NUR 3678 Test 2 Questions With
Answers
An individual experienced the death of a parent 2 years ago. This individual
has not been able to work since the death, cannot look at any of the parent's
belongings, and cries daily for hours at a time. Which nursing diagnosis most
accurately describes this individual's problem?
a. Posttrauma syndrome related to parent's death
b. Anxiety (severe) related to parent's death
c. Coping, ineffective related to parent's death
d. Grieving, complicated related to parent's death - ANSWER D
What is the mechanism by which antidepressants work? - ANSWER serotonin
and norepinephrine
What should the nurse be on alert for with antidepressants? - ANSWER
suicidal ideations
What should a nurse expect a client to begin showing signs of symptomatic
relief after start of antidepressant? - ANSWER 2-4 or 2-6 weeks
When teaching about the tricyclic group of
antidepressant medications, which information should the nurse include?
a. Strong or aged cheese should not be eaten while taking this group of
medications.
,b. The full therapeutic potential of tricyclics may not be reached for 4 weeks.
c. Long-term use may result in physical dependence.
d. Tricyclics should not be given with anti-anxiety agents. - ANSWER B
A client has been diagnosed with major depression. The psychiatrist
prescribes Paroxetine (Paxil). Which of the following medication information
should the nurse include in discharge teaching?
a. Do not eat chocolate while taking this medication.
b. The medication may cause priapism.
c. The medication should not be discontinued abruptly.
d. The medication may cause photosensitivity. - ANSWER C
A suicidal client with a history of manic behavior is admitted to the
emergency department. The client's diagnosis is documented as bipolar I
disorder: current episode depressed. What is the rationale for this diagnosis
instead of a diagnosis of major depressive disorder?
a. The physician does not believe that the client is suffering from major
depression.
b. The client has experienced a manic episode in the past.
c. The client does not exhibit psychotic symptoms.
d. There is no history of major depression in the client's family. - ANSWER B
In the initial stages of caring for a client experiencing an acute manic
episode, what should the nurse consider to be the priority nursing diagnosis?
,a. Risk for injury related to excessive hyperactivity
b. Disturbed sleep pattern related to manic hyperactivity
c. Imbalanced nutrition, less than body requirements, related to inadequate
intake
d. Situational low self-esteem related to embarrassment secondary to
high-risk behaviors - ANSWER A
A client who is prescribed lithium carbonate is being discharged from
inpatient care. Which medication information should the nurse teach this
client?
a. Do not skimp on dietary sodium intake.
b. Have serum lithium levels checked every 6 months.
c. Limit fluid intake to 1000 mL of fluid per day.
d. Adjust the dose if you feel out of control. - ANSWER A
The nurse's initial approach in caring for a client with major depression
would be to:
a. encourage the client to select own meals
b. involve the client in group therapy
c. sit silently at the client's side when client does not feel like talking -
, ANSWER C
What would be significant for the nurse to assess as contributing factors
while interviewing a client who is depressed?
a. family structure
b. reaction to any existing chronic illness
c. history of significant losses
d. manifestations of depression - ANSWER C
A client who is depressed is put on Elavil at hour of sleep and wants to know
when it'll take effect. Which response demonstrates the nurses knowledge of
action?
a. 24-48 hours
b. 8-10 days
c. 2-3 weeks
d. one month - ANSWER C
A client states I have nothing to live for. How should the nurse respond?
Answers
An individual experienced the death of a parent 2 years ago. This individual
has not been able to work since the death, cannot look at any of the parent's
belongings, and cries daily for hours at a time. Which nursing diagnosis most
accurately describes this individual's problem?
a. Posttrauma syndrome related to parent's death
b. Anxiety (severe) related to parent's death
c. Coping, ineffective related to parent's death
d. Grieving, complicated related to parent's death - ANSWER D
What is the mechanism by which antidepressants work? - ANSWER serotonin
and norepinephrine
What should the nurse be on alert for with antidepressants? - ANSWER
suicidal ideations
What should a nurse expect a client to begin showing signs of symptomatic
relief after start of antidepressant? - ANSWER 2-4 or 2-6 weeks
When teaching about the tricyclic group of
antidepressant medications, which information should the nurse include?
a. Strong or aged cheese should not be eaten while taking this group of
medications.
,b. The full therapeutic potential of tricyclics may not be reached for 4 weeks.
c. Long-term use may result in physical dependence.
d. Tricyclics should not be given with anti-anxiety agents. - ANSWER B
A client has been diagnosed with major depression. The psychiatrist
prescribes Paroxetine (Paxil). Which of the following medication information
should the nurse include in discharge teaching?
a. Do not eat chocolate while taking this medication.
b. The medication may cause priapism.
c. The medication should not be discontinued abruptly.
d. The medication may cause photosensitivity. - ANSWER C
A suicidal client with a history of manic behavior is admitted to the
emergency department. The client's diagnosis is documented as bipolar I
disorder: current episode depressed. What is the rationale for this diagnosis
instead of a diagnosis of major depressive disorder?
a. The physician does not believe that the client is suffering from major
depression.
b. The client has experienced a manic episode in the past.
c. The client does not exhibit psychotic symptoms.
d. There is no history of major depression in the client's family. - ANSWER B
In the initial stages of caring for a client experiencing an acute manic
episode, what should the nurse consider to be the priority nursing diagnosis?
,a. Risk for injury related to excessive hyperactivity
b. Disturbed sleep pattern related to manic hyperactivity
c. Imbalanced nutrition, less than body requirements, related to inadequate
intake
d. Situational low self-esteem related to embarrassment secondary to
high-risk behaviors - ANSWER A
A client who is prescribed lithium carbonate is being discharged from
inpatient care. Which medication information should the nurse teach this
client?
a. Do not skimp on dietary sodium intake.
b. Have serum lithium levels checked every 6 months.
c. Limit fluid intake to 1000 mL of fluid per day.
d. Adjust the dose if you feel out of control. - ANSWER A
The nurse's initial approach in caring for a client with major depression
would be to:
a. encourage the client to select own meals
b. involve the client in group therapy
c. sit silently at the client's side when client does not feel like talking -
, ANSWER C
What would be significant for the nurse to assess as contributing factors
while interviewing a client who is depressed?
a. family structure
b. reaction to any existing chronic illness
c. history of significant losses
d. manifestations of depression - ANSWER C
A client who is depressed is put on Elavil at hour of sleep and wants to know
when it'll take effect. Which response demonstrates the nurses knowledge of
action?
a. 24-48 hours
b. 8-10 days
c. 2-3 weeks
d. one month - ANSWER C
A client states I have nothing to live for. How should the nurse respond?
