Mood Disorders & suicide

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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 in which of the following age groups?

A) 10-34 years of age B) 34-44 years of age C) 45-54 years of age D) over 65 years of age answer: A

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

A) I plan to go hunting when I get home B) When i get home, i will reach out to my friends if i start feeling down C) i am going to make a will as soon as i get home D) when i get home, i will get even w/ my boss for firing me from my job answer: B

Click to highlight the findings that require immediate follow up. To deselect a finding, click on the finding again

altered mental status blurred vision dry mucous membranes ibuprofen 600mg BUN 48 lithium level 2.5 12 lead ECG

which of the following 3 statements indicate that the client needs further instructions?

it is okay to drink imported beer, but i must avoid wine i love overripe bananas i can expect my BP to go up

complete the following sentence by using the list of options

medication regimen noncompliance

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?

A) adult males B) adult females C) adolescents between the ages of 15 & 17 D) children ages 10-14 answer: B

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

A) a 43 year old female client B) a 21 year old female client C) a 35 year old male client D) a 15 year old male client answer: D

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

A) amphetamines B) selective serotonin reuptake inhibitors C) nonsteroidal anti-inflammatory drugs D) monoamine oxidase inhibitors answer: A

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 who has major depressive disorder?

A) client is hyperactive B) client has had a recent intentional weight loss C) client reports sleeping 8hr each night D) client reports having thoughts of death answer: D

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

A) disruptive mood dysregulation disorder B) dysthymia C) bipolar I disorder D) bipolar II disorder answer: A

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

A) electrical current will flow through electrodes placed on your torso B) you will be awake during the procedure C) Your provider will likely schedule you for several treatments over a period of weeks D) it is not necessary to fast before the procedure answer: C

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

A) how lethal are the clients thoughts of self harm B) does the client have access to committing self harm C) does the client have a suicide plan D) does the client have someone to call when they are feeling suicidal answer: C

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 their risk for mental illness?

A) living in a rural area B) being raised by a single parent C) early exposure to violence D) being in a family w/ numerous siblings answer: C

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

A) mania B) depression C) hallucinations D) delusions answer: A

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?

A) persistent depressive disorder is a mild chronic form of depression B) persistent depressive disorder is characterized by delusions & hallucinations C) persistent depressive occurs shortly after taking or withdrawing from a substance D) persistent depressive is characterized by both manic & depressive episodes answer: A

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

A) sexual orientation B) access to firearms C) ethnicity D) race answer: B

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

A) thyroid problems can cause depression B) staying awake for days can be a finding of depression C) hyperactivity is a finding associated w/ depression D) impulsiveness is a finding that is commonly associated w/ depression answer: A

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

A) tyramine restrictions when taking a monoamine oxidase inhibitor (MAOI) B) the prevalence of postpartum depression C) signs & manifestations of lithium toxicity D) factors that contribute to suicide answer: D

A nurse is caring for a client who was admitted w/ 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?

A) teach coping & problem solving skills B) strengthen access to & delivery of suicide care C) promote connectedness D) create a protective environment answer: D

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

A) the client can eat their meal alone in their room B) the blinds in the clients room will need to stay closed to prevent overstimulation C) all sharp objects should be removed from the clients room D) family members should be encouraged to look up the warning signs of suicide answer: C

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

A) the client is giving away their possessions B) the client is demonstrating risky behavior C) the client is sleeping excessively D) the client states they feel worthless answer: B

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 statements should the nurse make?

A) the procedure will last about 1 hr B) during the procedure, you may notice slight relaxation of the jaw C) this procedure is effective when combined w/ psychotherapy D) the treatments will take about 6 months answer: C

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?

A) the procedure will take about 2 hours B) you will be asleep during the procedure C) Most people only require one treatment to eliminate their depression D) you may experience a mild headache following the procedure answer: D


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