Week 9 & 10 Powerpoint Questions

For assessment purposes, the nurse should identify the body system most at risk for decompensation during a severe manic episode as: A. Cardiac B. Renal C. Endocrine D. Pulmonary

A. Cardiac Up for a long time, not hydrated or eating, cocaine or caffeine = cardiac issues

Which anticonvulsant might be prescribed for Bipolar d/o? A. Divalproex sodium (Depakote) B. Clonazepam (Klonopin) C. Olanzapine (Zyprexa) D. Lithium (Lithobid

A. Divalproex sodium (Depakote) This is the only true anticonvulsant on the list

A patient with major depression walks and moves slowly. Which term should the nurse use to document this finding? A. Psychomotor retardation B. Psychomotor agitation C. Vegetative sign D. Anhedonia

A. Psychomotor retardation

Which question would be a priority when assessing for symptoms of major depression? A. "Tell me about any special powers you believe you have." B. "You look really sad. Have you ever thought of harming yourself?" C. "Your family says you never stop. How much sleep do you get?" D. "Do you ever find that you don't remember where you've been or what you've done?"

B. "You look really sad. Have you ever thought of harming yourself?" Assessing Safety comes first

Which assessment in MDD represents a vegetative sign? A. Restlessness B. Hypersomnia C. Feelings of guilt D. Frequent crying

B. Hypersomnia

A person with which psychiatric problem is most likely to complete suicide? A. Personality disorder B. Major depression C. Substance abuse D. Schizophrenia

B. Major depression About 15% of patients who have major depression or bipolar disorder (during the depressed phase) will complete suicide. REF: 41

A patient is hospitalized with major depression and suicidal ideation. He has a history of several suicide attempts. For the first 2 days of hospitalization, the patient eats 20% of meals and stays in his room between groups. By the fourth day, the nurse observes that the patient is more sociable, is eating meals, and has a bright affect. Which factor should the nurse consider? A. The patient is showing improvement and may be ready for discharge. B. The patient may have decided to commit suicide; the nurse should reassess suicidality. C. The patient is feeling rested, supported by the therapeutic milieu, and less depressed. D. The patient is benefiting from the antidepressant he has been taking for 4 days.

B. The patient may have decided to commit suicide; the nurse should reassess suicidality.

A major principle the nurse should use when communicating with a patient experiencing elated mood is to: A. Avoid teaching patient when in this state B. Give thorough, expanded explanations as these patients are high functioning C. Use a calm, firm approach D. Wait until patient mood is no longer elated to communicate with them

C. Use a calm, firm approach Remain calm even if they're not; can increase anxiety, exacerbation, & violence

A patient says to the nurse, "My life doesn't have any happiness in it anymore. I once enjoyed holidays, but now they're just another day." The nurse documents this report as an example of: A. Dysthymia B. Euphoria C. Anergia D. Anhedonia

D. Anhedonia

A parent is shopping with a 5-year-old child in a large, busy urban mall. The parent suddenly realizes the child is missing. Which level of anxiety would likely result? A. Mild B. Moderate C. Severe D. Panic

D. Panic