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NU 345 Exam 2 Questions And Answers
The nurse is assessing a client in the postpartum clinic. The client has been diagnosed with post
partum depression and is scheduled to meet with a psychiatrist for an evaluation. In addition to
the psychiatric evaluation, what other action could the nurse suggest that is know to be
therapeutic for clients with this diagnosis?
a) Spend more time with her infant.
b) Take a course at a local university.
c) Join a support group.
d) Hire a babysitter and spend some more time with her partner. - Answers✔c) Join a support
group.
The nurse remarks to a depressed client, "I see you are trying not to cry. Tell me what is
happening." There is a long period of silence. What is the best initial action?
a) Wait quietly for the client to reply.
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b) Prompt the client to speak
c) Repeat the question
d) Ask another question. - Answers✔a) Wait quietly for the client to reply.
The nurse is caring for a client who will be starting Trans Magnetic Stimulation (TMS) for
treatment of depression. The client asks the nurse about the frequency and number of
treatments required. What is the nurse's best response?
a) Two to three treatments per week up to 6 to 8 total treatments.
b) Once per month for at least one year.
c) Weekly until the symptoms of depression subside.
d) Five days per week for 4 to 6 weeks. - Answers✔d) Five days per week for 4 to 6 weeks.
The nurse is caring for a client diagnosed with Major Depression who despite a lack of evidence,
always assumes other clients and staff don't like him. What intervention will be most effective
with this client?
a) Educate the client that his reactions the distortions of reality that can occur with depression.
b) Confront the client about his negative view of others.
c) Help client question underlying beliefs and consider alternate explanations.
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d) Explain to the client that he is using an ineffective coping mechanism. - Answers✔c) Help
client question underlying beliefs and consider alternate explanations.
A client prescribed a monamine oxidase inhibitor (MOA) has a pass to go out to lunch. What
food choice will indicate that the client is knowledgeable about the required diet?
a) avocado salad plate.
b) fruit and cottage cheese plate.
c) kielbasa and sauerkraut.
d) liver and onion sandwich - Answers✔b) fruit and cottage cheese plate.
The female client tells the nurse, "This antidepressant medication is not working. I have been
taking it for days and I don't feel any better." What information will serve as a basis for the
nurse's response?
a) Improvement in mood may take 1 to 2 weeks or longer.
b) The medications tend to be more effective for men.
c) More than one antidepressant is often needed for treatment.
d) Clients often need ECT and medication. - Answers✔a) Improvement in mood may take 1 to 2
weeks or longer.
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