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DAVIS Advantage FOR BASIC Nursing Exam Questions and Answers Verified Solutions Latest Update 2

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DAVIS Advantage FOR BASIC Nursing Exam Questions and Answers Verified Solutions Latest Update 2

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DAVIS Advantage FOR BASIC Nursing
Exam Questions and Answers
Verified Solutions Latest Update


Question:

Roland was recently admitted for a suicide attempt. On further assessment, the nurse
discovers that he stopped hanging out with friends and going bowling about 4 weeks
ago, he has lost about 10 pounds in the last 2 weeks, he can't sleep at night, and he
feels like he has no energy. What disorder does Roland have? dysthymia major
depressive disorder transient depression transient depression premenstrual dysphoric
disorder disruptive mood dysregulation disorder postpartum depression
psychopharmacology light therapy electroconvulsive therapy repetitive transcranial
magnetic stimulation cognitive therapy vagal nerve stimulation deep brain stimulation
genetics neuroendocrine disturbances medication side effects neurological disorders
electrolyte disturbances hormonal disturbances nutritional deficiencies psychoanalytic
theory learning theory object loss theory

Answer:
major depressive disorder Major depressive disorder (MDD) is characterized by
depressed mood or loss of interest or pleasure in usual activities, impaired social and
occupational functioning that has existed for at least 2 weeks, no history of manic
behavior, and symptoms that cannot be attributed to use of substances or a general
medical condition. Five symptoms in total must be met, and one of the five has to be
either depressed mood or lack of interest or pleasure in activities (anhedonia). The
other symptoms include significant weight loss or gain, or decrease or increase in
appetite, insomnia or hypersomnia, psychomotor agitation or retardation, fatigue or
loss of energy, feelings of worthlessness or guilt, decreased concentration, and
recurrent thought of death or suicidal ideation or attempt.

,Question:

Rita has had recurrent major depressive disorder for 10 years and she has not
responded well to any of the medications that have been prescribed. Her provider has
recommended a procedure that will target specific areas in the cerebral cortex with
high-and low-frequency waves. Which treatment has the health-care provider
prescribed for Rita? dysthymia major depressive disorder transient depression mild
depression premenstrual dysphoric disorder disruptive mood dysregulation disorder
postpartum depression psychopharmacology light therapy electroconvulsive therapy
repetitive transcranial magnetic stimulation cognitive therapy vagal nerve stimulation
deep brain stimulation genetics neuroendocrine disturbances medication side effects
neurological disorders electrolyte disturbances hormonal disturbances nutritional
deficiencies psychoanalytic theory learning theory object loss theory

Answer:
repetitive transcranial magnetic stimulation Repetitive transcranial magnetic
stimulation (rTMS) is a procedure that is used to treat depression by stimulating nerve
cells in the brain by using very short pulses of magnetic energy to stimulate nerve cells
at localized areas in the cerebral cortex, similar to the electrical activity observed with
ECT, but does not result in generalized seizure activity. It is noninvasive and considered
generally safe. High-frequency waves are used to stimulate the left prefrontal cortex,
and low-frequency waves are used to stimulate the right prefrontal cortex. This
combination has been shown most effective in treating depression. A typical course of
treatment consists of 40-minute sessions, three to five times a week for 4 to 6 weeks.


Question:

The nurse is assessing Valerie to determine the best plan of care. Valerie is depressed
and her thinking demonstrates significant negative distortions such as mind reading
and personalization. Which treatment would be most appropriate for Valerie?
dysthymia major depressive disorder transient depression mild depression
premenstrual dysphoric disorder disruptive mood dysregulation disorder postpartum
depression psychopharmacology light therapy electroconvulsive therapy repetitive
transcranial magnetic stimulation cognitive therapy vagal nerve stimulation deep brain
stimulation genetics neuroendocrine disturbances medication side effects neurological
disorders electrolyte disturbances hormonal disturbances nutritional deficiencies
psychoanalytic theory learning theory object loss theory

Answer:
cognitive therapy In cognitive therapy, the individual is taught to control negative
thought distortions that are common in mood disorders. In the cognitive model,
depression is characterized by a triad of negative distortions related to expectations of
the environment, self, and future. The environment and activities within it are viewed
as unsatisfying, the self is unrealistically devalued, and the future is perceived as
hopeless. The general goals in cognitive therapy are to obtain symptom relief as

, quickly as possible, assist the client in identifying dysfunctional patterns of thinking
and behaving, and guide the client to evidence and logic that effectively tests the
validity of the dysfunctional thinking. Following are examples of automatic thoughts
that may be common negative cognitive distortions in depression: Personalizing: "I'm
the only one who failed." All or nothing thinking: "I'm a complete failure." Mind reading:
"He thinks I'm foolish." Discounting positives: "The other questions were so easy. Any
dummy could have gotten them right."


Question:

Aidan, a 12-year-old boy, presents to the clinic with his mother. He is having frequent
outbursts at home and school. These outbursts are so bad that he is currently
suspended for his aggressive behaviors. Aidan's mother reports that he is irritable all
the time and she just doesn't know what to do. What disorder does Aidan have?
dysthymia major depressive disorder transient depression mild depression
premenstrual dysphoric disorder disruptive mood dysregulation disorder postpartum
depression psychopharmacology light therapy electroconvulsive therapy repetitive
transcranial magnetic stimulation cognitive therapy vagal nerve stimulation deep brain
stimulation genetics neuroendocrine disturbances medication side effects neurological
disorders electrolyte disturbances hormonal disturbances nutritional deficiencies
psychoanalytic theory learning theory object loss theory

Answer:
disruptive mood dysregulation disorder Some symptoms of childhood depression may
include hyperactivity, delinquency, school problems, psychosomatic complaints,
sleeping and eating disturbances, social isolation, delusional thinking, and suicidal
thoughts or actions. Children with depression are more often irritable rather than
dysphoric and are less likely to identify themselves as depressed. Disruptive mood
dysregulation disorder (DMDD) is manifested with severe recurrent (three or more
times per week) temper outbursts (verbally or aggressively) that are inconsistent with
developmental level in multiple settings (school, home, with friends).


Question:

The nurse is assessing Sheeba, who has depression. The nurse is reviewing the
patient's laboratory values and found that Sheeba is deficient in vitamin D and B
vitamins. Which predisposing factor could be causing Sheeba's depression? dysthymia
major depressive disorder transient depression mild depression premenstrual
dysphoric disorder disruptive mood dysregulation disorder postpartum depression
psychopharmacology light therapy electroconvulsive therapy repetitive transcranial
magnetic stimulation cognitive therapy vagal nerve stimulation deep brain stimulation
genetics neuroendocrine disturbances medication side effects neurological disorders
electrolyte disturbances hormonal disturbances nutritional deficiencies psychoanalytic
theory learning theory object loss theory

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