Keltner’s Psychiatric Nursing, 7th Edition
(Steele, 2023), / Latest Update 2024/2025
WITH VERIFIED SOLUTIONS
What is anhedonia - ANSWER>>>Loss of pressure in usually pleasurable things
Weight gain is common in - ANSWER>>>Mild depression
Weight loss in common in - ANSWER>>>severe depression
Crying stops when in depressed people - ANSWER>>>Severe depression
Do clients with depression think slowly or quickly ________ so we have to do what? -
ANSWER>>>Quickly
So we have to speak slowly
- use therapeutic silence
Can a client with depression have delusions and/or hallucinations - ANSWER>>>Yes
Prevent what with a Clint who is depressed - ANSWER>>>Isolation
- interacting with others makes them feel better
Help the depressed client feel a sense of - ANSWER>>>accomplishment
Compliments can do what to a client that is depressed - ANSWER>>>make them feel worse
To give a depressed client value and help with self esteem nurses can - ANSWER>>>just sit with the client
and not say anything
Let they client know that you understand they are - ANSWER>>>in pain and feel powerles
As the depressed client feels better encourage them to - ANSWER>>>express their feelings
Help the depressed client set - ANSWER>>>accomplishable goals
Encourage activities like - ANSWER>>>walking, running, weight lifting to help with depression
With depression it is important to assess for - ANSWER>>>suicide risk
As depression lifts what increases? - ANSWER>>>Suicide risk
When are the depressed clients at highest risk for suicide - ANSWER>>>2 weeks after starting
antidepressants
What may indicate a decision to kill oneself - ANSWER>>>a sudden change in mood toward the better
, Who has the highest risk of suicide - ANSWER>>>Elderly clients
American Indians
Who commonly has a successful suicide attempt? - ANSWER>>>Elderly men
- generally have very lethal methods
To assess for suicide what questions do we ask? - ANSWER>>>Do you have a plan
What is the plan
How lethal is the plan
Ask what type of questions when assessing for suicide - ANSWER>>>Direct closed ended questions and
statements
Assess of the client has access to the plan, have they every attempted suicide before, and watch for
things like - ANSWER>>>Isolation
Writing a will
Giving belongings away
Collecting harmful objects
What are some suicide interventions - ANSWER>>>Provide a safe environement
Safe-proof the room
Get a signed contract to postpone
- renew the contract
When a patient is bipolar what are the two poles - ANSWER>>>Mania
and
Depression
Manipulation helps a manic patient feel - ANSWER>>>secure and powerful
Manic patients are constantly active, this can lead to - ANSWER>>>exhaustion
Mania is a continuous - ANSWER>>>high
Bipolar patients are emotionally - ANSWER>>>liable
with flight of ideas
Manic patients can have delusions of - ANSWER>>>grandeur
- thinking they are Jesus
Persecution
(Steele, 2023), / Latest Update 2024/2025
WITH VERIFIED SOLUTIONS
What is anhedonia - ANSWER>>>Loss of pressure in usually pleasurable things
Weight gain is common in - ANSWER>>>Mild depression
Weight loss in common in - ANSWER>>>severe depression
Crying stops when in depressed people - ANSWER>>>Severe depression
Do clients with depression think slowly or quickly ________ so we have to do what? -
ANSWER>>>Quickly
So we have to speak slowly
- use therapeutic silence
Can a client with depression have delusions and/or hallucinations - ANSWER>>>Yes
Prevent what with a Clint who is depressed - ANSWER>>>Isolation
- interacting with others makes them feel better
Help the depressed client feel a sense of - ANSWER>>>accomplishment
Compliments can do what to a client that is depressed - ANSWER>>>make them feel worse
To give a depressed client value and help with self esteem nurses can - ANSWER>>>just sit with the client
and not say anything
Let they client know that you understand they are - ANSWER>>>in pain and feel powerles
As the depressed client feels better encourage them to - ANSWER>>>express their feelings
Help the depressed client set - ANSWER>>>accomplishable goals
Encourage activities like - ANSWER>>>walking, running, weight lifting to help with depression
With depression it is important to assess for - ANSWER>>>suicide risk
As depression lifts what increases? - ANSWER>>>Suicide risk
When are the depressed clients at highest risk for suicide - ANSWER>>>2 weeks after starting
antidepressants
What may indicate a decision to kill oneself - ANSWER>>>a sudden change in mood toward the better
, Who has the highest risk of suicide - ANSWER>>>Elderly clients
American Indians
Who commonly has a successful suicide attempt? - ANSWER>>>Elderly men
- generally have very lethal methods
To assess for suicide what questions do we ask? - ANSWER>>>Do you have a plan
What is the plan
How lethal is the plan
Ask what type of questions when assessing for suicide - ANSWER>>>Direct closed ended questions and
statements
Assess of the client has access to the plan, have they every attempted suicide before, and watch for
things like - ANSWER>>>Isolation
Writing a will
Giving belongings away
Collecting harmful objects
What are some suicide interventions - ANSWER>>>Provide a safe environement
Safe-proof the room
Get a signed contract to postpone
- renew the contract
When a patient is bipolar what are the two poles - ANSWER>>>Mania
and
Depression
Manipulation helps a manic patient feel - ANSWER>>>secure and powerful
Manic patients are constantly active, this can lead to - ANSWER>>>exhaustion
Mania is a continuous - ANSWER>>>high
Bipolar patients are emotionally - ANSWER>>>liable
with flight of ideas
Manic patients can have delusions of - ANSWER>>>grandeur
- thinking they are Jesus
Persecution
