a genetic tendency for bulimia from her birth​ mother." Based on this​ data, which conclusion by the nurse is the most​ appropriate? The client must have inherited a genetic predisposition for eating disorders. The client must have a neurotransmitter abnormality. The​ mother's focus on​ diet, exercise, and achievement fostered the​ client's eating disorder. The mother is setting a good example for the client with her eating and exercise habits.

The​ mother's focus on​ diet, exercise, and achievement fostered the​ client's eating disorder.

A client prescribed an antidepressant tells the nurse that the pill causes dizziness upon standing or changing position too quickly. The nurse realizes the client is experiencing a side effect of which medication? Serotonin-norepinephrine reuptake inhibitor monoamine oxidase inhibitor Selective serotonin reuptake inhibitor Tricyclic antidepressant

Tricyclic antidepressant

A client tells the nurse that the thought of eating makes her anxious and​ nervous, so she just avoids eating altogether. Which of the following actions would be highest priority when planning care for this​ client? Providing instruction on appropriate nutritional intake Providing instruction on the role of nutrition in normal menstruation Providing instruction on the importance of nutrition for vital signs and muscle tone Undertaking interventions to address anxiety and feelings of being in control

Undertaking interventions to address anxiety and feelings of being in control

Why is the presence of dental caries and enamel erosion more suggestive of bulimia nervosa than of anorexia​ nervosa? Unlike clients with anorexia​ nervosa, clients with bulimia nervosa tend to consume large amounts of​ laxatives, which can damage the oral cavity. Unlike clients with anorexia​ nervosa, clients with bulimia nervosa tend to eat large amounts of​ sugar, which promotes tooth decay. Unlike clients with anorexia​ nervosa, clients with bulimia nervosa often purge by​ vomiting, which means their teeth are frequently exposed to the highly acidic contents of the stomach. Unlike clients with anorexia​ nervosa, clients with bulimia nervosa are unlikely to consume sufficient amounts of calcium and other​ bone-building nutrients due to their restricted food intake.

Unlike clients with anorexia​ nervosa, clients with bulimia nervosa often purge by​ vomiting, which means their teeth are frequently exposed to the highly acidic contents of the stomach.

A student nurse is asked to recall the questions included in the SCOFF questionnaire. Which questions identified by the student nurse are​ appropriate? Select all that apply. Would you say that food dominates your​ life? Have you recently lost more than 1 pound in a​ 3-month period? Do you worry you have lost control over how much you​ eat? Do you make yourself sick because you feel uncomfortably​ full? Do you believe yourself to be fat when others say you are too​ thin?

Would you say that food dominates your​ life? Do you worry you have lost control over how much you​ eat? Do you make yourself sick because you feel uncomfortably​ full? Do you believe yourself to be fat when others say you are too​ thin?

A client is scheduled for electroconvulsive therapy​ (ECT) for the treatment of depression. Which instructions should the nurse include regarding this​ therapy? Select all that apply. These treatments will cure the depression. ​Long-term memory loss often occurs after receiving ECT. You will need to stop eating and drinking 4 hours prior to the therapy session. You will need to remove all jewelry before beginning the therapy session. The treatments are known to help some but not all people with depression.

You will need to stop eating and drinking 4 hours prior to the therapy session. You will need to remove all jewelry before beginning the therapy session. The treatments are known to help some but not all people with depression.

A nurse is conducting an admission assessment on a client admitted for thoughts of suicide. Which assessment findings would indicate that the client is at a high level risk of​ suicide? Select all that apply. Has access to a gun at home. Admits planning to end his or her life. Shows curiosity about death. Displays mild depression. Discusses a plan to end his or her life in detail.

has access to a gun at home admits to planning to end his or her life discusses a plan to end his or her life in detail

An adult client tells the​ nurse, "No matter what I​ do, I never can make my parents​ happy." Which action by the nurse may enhance the​ client's self-concept? Suggesting that the client reduce the amount of time spent with her parents Suggesting that the client turn the tables by expressing the same dissatisfaction with her parents Telling the client that she is too old to be listening to her parents Reminding the client that she is educated and has a great career and good marriage

reminding the client that she is educated and has a great career and good marriage

An older client with cardiac disease describes a decline in the amount of sleep and difficulty falling asleep at night. What should the nurse consider is occurring with this client? normal signs of cardiac disease signs of anxiety and depression normal signs of aging normal signs of respiratory disease

signs of anxiety and depression

The nurse is providing care for a client who is experiencing situational depression after the death of her mother. During the​ assessment, the nurse learns that the client has returned to​ work, is caring for her​ family, and spends quiet time reflecting on her life and future. Which conclusion by the nurse is most​ appropriate? The client is working through the grief process. The client is experiencing denial regarding the death of a parent. The client is exhibiting ineffective coping. The client is experiencing anxiety.

the client is working though the grief process

A client is experiencing symptoms of depression. Which laboratory or diagnostic test would be the priority to determine if depression is being caused by another health​ problem? MRI of the brain Electrocardiogram Thyroid function tests Cerebral angiogram

thyroid function tests

Which assessment findings indicate that a client is at increased risk for​ suicide? Select all that apply. Age 59 Recently started a new job Plays golf twice a week Widowed for 6 months Substance abuse

widowed for 6 months substance abuse

A nurse is teaching the father of a​ 2-year-old client about steps he can take to foster his​ child's self-esteem. Which statement by the father indicates that more education is​ needed? ​"I should provide my child with an environment that is safe yet still allows for active​ exploration." ​"Toddlers who feel confident about their ability to act independently are more likely to develop healthy​ self-esteem." ​"At this​ stage, my most important job as a parent is to ensure that my child does not fail at completing new​ tasks." ​"My child needs to be permitted to learn from her​ mistakes."

​"At this​ stage, my most important job as a parent is to ensure that my child does not fail at completing new​ tasks."

An experienced nurse practitioner is teaching a student nurse about feeding and eating disorders in the pediatric population. Which of the following statements from the student nurse indicates that more education is​ necessary? ​"Many children are picky​ eaters, but few of them satisfy the diagnostic criteria for​ ARFID." ​"Eating disorders are overdiagnosed in children because providers often fail to distinguish picky eating from true​ ARFID." ​"In recent​ years, eating disorders have become more common in the pediatric​ population." ​"Avoidant/restrictive food intake​ disorder, or​ ARFID, is the most common eating disorder among​ children."

​"Eating disorders are overdiagnosed in children because providers often fail to distinguish picky eating from true​ ARFID."

Which of the following questions would best help the nurse assess a​ client's global​ self-esteem? ​"How satisfied are you with yourself and your life so​ far?" ​"What do you like least about​ yourself?" ​"Do you consider yourself a​ hard-working person?" ​"What do you consider your greatest personal​ strength?"

​"How satisfied are you with yourself and your life so​ far?"

The nurse is caring for a client recovering from a suicide attempt. Which client statement indicates to the nurse that the risk of suicide has​ diminished? ​"Even though I failed this​ time, I lived to think about it​ again." ​"I now know that threatening suicide will help me get what I want from my​ parents." ​"I am looking forward to going to school and seeing my​ friends." ​"I am not looking forward to going home with my​ parents."

​"I am looking forward to going to school and seeing my​ friends."

A nursing instructor is evaluating a nursing​ student's knowledge regarding a client with suicidal thoughts. Which statement made by the student demonstrates an understanding regarding assessing a client with suicidal​ thoughts? ​"I should attempt to make light of the​ circumstances." ​"I should directly acknowledge the​ situation." ​"I should not talk about suicide​ directly." ​"I should be indirect and​ respectful."

​"I should directly acknowledge the​ situation."

A nurse is caring for a pregnant client who has a history of bulimia nervosa. Which of the following statements should the nurse include when counseling this client about the potential effects of pregnancy on eating​ disorder? ​"Only a tiny fraction of women with bulimia continue to engage in disordered eating during​ pregnancy." ​"Engaging in disordered eating while pregnant can harm​ you, but it is unlikely to affect the health of your​ fetus." ​"In some women with a history of eating​ disorders, pregnancy can lead to new or renewed onset of binge​ eating." ​"Women with a history of bulimia or anorexia are at increased risk for pica during​ pregnancy."

​"In some women with a history of eating​ disorders, pregnancy can lead to new or renewed onset of binge​ eating."

An adolescent client who currently weighs​ 50% of expected body weight tells the​ nurse, "I get upset and​ can't eat because my mother is constantly forcing food on​ me." Which treatments are indicated for this​ client? Select all that apply. ​Family-based psychotherapy Placement with a foster family Medication to increase appetite Hospitalization Behavior modification

​Family-based psychotherapy Hospitalization Behavior modification