MENTAL HEALTH- FINAL EXAM
LATEST EDITION ACCURATE
QUESTIONS AND ANSWERS
(MULTIPLECHOICE)
A client is diagnosed with persistent depressive (dysthymia) disorder. Which should a nurse classify as an
affective symptom of this disorder?
A. Social isolation with a focus on self
B. Low energy level
C. Difficulty concentrating
D. Gloomy and pessimistic outlook on life - ANS-ANS: D
A client is diagnosed with major depressive disorder. Which nursing diagnosis should a nurse assign to
this client to address a behavioral symptom of this disorder?
A. Altered communication R/T feelings of worthlessness AEB anhedonia
B. Social isolation R/T poor self-esteem AEB secluding self in room
C. Altered thought processes R/T hopelessness AEB persecutory delusions
D. Altered nutrition: less than body requirements R/T high anxiety AEB anorexia - ANS-ANS: B
,A nurse assesses a client suspected of having major depressive disorder. Which client symptom would
eliminate this diagnosis?
A. The client is disheveled and malodorous.
B. The client refuses to interact with others.
C. The client is unable to feel any pleasure.
D. The client has maxed-out charge cards and exhibits promiscuous behaviors. - ANS-ANS: D
A nurse reviews the laboratory data of a 29-year-old client suspected of having major depressive
disorder. Which laboratory value would potentially rule out this diagnosis?
A. Thyroid-stimulating hormone (TSH) level of 6.2 U/mL
B. Potassium (K+) level of 4.2 mEq/L
C. Sodium (Na+) level of 140 mEq/L
D. Calcium (Ca2+) level of 9.5 mg/dL - ANS-ANS: A
A depressed client reports to a nurse a history of divorce, job loss, family estrangement, and cocaine
abuse. According to learning theory, what is the cause of this clients symptoms?
A. Depression is a result of anger turned inward.
B. Depression is a result of abandonment.
C. Depression is a result of repeated failures.
, D. Depression is a result of negative thinking. - ANS-ANS: C
What is the priority reason for a nurse to perform a full physical health assessment on a client admitted
with a diagnosis of major depressive disorder?
A. The attention during the assessment is beneficial in decreasing social isolation.
B. Depression is a symptom of several medical conditions.
C. Physical health complications are likely to arise from antidepressant therapy.
D. Depressed clients avoid addressing physical health and ignore medical problems. - ANS-ANS: B
A nurse is planning care for a child who is experiencing depression. Which medication is approved by the
U.S. Food and Drug Administration (FDA) for the treatment of depression in children and adolescents?
A. Paroxetine (Paxil)
B. Sertraline (Zoloft)
C. Citalopram (Celexa)
D. Fluoxetine (Prozac) - ANS-ANS: D
A nurse admits an older client who is experiencing memory loss, confused thinking, and apathy. A
psychiatrist suspects depression. What is the rationale for performing a mini-mental status exam?
A. To rule out bipolar disorder
LATEST EDITION ACCURATE
QUESTIONS AND ANSWERS
(MULTIPLECHOICE)
A client is diagnosed with persistent depressive (dysthymia) disorder. Which should a nurse classify as an
affective symptom of this disorder?
A. Social isolation with a focus on self
B. Low energy level
C. Difficulty concentrating
D. Gloomy and pessimistic outlook on life - ANS-ANS: D
A client is diagnosed with major depressive disorder. Which nursing diagnosis should a nurse assign to
this client to address a behavioral symptom of this disorder?
A. Altered communication R/T feelings of worthlessness AEB anhedonia
B. Social isolation R/T poor self-esteem AEB secluding self in room
C. Altered thought processes R/T hopelessness AEB persecutory delusions
D. Altered nutrition: less than body requirements R/T high anxiety AEB anorexia - ANS-ANS: B
,A nurse assesses a client suspected of having major depressive disorder. Which client symptom would
eliminate this diagnosis?
A. The client is disheveled and malodorous.
B. The client refuses to interact with others.
C. The client is unable to feel any pleasure.
D. The client has maxed-out charge cards and exhibits promiscuous behaviors. - ANS-ANS: D
A nurse reviews the laboratory data of a 29-year-old client suspected of having major depressive
disorder. Which laboratory value would potentially rule out this diagnosis?
A. Thyroid-stimulating hormone (TSH) level of 6.2 U/mL
B. Potassium (K+) level of 4.2 mEq/L
C. Sodium (Na+) level of 140 mEq/L
D. Calcium (Ca2+) level of 9.5 mg/dL - ANS-ANS: A
A depressed client reports to a nurse a history of divorce, job loss, family estrangement, and cocaine
abuse. According to learning theory, what is the cause of this clients symptoms?
A. Depression is a result of anger turned inward.
B. Depression is a result of abandonment.
C. Depression is a result of repeated failures.
, D. Depression is a result of negative thinking. - ANS-ANS: C
What is the priority reason for a nurse to perform a full physical health assessment on a client admitted
with a diagnosis of major depressive disorder?
A. The attention during the assessment is beneficial in decreasing social isolation.
B. Depression is a symptom of several medical conditions.
C. Physical health complications are likely to arise from antidepressant therapy.
D. Depressed clients avoid addressing physical health and ignore medical problems. - ANS-ANS: B
A nurse is planning care for a child who is experiencing depression. Which medication is approved by the
U.S. Food and Drug Administration (FDA) for the treatment of depression in children and adolescents?
A. Paroxetine (Paxil)
B. Sertraline (Zoloft)
C. Citalopram (Celexa)
D. Fluoxetine (Prozac) - ANS-ANS: D
A nurse admits an older client who is experiencing memory loss, confused thinking, and apathy. A
psychiatrist suspects depression. What is the rationale for performing a mini-mental status exam?
A. To rule out bipolar disorder
