HESI CASE STUDY – DEPRESSION 1. What question should the nurse ask as a priority nursing assessment? "What is the voice saying to you?"
2. How many points does Anna have? 6
3. Which behavior is inconsistent with depression? Hearing a man's voice
4. If the client refuses treatment, which behavior(s) justify short-term involuntary treatment? (Select all) - Unable to meet basic self-care needs - States she has a plan to harm herself
5. In what classification of drugs is the antidepressant fluoxetine (Prozac)? Selective serotonin reuptake inhibitor (SSRI)
6. What is the major action of SSRI antidepressants? Increase availability of serotonin
7. The nurse understands that SSRIs are now more widely prescribed than tricyclics for antidepressant therapy. What is the rationale? Tricyclics are more lethal in an overdose
8. When should the client begin to feel less depressed? 1 to 3 weeks
9. Which side effects commonly occur in clients who are taking SSRI antidepressants? Gastrointestinal disturbances
10. Which explanation is best? "This medication will help you think more clearly."
11. The nurse understands that a VDRL is routinely done on admission for which reason? It is a screening test for syphilis
12. What role do thyroid levels play in depression? Hypothyroidism can lead to feeling sluggish and depressed
13. Which intervention is important? Help the client with daily activities
14. Since the client has decreased energy, which intervention is best? Plan a scheduled rest period
15. As the nurse initially communicates with Anna, which communication technique is important? Reinforce that she will progressively feel better
16. According to this data, what is the priority nursing problem? Sleep disturbance
2. How many points does Anna have? 6
3. Which behavior is inconsistent with depression? Hearing a man's voice
4. If the client refuses treatment, which behavior(s) justify short-term involuntary treatment? (Select all) - Unable to meet basic self-care needs - States she has a plan to harm herself
5. In what classification of drugs is the antidepressant fluoxetine (Prozac)? Selective serotonin reuptake inhibitor (SSRI)
6. What is the major action of SSRI antidepressants? Increase availability of serotonin
7. The nurse understands that SSRIs are now more widely prescribed than tricyclics for antidepressant therapy. What is the rationale? Tricyclics are more lethal in an overdose
8. When should the client begin to feel less depressed? 1 to 3 weeks
9. Which side effects commonly occur in clients who are taking SSRI antidepressants? Gastrointestinal disturbances
10. Which explanation is best? "This medication will help you think more clearly."
11. The nurse understands that a VDRL is routinely done on admission for which reason? It is a screening test for syphilis
12. What role do thyroid levels play in depression? Hypothyroidism can lead to feeling sluggish and depressed
13. Which intervention is important? Help the client with daily activities
14. Since the client has decreased energy, which intervention is best? Plan a scheduled rest period
15. As the nurse initially communicates with Anna, which communication technique is important? Reinforce that she will progressively feel better
16. According to this data, what is the priority nursing problem? Sleep disturbance
