CHAPTER 14 VARCOLIS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

CHAPTER 14 VARCOLIS QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
ChapterJ14:JDepressiveJDisorders

Halter:JVarcarolis'JFoundationsJofJPsychiatricJMentalJHealthJNursing:JAJClinical

Approach,J8thJEdition

MULTIPLEJCHOICE

1.JAJpatientJbecameJseverelyJdepressedJwhenJtheJlastJofJtheJfamily'sJsixJchildrenJmovedJoutJof

theJhomeJ4JmonthsJago.JTheJpatientJrepeatedlyJsays,J"NoJoneJcaresJaboutJme.JI'mJnotJworth

anything."JWhichJresponseJbyJtheJnurseJwouldJbeJtheJmostJhelpful?

a.J"ThingsJwillJlookJbrighterJsoon.JEveryoneJfeelsJdownJonceJinJaJwhile."

b.J"OurJstaffJmembersJcareJaboutJyouJandJwantJtoJtryJtoJhelpJyouJgetJbetter."

c.J"ItJisJdifficultJforJothersJtoJcareJaboutJyouJwhenJyouJrepeatedlyJsayJtheJsame

negativeJthings."

d.J"I'llJsitJwithJyouJforJ10JminutesJnowJandJ10JminutesJafterJlunchJtoJhelpJyouJfeel

thatJIJcareJaboutJyou."J-JANSWERJANS:JD

SpendingJtimeJwithJtheJpatientJatJintervalsJthroughoutJtheJdayJshowsJacceptanceJbyJtheJnurse

andJwillJhelpJtheJpatientJestablishJaJrelationshipJwithJtheJnurse.JTheJtherapeuticJtechniqueJis

"offeringJself."JSettingJdefiniteJtimesJforJtheJtherapeuticJcontactsJandJkeepingJthe

appointmentsJshowJpredictabilityJonJtheJpartJofJtheJnurse,JanJelementJthatJfostersJtrust

building.JTheJincorrectJresponsesJwouldJbeJdifficultJforJaJpersonJwithJprofoundJdepressionJto

believe,JprovideJfalseJreassurance,JandJareJcounterproductive.JTheJpatientJisJunableJtoJsay

positiveJthingsJatJthisJpoint.

PTS:J1JDIF:JCognitiveJLevel:JApplyJ(Application)

REF:JPagesJ14-27,J57J(TableJ14-4)J|JPageJ14-16J(CaseJStudyJandJNursingJCareJPlan)



TOP:JNursingJProcess:JImplementationJMSC:JClientJNeeds:JPsychosocialJIntegrity

2.JAJpatientJbecameJdepressedJafterJtheJlastJofJtheJfamily'sJsixJchildrenJmovedJoutJofJtheJhomeJ4

monthsJago.JSelectJtheJbestJinitialJoutcomeJforJtheJnursingJdiagnosisJSituationalJlow

,self-esteemJrelatedJtoJfeelingsJofJabandonment.JTheJpatientJwill

a.JverbalizeJrealisticJpositiveJcharacteristicsJaboutJselfJbyJ(date).

b.JagreeJtoJtakeJanJantidepressantJmedicationJregularlyJbyJ(date).

c.JinitiateJsocialJinteractionJwithJanotherJpersonJdailyJbyJ(date).

d.JidentifyJtwoJpersonalJbehaviorsJthatJalienateJothersJbyJ(date).J-JANSWERJANS:JA

LowJself-esteemJisJreflectedJbyJmakingJconsistentlyJnegativeJstatementsJaboutJselfJand

self-worth.JReplacingJnegativeJcognitionsJwithJmoreJrealisticJappraisalsJofJselfJisJan

appropriateJintermediateJoutcome.JTheJincorrectJoptionsJareJnotJasJclearlyJrelatedJtoJthe

nursingJdiagnosis.JOutcomesJareJbestJwhenJframedJpositively;JidentifyingJtwoJpersonal

behaviorsJthatJmightJalienateJothersJisJaJnegativeJconcept.

PTS:J1JDIF:JCognitiveJLevel:JApplyJ(Application)

REF:JPagesJ14-27,J53J(TableJ14-2)J|JPageJ14-16J(CaseJStudyJandJNursingJCareJPlan)J|JPageJ274

TOP:JNursingJProcess:JOutcomesJIdentification

MSC:JClientJNeeds:JPsychosocialJIntegrity



TestBankWorld.org

3.JAJpatientJdiagnosedJwithJmajorJdepressiveJdisorderJsays,J"NoJoneJcaresJaboutJmeJanymore.

I'mJnotJworthJanything."JTodayJtheJpatientJisJwearingJaJnewJshirtJandJhasJneat,JcleanJhair.

WhichJremarkJbyJtheJnurseJsupportsJbuildingJaJpositiveJself-esteemJforJthisJpatient?

a.J"YouJlookJniceJthisJmorning."

b.J"You'reJwearingJaJnewJshirt."

c.J"IJlikeJtheJshirtJyouJareJwearing."

d.J"YouJmustJbeJfeelingJbetterJtoday."J-JANSWERJANS:JB

PatientsJwithJdepressionJusuallyJseeJtheJnegativeJsideJofJthings.JTheJmeaningJofJcompliments

mayJbeJalteredJtoJ"IJdidn'tJlookJniceJyesterday"JorJ"TheyJdidn'tJlikeJmyJotherJshirt."JNeutral

commentsJsuchJasJmakingJanJobservationJavoidJnegativeJinterpretations.JSaying,J"YouJlook

nice"JorJ"IJlikeJyourJshirt"JgivesJapprovalJ(nontherapeuticJtechniques).JSayingJ"YouJmustJbe

feelingJbetterJtoday"JisJanJassumption,JwhichJisJnontherapeutic.

PTS:J1JDIF:JCognitiveJLevel:JApplyJ(Application)

, REF:JPageJ14-53J(TableJ14-2)J|JPageJ14-16J(CaseJStudyJandJNursingJCareJPlan)

TOP:JNursingJProcess:JImplementationJMSC:JClientJNeeds:JPsychosocialJIntegrity



4.JAnJadultJdiagnosedJwithJmajorJdepressiveJdisorderJwasJtreatedJwithJmedicationJand

cognitive-behavioralJtherapy.JTheJpatientJnowJrecognizesJhowJpassivityJcontributedJtoJthe

depression.JWhichJinterventionJshouldJtheJnurseJsuggest?

a.JSocialJskillsJtraining

b.JRelaxationJtrainingJclasses

c.JDesensitizationJtechniques

d.JUseJofJcomplementaryJtherapyJ-JANSWERJANS:JA

SocialJskillsJtrainingJisJhelpfulJinJtreatingJandJpreventingJtheJrecurrenceJofJdepression.

TrainingJfocusesJonJassertivenessJandJcopingJskillsJthatJleadJtoJpositiveJreinforcementJfrom

othersJandJdevelopmentJofJaJpatient'sJsupportJsystem.JUseJofJcomplementaryJtherapyJrefersJto

adjunctiveJtherapiesJsuchJasJherbals,JwhichJwouldJbeJlessJhelpfulJthanJsocialJskillsJtraining.

AssertivenessJwouldJbeJofJgreaterJvalueJthanJrelaxationJtrainingJbecauseJpassivityJwasJa

concern.JDesensitizationJisJusedJinJtreatmentJofJphobias.

PTS:J1JDIF:JCognitiveJLevel:JAnalyzeJ(Analysis)

REF:JPagesJ14-16J(CaseJStudyJandJNursingJCareJPlan),J43JTOP:JNursingJProcess:JPlanning

MSC:JClientJNeeds:JPsychosocialJIntegrity



5.JPriorityJinterventionsJforJaJpatientJdiagnosedJwithJmajorJdepressiveJdisorderJandJfeelingsJof

worthlessnessJshouldJinclude

a.JdistractingJtheJpatientJfromJself-absorption.

b.JcarefulJunobtrusiveJobservationJaroundJtheJclock.

c.JallowingJtheJpatientJtoJspendJlongJperiodsJaloneJinJmeditation.

d.JopportunitiesJtoJassumeJaJleadershipJroleJinJtheJtherapeuticJmilieu.J-JANSWERJANS:JB

TestBankWorld.org

ApproximatelyJtwo-thirdsJofJpeopleJwithJdepressionJcontemplateJsuicide.JPatientsJwith

depressiveJdisorderJwhoJexhibitJfeelingsJofJworthlessnessJareJatJhigherJrisk.JRegularJplanned