CHAPTER 14 VARCOLIS QUESTIONS
WITH CORRECT ANSWERS
Chapter c14: cDepressive cDisorders
Halter: cVarcarolis' cFoundations cof cPsychiatric cMental cHealth cNursing: cA cClinical
Approach, c8th cEdition
MULTIPLE cCHOICE
1. cA cpatient cbecame cseverely cdepressed cwhen cthe clast cof cthe cfamily's csix cchildren
cmoved cout cof
the chome c4 cmonths cago. cThe cpatient crepeatedly csays, c"No cone ccares cabout cme. cI'm cnot
cworth
anything." cWhich cresponse cby cthe cnurse cwould cbe cthe cmost chelpful?
a. c"Things cwill clook cbrighter csoon. cEveryone cfeels cdown conce cin ca cwhile."
b. c"Our cstaff cmembers ccare cabout cyou cand cwant cto ctry cto chelp cyou cget cbetter."
c. c"It cis cdifficult cfor cothers cto ccare cabout cyou cwhen cyou crepeatedly csay cthe csame
negative cthings."
d. c"I'll csit cwith cyou cfor c10 cminutes cnow cand c10 cminutes cafter clunch cto chelp cyou cfeel
that cI ccare cabout cyou." c- ccorrect canswers✔✔ANS: cD
Spending ctime cwith cthe cpatient cat cintervals cthroughout cthe cday cshows cacceptance cby
cthe cnurse
and cwill chelp cthe cpatient cestablish ca crelationship cwith cthe cnurse. cThe ctherapeutic
ctechnique cis
"offering cself." cSetting cdefinite ctimes cfor cthe ctherapeutic ccontacts cand ckeeping cthe
appointments cshow cpredictability con cthe cpart cof cthe cnurse, can celement cthat cfosters ctrust
building. cThe cincorrect cresponses cwould cbe cdifficult cfor ca cperson cwith cprofound
cdepression cto
believe, cprovide cfalse creassurance, cand care ccounterproductive. cThe cpatient cis cunable cto
csay
positive cthings cat cthis cpoint.
PTS: c1 cDIF: cCognitive cLevel: cApply c(Application)
REF: cPages c14-27, c57 c(Table c14-4) c| cPage c14-16 c(Case cStudy cand cNursing cCare cPlan)
TOP: cNursing cProcess: cImplementation cMSC: cClient cNeeds: cPsychosocial cIntegrity
2. cA cpatient cbecame cdepressed cafter cthe clast cof cthe cfamily's csix cchildren cmoved cout cof
cthe chome c4
months cago. cSelect cthe cbest cinitial coutcome cfor cthe cnursing cdiagnosis cSituational clow
self-esteem crelated cto cfeelings cof cabandonment. cThe cpatient cwill
a. cverbalize crealistic cpositive ccharacteristics cabout cself cby c(date).
b. cagree cto ctake can cantidepressant cmedication cregularly cby c(date).
c. cinitiate csocial cinteraction cwith canother cperson cdaily cby c(date).
d. cidentify ctwo cpersonal cbehaviors cthat calienate cothers cby c(date). c- ccorrect
canswers✔✔ANS: cA
Low cself-esteem cis creflected cby cmaking cconsistently cnegative cstatements cabout cself
cand
,self-worth. cReplacing cnegative ccognitions cwith cmore crealistic cappraisals cof cself cis can
appropriate cintermediate coutcome. cThe cincorrect coptions care cnot cas cclearly crelated cto
cthe
nursing cdiagnosis. cOutcomes care cbest cwhen cframed cpositively; cidentifying ctwo cpersonal
behaviors cthat cmight calienate cothers cis ca cnegative cconcept.
PTS: c1 cDIF: cCognitive cLevel: cApply c(Application)
REF: cPages c14-27, c53 c(Table c14-2) c| cPage c14-16 c(Case cStudy cand cNursing cCare cPlan)
c| cPage c274
TOP: cNursing cProcess: cOutcomes cIdentification
MSC: cClient cNeeds: cPsychosocial cIntegrity
TestBankWorld.org
3. cA cpatient cdiagnosed cwith cmajor cdepressive cdisorder csays, c"No cone ccares cabout cme
canymore.
I'm cnot cworth canything." cToday cthe cpatient cis cwearing ca cnew cshirt cand chas cneat, cclean
chair.
Which cremark cby cthe cnurse csupports cbuilding ca cpositive cself-esteem cfor cthis cpatient?
a. c"You clook cnice cthis cmorning."
b. c"You're cwearing ca cnew cshirt."
c. c"I clike cthe cshirt cyou care cwearing."
d. c"You cmust cbe cfeeling cbetter ctoday." c- ccorrect canswers✔✔ANS: cB
Patients cwith cdepression cusually csee cthe cnegative cside cof cthings. cThe cmeaning cof
ccompliments
may cbe caltered cto c"I cdidn't clook cnice cyesterday" cor c"They cdidn't clike cmy cother cshirt."
cNeutral
comments csuch cas cmaking can cobservation cavoid cnegative cinterpretations. cSaying, c"You
clook
nice" cor c"I clike cyour cshirt" cgives capproval c(nontherapeutic ctechniques). cSaying c"You
cmust cbe
feeling cbetter ctoday" cis can cassumption, cwhich cis cnontherapeutic.
PTS: c1 cDIF: cCognitive cLevel: cApply c(Application)
REF: cPage c14-53 c(Table c14-2) c| cPage c14-16 c(Case cStudy cand cNursing cCare cPlan)
TOP: cNursing cProcess: cImplementation cMSC: cClient cNeeds: cPsychosocial cIntegrity
4. cAn cadult cdiagnosed cwith cmajor cdepressive cdisorder cwas ctreated cwith cmedication cand
cognitive-behavioral ctherapy. cThe cpatient cnow crecognizes chow cpassivity ccontributed cto
cthe
depression. cWhich cintervention cshould cthe cnurse csuggest?
a. cSocial cskills ctraining
b. cRelaxation ctraining cclasses
c. cDesensitization ctechniques
d. cUse cof ccomplementary ctherapy c- ccorrect canswers✔✔ANS: cA
Social cskills ctraining cis chelpful cin ctreating cand cpreventing cthe crecurrence cof cdepression.
Training cfocuses con cassertiveness cand ccoping cskills cthat clead cto cpositive creinforcement
cfrom
, others cand cdevelopment cof ca cpatient's csupport csystem. cUse cof ccomplementary ctherapy
crefers cto
adjunctive ctherapies csuch cas cherbals, cwhich cwould cbe cless chelpful cthan csocial cskills
ctraining.
Assertiveness cwould cbe cof cgreater cvalue cthan crelaxation ctraining cbecause cpassivity cwas
ca
concern. cDesensitization cis cused cin ctreatment cof cphobias.
PTS: c1 cDIF: cCognitive cLevel: cAnalyze c(Analysis)
REF: cPages c14-16 c(Case cStudy cand cNursing cCare cPlan), c43 cTOP: cNursing cProcess:
cPlanning
MSC: cClient cNeeds: cPsychosocial cIntegrity
5. cPriority cinterventions cfor ca cpatient cdiagnosed cwith cmajor cdepressive cdisorder cand
cfeelings cof
worthlessness cshould cinclude
a. cdistracting cthe cpatient cfrom cself-absorption.
b. ccareful cunobtrusive cobservation caround cthe cclock.
c. callowing cthe cpatient cto cspend clong cperiods calone cin cmeditation.
d. copportunities cto cassume ca cleadership crole cin cthe ctherapeutic cmilieu. c- ccorrect
canswers✔✔ANS: cB
TestBankWorld.org
Approximately ctwo-thirds cof cpeople cwith cdepression ccontemplate csuicide. cPatients cwith
depressive cdisorder cwho cexhibit cfeelings cof cworthlessness care cat chigher crisk. cRegular
cplanned
observations cof cthe cpatient cdiagnosed cwith cdepression cmay cprevent ca csuicide cattempt
con cthe
unit.
PTS: c1 cDIF: cCognitive cLevel: cApply c(Application)
REF: cPages c14-5 c(DSM c5 cCriteria), c53 c(Table c14-2) c| cPage c14-16 c(Case cStudy cand
cNursing cCare cPlan)
TOP: cNursing cProcess: cPlanning cMSC: cClient cNeeds: cSafe, cEffective cCare cEnvironment
6. cWhen ccounseling cpatients cdiagnosed cwith cmajor cdepressive cdisorder, can cadvanced
cpractice
nurse cwill caddress cthe cnegative cthought cpatterns cby cusing
a. cpsychoanalytic ctherapy.
b. cdesensitization ctherapy.
c. ccognitive-behavioral ctherapy.
d. calternative cand ccomplementary ctherapies. c- ccorrect canswers✔✔ANS: cC
Cognitive-behavioral ctherapy cattempts cto calter cthe cpatient's cdysfunctional cbeliefs cby
cfocusing
on cpositive coutcomes crather cthan cnegative cattributions. cThe cpatient cis calso ctaught cthe
connection cbetween cthoughts cand cresultant cfeelings. cResearch cshows cthat ccognitive-
behavioral
therapy cinvolves cthe cformation cof cnew cconnections cbetween cnerve ccells cin cthe cbrain
cand cthat cit
WITH CORRECT ANSWERS
Chapter c14: cDepressive cDisorders
Halter: cVarcarolis' cFoundations cof cPsychiatric cMental cHealth cNursing: cA cClinical
Approach, c8th cEdition
MULTIPLE cCHOICE
1. cA cpatient cbecame cseverely cdepressed cwhen cthe clast cof cthe cfamily's csix cchildren
cmoved cout cof
the chome c4 cmonths cago. cThe cpatient crepeatedly csays, c"No cone ccares cabout cme. cI'm cnot
cworth
anything." cWhich cresponse cby cthe cnurse cwould cbe cthe cmost chelpful?
a. c"Things cwill clook cbrighter csoon. cEveryone cfeels cdown conce cin ca cwhile."
b. c"Our cstaff cmembers ccare cabout cyou cand cwant cto ctry cto chelp cyou cget cbetter."
c. c"It cis cdifficult cfor cothers cto ccare cabout cyou cwhen cyou crepeatedly csay cthe csame
negative cthings."
d. c"I'll csit cwith cyou cfor c10 cminutes cnow cand c10 cminutes cafter clunch cto chelp cyou cfeel
that cI ccare cabout cyou." c- ccorrect canswers✔✔ANS: cD
Spending ctime cwith cthe cpatient cat cintervals cthroughout cthe cday cshows cacceptance cby
cthe cnurse
and cwill chelp cthe cpatient cestablish ca crelationship cwith cthe cnurse. cThe ctherapeutic
ctechnique cis
"offering cself." cSetting cdefinite ctimes cfor cthe ctherapeutic ccontacts cand ckeeping cthe
appointments cshow cpredictability con cthe cpart cof cthe cnurse, can celement cthat cfosters ctrust
building. cThe cincorrect cresponses cwould cbe cdifficult cfor ca cperson cwith cprofound
cdepression cto
believe, cprovide cfalse creassurance, cand care ccounterproductive. cThe cpatient cis cunable cto
csay
positive cthings cat cthis cpoint.
PTS: c1 cDIF: cCognitive cLevel: cApply c(Application)
REF: cPages c14-27, c57 c(Table c14-4) c| cPage c14-16 c(Case cStudy cand cNursing cCare cPlan)
TOP: cNursing cProcess: cImplementation cMSC: cClient cNeeds: cPsychosocial cIntegrity
2. cA cpatient cbecame cdepressed cafter cthe clast cof cthe cfamily's csix cchildren cmoved cout cof
cthe chome c4
months cago. cSelect cthe cbest cinitial coutcome cfor cthe cnursing cdiagnosis cSituational clow
self-esteem crelated cto cfeelings cof cabandonment. cThe cpatient cwill
a. cverbalize crealistic cpositive ccharacteristics cabout cself cby c(date).
b. cagree cto ctake can cantidepressant cmedication cregularly cby c(date).
c. cinitiate csocial cinteraction cwith canother cperson cdaily cby c(date).
d. cidentify ctwo cpersonal cbehaviors cthat calienate cothers cby c(date). c- ccorrect
canswers✔✔ANS: cA
Low cself-esteem cis creflected cby cmaking cconsistently cnegative cstatements cabout cself
cand
,self-worth. cReplacing cnegative ccognitions cwith cmore crealistic cappraisals cof cself cis can
appropriate cintermediate coutcome. cThe cincorrect coptions care cnot cas cclearly crelated cto
cthe
nursing cdiagnosis. cOutcomes care cbest cwhen cframed cpositively; cidentifying ctwo cpersonal
behaviors cthat cmight calienate cothers cis ca cnegative cconcept.
PTS: c1 cDIF: cCognitive cLevel: cApply c(Application)
REF: cPages c14-27, c53 c(Table c14-2) c| cPage c14-16 c(Case cStudy cand cNursing cCare cPlan)
c| cPage c274
TOP: cNursing cProcess: cOutcomes cIdentification
MSC: cClient cNeeds: cPsychosocial cIntegrity
TestBankWorld.org
3. cA cpatient cdiagnosed cwith cmajor cdepressive cdisorder csays, c"No cone ccares cabout cme
canymore.
I'm cnot cworth canything." cToday cthe cpatient cis cwearing ca cnew cshirt cand chas cneat, cclean
chair.
Which cremark cby cthe cnurse csupports cbuilding ca cpositive cself-esteem cfor cthis cpatient?
a. c"You clook cnice cthis cmorning."
b. c"You're cwearing ca cnew cshirt."
c. c"I clike cthe cshirt cyou care cwearing."
d. c"You cmust cbe cfeeling cbetter ctoday." c- ccorrect canswers✔✔ANS: cB
Patients cwith cdepression cusually csee cthe cnegative cside cof cthings. cThe cmeaning cof
ccompliments
may cbe caltered cto c"I cdidn't clook cnice cyesterday" cor c"They cdidn't clike cmy cother cshirt."
cNeutral
comments csuch cas cmaking can cobservation cavoid cnegative cinterpretations. cSaying, c"You
clook
nice" cor c"I clike cyour cshirt" cgives capproval c(nontherapeutic ctechniques). cSaying c"You
cmust cbe
feeling cbetter ctoday" cis can cassumption, cwhich cis cnontherapeutic.
PTS: c1 cDIF: cCognitive cLevel: cApply c(Application)
REF: cPage c14-53 c(Table c14-2) c| cPage c14-16 c(Case cStudy cand cNursing cCare cPlan)
TOP: cNursing cProcess: cImplementation cMSC: cClient cNeeds: cPsychosocial cIntegrity
4. cAn cadult cdiagnosed cwith cmajor cdepressive cdisorder cwas ctreated cwith cmedication cand
cognitive-behavioral ctherapy. cThe cpatient cnow crecognizes chow cpassivity ccontributed cto
cthe
depression. cWhich cintervention cshould cthe cnurse csuggest?
a. cSocial cskills ctraining
b. cRelaxation ctraining cclasses
c. cDesensitization ctechniques
d. cUse cof ccomplementary ctherapy c- ccorrect canswers✔✔ANS: cA
Social cskills ctraining cis chelpful cin ctreating cand cpreventing cthe crecurrence cof cdepression.
Training cfocuses con cassertiveness cand ccoping cskills cthat clead cto cpositive creinforcement
cfrom
, others cand cdevelopment cof ca cpatient's csupport csystem. cUse cof ccomplementary ctherapy
crefers cto
adjunctive ctherapies csuch cas cherbals, cwhich cwould cbe cless chelpful cthan csocial cskills
ctraining.
Assertiveness cwould cbe cof cgreater cvalue cthan crelaxation ctraining cbecause cpassivity cwas
ca
concern. cDesensitization cis cused cin ctreatment cof cphobias.
PTS: c1 cDIF: cCognitive cLevel: cAnalyze c(Analysis)
REF: cPages c14-16 c(Case cStudy cand cNursing cCare cPlan), c43 cTOP: cNursing cProcess:
cPlanning
MSC: cClient cNeeds: cPsychosocial cIntegrity
5. cPriority cinterventions cfor ca cpatient cdiagnosed cwith cmajor cdepressive cdisorder cand
cfeelings cof
worthlessness cshould cinclude
a. cdistracting cthe cpatient cfrom cself-absorption.
b. ccareful cunobtrusive cobservation caround cthe cclock.
c. callowing cthe cpatient cto cspend clong cperiods calone cin cmeditation.
d. copportunities cto cassume ca cleadership crole cin cthe ctherapeutic cmilieu. c- ccorrect
canswers✔✔ANS: cB
TestBankWorld.org
Approximately ctwo-thirds cof cpeople cwith cdepression ccontemplate csuicide. cPatients cwith
depressive cdisorder cwho cexhibit cfeelings cof cworthlessness care cat chigher crisk. cRegular
cplanned
observations cof cthe cpatient cdiagnosed cwith cdepression cmay cprevent ca csuicide cattempt
con cthe
unit.
PTS: c1 cDIF: cCognitive cLevel: cApply c(Application)
REF: cPages c14-5 c(DSM c5 cCriteria), c53 c(Table c14-2) c| cPage c14-16 c(Case cStudy cand
cNursing cCare cPlan)
TOP: cNursing cProcess: cPlanning cMSC: cClient cNeeds: cSafe, cEffective cCare cEnvironment
6. cWhen ccounseling cpatients cdiagnosed cwith cmajor cdepressive cdisorder, can cadvanced
cpractice
nurse cwill caddress cthe cnegative cthought cpatterns cby cusing
a. cpsychoanalytic ctherapy.
b. cdesensitization ctherapy.
c. ccognitive-behavioral ctherapy.
d. calternative cand ccomplementary ctherapies. c- ccorrect canswers✔✔ANS: cC
Cognitive-behavioral ctherapy cattempts cto calter cthe cpatient's cdysfunctional cbeliefs cby
cfocusing
on cpositive coutcomes crather cthan cnegative cattributions. cThe cpatient cis calso ctaught cthe
connection cbetween cthoughts cand cresultant cfeelings. cResearch cshows cthat ccognitive-
behavioral
therapy cinvolves cthe cformation cof cnew cconnections cbetween cnerve ccells cin cthe cbrain
cand cthat cit
