NU371 HESI Case Study: Major Depressive Disorder Test
Questions and Answers Graded A+
Meet the Client - -A client presents to the for the nurse to use when assessing for
community mental health clinic. The client is subjective information from the client?
divorced with no children. Job responsibilities a) Have the client say what is causing the
include significant traveling. The client was anxiety.
working in the office this week and witnessed the b) Tell the client that it sounds like the anxiety is
collapse of a 6-story office building. The death causing depression.
toll from the collapse of that building was over c) Get the client to explain how anxiety affects
100. The client's medical history includes normal activities.
hypothyroidism and depression. The client tells d) Ask the client to give an example of how they
the nurse about feeling increasingly depressed feel when they are anxious. - -d) Ask the
for a long time, easily irritated, anxious, and as client to give an example of how they feel when
someone who does not enjoy normal activities. they are anxious.
-
This statement of asking for an example can
Assessment - -The triage nurse performs a clarify vague statements made by a client with
more in-depth assessment of the client's anxiety .
complaints and reports the assessment to the
Advanced Practice Registered Nurse in
Psychiatric-Mental Health (APRN-PMH). These The client meets with the nurse. During the group
two nurses collaborate on development of the session, the client tells the nurse about an
care plan to facilitate assessment and extreme amount of stress at work. The client has
interventions for the client's anxiety. filed multiple harassment complaints against the
boss. The client states feeling it is necessary to
hold self to a higher set of standards than
During the initial assessment, the nurse should coworkers because their boss uses a stricter set
focus on which areas that are most characteristic of standards for the client's performance
of anxiety? (Select all that apply. One, some, or appraisal. - --
all responses may be correct.)
a) Symptoms restlessness, difficulty
concentrating, irritability. The nurse recognizes that the client is
b) Social interactions such as withdrawal, experiencing what level of anxiety?
shunning family, and drinking alcohol. a) Mild
c) Increasing symptoms of depression with b) Moderate
consistently sad, low mood. c) Severe
d) Behavioral alterations including hallucinations. d) Panic - -c) Severe
e) Suicidal ideation. - -a) Symptoms -
restlessness, difficulty concentrating, irritability. The individual with severe anxiety can only focus
c) Increasing symptoms of depression with on a narrowed area of concern, such as the client
consistently sad, low mood. only focusing on her employer and coworkers.
e) Suicidal ideation.
Planning - -During the interview, the client
The orientation phase of building the therapeutic identifies intense anxiety, irritability, and feelings
relationship is important to the establishment in of depression with thoughts of suicide as reasons
which rapport can grow. Which approach is best for seeking treatment. The nurse develops a plan
1/6
, NU371 HESI Case Study: Major Depressive Disorder Test
Questions and Answers Graded A+
of care to assist the client in managing anxiety. apply. One, some, or all responses may be
correct.)
a) Severe anxiety.
Which approach is best for the nurse to use b) Self-care deficit.
when assessing a client's risk for attempting c) Possibility of harming self.
suicide? d) Having difficulty in coping.
a) Tell the client to express which specific stress e) Difficulty communicating verbally. - -a)
causes anxiety. Severe anxiety.
b) Find out from client how is their social life at c) Possibility of harming self.
work and at home. d) Having difficulty in coping.
c) Have the client explain what causes worse
feelings.
d) Ask the client about having a plan to harm The client tells the nurse about believing in doing
self. - -d) Ask the client about having a a job right. The client goes on to say that the
plan to harm self. boss is discriminating because of age. The nurse
- further inquires about the statements made by
Assessment of suicidal intent and determining if the client about feeling regarding the work
there is an actual, viable plan is the most environment. - --
important component of client assessment and
care plan development.
Which behavior should the nurse encourage from
the client?
The client tells the nurse about sweating all the a) Participate in developing a plan for managing
time and occasional chest pains, plus numbness anxiety.
in arms and hands. - -- b) Identify physical symptoms of stress.
c) State the sources for present anxiety.
d) Express the relationship between anxiety and
How should the nurse respond to the client's stressors. - -c) State the sources for
comments? present anxiety.
a) Tell the client that these issues are probably -
due to anxiety. The nurse must understand the client's
b) Ask the client about the most recent check-up. perception of the sources of her anxiety in order
c) Distract the client from worrying about these to help the client.
symptoms right now.
d) Have the client elaborate on experiencing
chest pain. - -d) Have the client elaborate The client states that she is worried that she is
on experiencing chest pain. being singled out, because she is the oldest of
- her coworkers and believes that everyone thinks
It is important for the nurse to understand the she should be doing better because of her age. -
client's perception of the problems before making --
further recommendations.
Which nursing diagnosis should the nurse add to
Which nursing concerns would take priority when the client's plan of care?
developing the client's care plan? (Select all that a) Feeling powerless related to work conflict.
2/6
Questions and Answers Graded A+
Meet the Client - -A client presents to the for the nurse to use when assessing for
community mental health clinic. The client is subjective information from the client?
divorced with no children. Job responsibilities a) Have the client say what is causing the
include significant traveling. The client was anxiety.
working in the office this week and witnessed the b) Tell the client that it sounds like the anxiety is
collapse of a 6-story office building. The death causing depression.
toll from the collapse of that building was over c) Get the client to explain how anxiety affects
100. The client's medical history includes normal activities.
hypothyroidism and depression. The client tells d) Ask the client to give an example of how they
the nurse about feeling increasingly depressed feel when they are anxious. - -d) Ask the
for a long time, easily irritated, anxious, and as client to give an example of how they feel when
someone who does not enjoy normal activities. they are anxious.
-
This statement of asking for an example can
Assessment - -The triage nurse performs a clarify vague statements made by a client with
more in-depth assessment of the client's anxiety .
complaints and reports the assessment to the
Advanced Practice Registered Nurse in
Psychiatric-Mental Health (APRN-PMH). These The client meets with the nurse. During the group
two nurses collaborate on development of the session, the client tells the nurse about an
care plan to facilitate assessment and extreme amount of stress at work. The client has
interventions for the client's anxiety. filed multiple harassment complaints against the
boss. The client states feeling it is necessary to
hold self to a higher set of standards than
During the initial assessment, the nurse should coworkers because their boss uses a stricter set
focus on which areas that are most characteristic of standards for the client's performance
of anxiety? (Select all that apply. One, some, or appraisal. - --
all responses may be correct.)
a) Symptoms restlessness, difficulty
concentrating, irritability. The nurse recognizes that the client is
b) Social interactions such as withdrawal, experiencing what level of anxiety?
shunning family, and drinking alcohol. a) Mild
c) Increasing symptoms of depression with b) Moderate
consistently sad, low mood. c) Severe
d) Behavioral alterations including hallucinations. d) Panic - -c) Severe
e) Suicidal ideation. - -a) Symptoms -
restlessness, difficulty concentrating, irritability. The individual with severe anxiety can only focus
c) Increasing symptoms of depression with on a narrowed area of concern, such as the client
consistently sad, low mood. only focusing on her employer and coworkers.
e) Suicidal ideation.
Planning - -During the interview, the client
The orientation phase of building the therapeutic identifies intense anxiety, irritability, and feelings
relationship is important to the establishment in of depression with thoughts of suicide as reasons
which rapport can grow. Which approach is best for seeking treatment. The nurse develops a plan
1/6
, NU371 HESI Case Study: Major Depressive Disorder Test
Questions and Answers Graded A+
of care to assist the client in managing anxiety. apply. One, some, or all responses may be
correct.)
a) Severe anxiety.
Which approach is best for the nurse to use b) Self-care deficit.
when assessing a client's risk for attempting c) Possibility of harming self.
suicide? d) Having difficulty in coping.
a) Tell the client to express which specific stress e) Difficulty communicating verbally. - -a)
causes anxiety. Severe anxiety.
b) Find out from client how is their social life at c) Possibility of harming self.
work and at home. d) Having difficulty in coping.
c) Have the client explain what causes worse
feelings.
d) Ask the client about having a plan to harm The client tells the nurse about believing in doing
self. - -d) Ask the client about having a a job right. The client goes on to say that the
plan to harm self. boss is discriminating because of age. The nurse
- further inquires about the statements made by
Assessment of suicidal intent and determining if the client about feeling regarding the work
there is an actual, viable plan is the most environment. - --
important component of client assessment and
care plan development.
Which behavior should the nurse encourage from
the client?
The client tells the nurse about sweating all the a) Participate in developing a plan for managing
time and occasional chest pains, plus numbness anxiety.
in arms and hands. - -- b) Identify physical symptoms of stress.
c) State the sources for present anxiety.
d) Express the relationship between anxiety and
How should the nurse respond to the client's stressors. - -c) State the sources for
comments? present anxiety.
a) Tell the client that these issues are probably -
due to anxiety. The nurse must understand the client's
b) Ask the client about the most recent check-up. perception of the sources of her anxiety in order
c) Distract the client from worrying about these to help the client.
symptoms right now.
d) Have the client elaborate on experiencing
chest pain. - -d) Have the client elaborate The client states that she is worried that she is
on experiencing chest pain. being singled out, because she is the oldest of
- her coworkers and believes that everyone thinks
It is important for the nurse to understand the she should be doing better because of her age. -
client's perception of the problems before making --
further recommendations.
Which nursing diagnosis should the nurse add to
Which nursing concerns would take priority when the client's plan of care?
developing the client's care plan? (Select all that a) Feeling powerless related to work conflict.
2/6
