ESSENTIALS OF PSYCHIATRIC
MENTAL COMPREHENSIVE REVIEW
WITH VERIFIED SOLUTIONS
◉ While assessing a client for symptoms of depression, the
psychiatrist rates a score of three for psychic anxiety according to
the Hamilton Depression Rating Scale (HDRS). Which observation in
the client enables the psychiatrist to give the score? Answer:
*Apprehensive attitude apparent in face and speech
A score of three is assigned by the psychiatrist due to the
apprehensive attitude of the client that is reflected in his or her face
and speech.
◉ A client has been in multiple abusive relationships yet stays with
the significant other because the client feels he or she cannot leave.
Which theory can best explain the client's depression? Answer:
*Learning theory
Learning theory suggests that the client learns helplessness and
feels a lack of control over his or her life.
,◉ A client who suffered a head injury in an accident complains of
frequent sleepiness and loss of appetite. Which part of the client's
brain has most likely been affected? Answer: *Hypothalamus
If the hypothalamus is affected, the symptoms are increased or
decreased sleep and altered appetite.
◉ Which part of the brain mediates the symptoms of psychomotor
retardation? Answer: *Cerebellum
The cerebellum mediates the symptoms of psychomotor retardation
or agitation.
◉ While preparing a client for light therapy, the client asks the
nurse, "I have read that ultraviolet (UV) rays are harmful. Will I get
exposed to them during light therapy?" How would the nurse
respond to the client's query? Answer: * "The plastic screen covering
the fluorescent light tubes blocks UV rays. Therefore, you will not be
exposed to UV rays."
A plastic screen is used to absorb UV rays that are produced from
fluorescent light tubes. Therefore, the client will not be exposed to
UV rays.
, ◉ The nurse is explaining the side effects of electroconvulsive
therapy (ECT) to the guardian of a client with depression. Which
relevant information would the nurse provide? Answer: *The client
may exhibit confusion for a short period of time.
Confusion and memory loss for a short time are the major side
effects of ECT.
◉ Which client's condition can be best explained using the
psychoanalytical theory of depression? Answer: *A client who is
experiencing depression after the sudden death of a loved one
Psychoanalytic theory postulates that depression is a result of
melancholia that may occur as the result of the loss of a loved one.
◉ A client with depression tells the nurse, "I am a loser and have not
achieved anything big in life. My family and friends think that I am
worthless." Which therapy will the nurse anticipate from the
primary health-care provider to help in changing the mood of the
client? Answer: *Cognitive therapy
Cognitive therapy is helpful in changing the mood of the client by
altering the way he or she thinks. It will help the client think
positively about the environment and the future.
MENTAL COMPREHENSIVE REVIEW
WITH VERIFIED SOLUTIONS
◉ While assessing a client for symptoms of depression, the
psychiatrist rates a score of three for psychic anxiety according to
the Hamilton Depression Rating Scale (HDRS). Which observation in
the client enables the psychiatrist to give the score? Answer:
*Apprehensive attitude apparent in face and speech
A score of three is assigned by the psychiatrist due to the
apprehensive attitude of the client that is reflected in his or her face
and speech.
◉ A client has been in multiple abusive relationships yet stays with
the significant other because the client feels he or she cannot leave.
Which theory can best explain the client's depression? Answer:
*Learning theory
Learning theory suggests that the client learns helplessness and
feels a lack of control over his or her life.
,◉ A client who suffered a head injury in an accident complains of
frequent sleepiness and loss of appetite. Which part of the client's
brain has most likely been affected? Answer: *Hypothalamus
If the hypothalamus is affected, the symptoms are increased or
decreased sleep and altered appetite.
◉ Which part of the brain mediates the symptoms of psychomotor
retardation? Answer: *Cerebellum
The cerebellum mediates the symptoms of psychomotor retardation
or agitation.
◉ While preparing a client for light therapy, the client asks the
nurse, "I have read that ultraviolet (UV) rays are harmful. Will I get
exposed to them during light therapy?" How would the nurse
respond to the client's query? Answer: * "The plastic screen covering
the fluorescent light tubes blocks UV rays. Therefore, you will not be
exposed to UV rays."
A plastic screen is used to absorb UV rays that are produced from
fluorescent light tubes. Therefore, the client will not be exposed to
UV rays.
, ◉ The nurse is explaining the side effects of electroconvulsive
therapy (ECT) to the guardian of a client with depression. Which
relevant information would the nurse provide? Answer: *The client
may exhibit confusion for a short period of time.
Confusion and memory loss for a short time are the major side
effects of ECT.
◉ Which client's condition can be best explained using the
psychoanalytical theory of depression? Answer: *A client who is
experiencing depression after the sudden death of a loved one
Psychoanalytic theory postulates that depression is a result of
melancholia that may occur as the result of the loss of a loved one.
◉ A client with depression tells the nurse, "I am a loser and have not
achieved anything big in life. My family and friends think that I am
worthless." Which therapy will the nurse anticipate from the
primary health-care provider to help in changing the mood of the
client? Answer: *Cognitive therapy
Cognitive therapy is helpful in changing the mood of the client by
altering the way he or she thinks. It will help the client think
positively about the environment and the future.
