Foundations of Mental Health Care 5th Ed By Michelle Morrison - Valfre

,Chapter 21: Depression and Other Mood Disorders
Test Bank


MULTIPLE CHOICE

1. A prolonged emotional state that influences one’s whole personality and life functioning is
called:
a. Mood
b. Feeling
c. Attitude
d. Intellectual response
ANS: A
This is the definition of mood. Moods range from elation to despair and can be either adaptive
or maladaptive.

DIF: Cognitive Level: Knowledge REF: p. 236 OBJ: 1
TOP: Theories Relating to Emotions and Their Disorders
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity

2. The moods of adolescents:
a. Are stable
b. Vary widely
c. Develop slowly
d. Are not related to growth and development
ANS: B
The moods of adolescents commonly swing from depression to elation. This is a time of
hormonal changes and a time when teens are trying to develop their identity and both gain
control over and express their emotions.

DIF: Cognitive Level: Comprehension REF: p. 238 OBJ: 3
TOP: Emotions in Adolescence KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

3. Depression in the elderly is:
a. Rare
b. Common
c. Nonexistent
d. Seen occasionally
ANS: B
Major depression affects as many as 40% of older Americans and is seen most often in
women, persons with medical illnesses, and those individuals who are living in long-term care
facilities.

DIF: Cognitive Level: Knowledge REF: p. 238 OBJ: 3
TOP: Depression in Older Adulthood KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

4. Theories that view depression as a group of learned responses are called ____ theories.

, a. Social
b. Behavioral
c. Biological
d. Psychoanalytical
ANS: B
Behaviorists view depression as a group of learned responses. Social theorists view depression
as the result of flawed social interactions; biological theory focuses on causes of depression
such as biochemical imbalances and genetics; and psychoanalytical theorists believe that
mood disorders occur as a result of anger turned inward.

DIF: Cognitive Level: Knowledge REF: p. 237 OBJ: 2
TOP: Theories Relating to Emotions and Their Disorders
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity

5. Severe, prolonged depression affects a person’s risk for physical illness by ____ the risk.
a. Decreasing
b. Increasing
c. Not affecting
d. Having little effect on
ANS: B
Severe, prolonged depression results in many physical changes and increases one’s risk for
illness by lowering an individual’s immune response.

DIF: Cognitive Level: Knowledge REF: p. 240 OBJ: 4
TOP: Major Depressive Disorder KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

6. A disorder defined as daily moderate depression that lasts longer than 2 years is called a(n)
____ disorder.
a. Anxiety
b. Bipolar
c. Dysthymic
d. Major depressive
ANS: C
A dysthymic disorder is daily moderate depression that lasts for longer than 2 years. Anxiety
refers to a vague uneasy feeling; bipolar disorder is manic-depressive disorder; and major
depressive disorder refers to severe depression.

DIF: Cognitive Level: Knowledge REF: p. 240 OBJ: 4
TOP: Dysthymic Disorder KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

7. The client lives his life by rapidly bouncing from feelings of deep sadness to great joy. The
client’s diagnosis is most likely:
a. Bipolar disorder
b. Major depression
c. An anxiety disorder
d. Dysthymic disorder

, ANS: A
The hallmark of a bipolar disorder is sudden and dramatic shifts in emotional extremes.

DIF: Cognitive Level: Comprehension REF: p. 241 OBJ: 5
TOP: Bipolar Disorder KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

8. Recent studies have demonstrated that daily exposure to full-spectrum light (phototherapy) is
most effective in improving symptoms in people who are experiencing:
a.Bipolar disorder
b.Moderate depression
c.Postpartum depression
d.Seasonal affective disorder
ANS: D
Daily exposure to full-spectrum light reduces the symptoms of seasonal affective disorder,
which is also known as winter depression and typically occurs from October to April.

DIF: Cognitive Level: Knowledge REF: p. 242 OBJ: 6
TOP: Other Problems with Affect KEY: Nursing Process Step: Intervention
MSC: Client Needs: Psychosocial Integrity

9. The goal of treatment during the first phase of depression is to:
a. Develop a plan for treatment.
b. Reduce uncooperative behaviors.
c. Help the client to adjust to antidepressants.
d. Reduce symptoms and inappropriate behaviors.
ANS: D
The goal during the first phase (acute phase) is to reduce symptoms and inappropriate
behaviors. This phase may last 6 to 12 weeks and may require hospitalization. Developing a
treatment plan and helping the client to adjust to antidepressants refers to the second phase,
which is known as the continuation phase; and reducing uncooperative behaviors may or may
not occur with depression.

DIF: Cognitive Level: Comprehension REF: p. 242 OBJ: 9
TOP: Treatments and Therapies KEY: Nursing Process Step: Planning
MSC: Client Needs: Psychosocial Integrity

10. The nurse must be alert to signs of suicidal thoughts with clients in whom major depressive
disorders have been diagnosed because approximately _____ die from suicide.
a. 5%
b. 15%
c. 25%
d. 35%
ANS: B
This figure makes it vitally important to monitor these individuals for suicidal thoughts.

DIF: Cognitive Level: Knowledge REF: p. 240 OBJ: 4
TOP: Major Depressive Disorder KEY: Nursing Process Step: Intervention
MSC: Client Needs: Psychosocial Integrity