EXAM LATEST REAL EXAM 2026 ALL 75
QUESTIONS AND CORRECT ANSWERS
ACTUAL EXAM PAPER FULL SOLUTION
⩥ Interventions for depression: Communication. Answer: 1. Help the
patient question assumptions and beliefs to reconstruct a healthier and
more hopeful attitude about the future.
2.Help the patient identify cognitive distortions that encourage negative
self appraisal: overgeneralization (I have....He always), self-blame
(blames self for everything perceived as negative), mind reading
(assumes other do not like him without any evidence) discounting of
positive attributes ( focuses on the negative).
3.Encourage activities that raise self esteem (problem solving skills,
coping skills, assertiveness skills).
4. Encourage physical activity- can reduce tension, alleviate
depression/anxiety and improve self concept.
5. Encourage formation of supportive relationships- support groups,
therapy, peer support.
6. Provide information referrals, when needed, spiritual.
⩥ Interventions for depression: Physical-Nutrition/Anorexia. Answer: 1.
Offer small, high calorie and high protein snacks and or fluids frequently
throughout the day and evening.
,2. Encourage family or friends to remain with patient during meals.
3. Ask the patient which food or drink she likes- offer choices, involve
dietician
4. Weigh the patient weekly and observe eating patterns.
⩥ Interventions for depression: Physical- Sleep/Insomnia. Answer: 1.
Provide periods of rest after activities (fatigue can intensify feelings of
depression)
2. Encourage the patient to get up and dressed and to stay out of bed
during the day.
3. Encourage the use of relaxation measures in the evening.
4. Reduce environmental and physical stimulants in the evening- soft
lights, soft music, quiet activities
⩥ Interventions for depression: Self care deficits. Answer: 1. Encourage
the use of toothbrush, washcloth, soap, makeup, shaving equipment (can
increase self esteem)
2. When appropriate give step by step reminders (slowed thinking and
difficulty concentrating can make organizing simple tasks difficult).
⩥ Interventions for depression: Elimination/constipation. Answer: 1.
Monitor I&O- especially BM's (depressed patients are usually
constipated -watch for fecal impaction).
2. Offer foods high in fiber and provide periods of exercise -stimulate
peristalsis
, 3. Encourage fluids
4. Evaluate the need for laxatives and enemas
⩥ Antidepressants:
SSRI-Selective Serotonin Reuptake Inhibitors. Answer: Citalopram
(Celexa)
Lexapro
Fluoxetine (Prozac)
Luvox
Paxil
Sertraline (Zoloft)
⩥ SSRI's information. Answer: -Most popular- offered first
-May cause: sexual dysfunction, insomnia, anxiety, nervousness
-Common side effects are fatigue, nausea, diarrhea, dry mouth,
dizziness, tremor
-"Black Box Warning"- indicating increased risk of suicidal ideations
-Should not be taken within 14 days of MAOI's- could cause Serotonin
syndrome
-Do not abruptly stop, could cause serotonin syndrome
-Lower risk of cardiotoxicity than TCA's
-Do not drink alcohol