N222 Week 3 Assignment Questions
With Solved Solutions.
Melancholic sub-type of major depressive disorder - Answer insomnia, loss of appetite, lack of
reactiveness to environmental circumstances and marked anhedonia
A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment o major
depressive disorder. Which of the following client statements indicates understanding of the teaching?
a. "it is common to treat depression with ECT before trying any medications."
b. I can have my depression cured if I receive a series of ECT treatments."
c. "I should receive ECT once a week for 6 weeks."
d. "I will receive a muscle relaxant to protect me from injury during ECT." - Answer "I will receive a
muscle relaxant to protect me from injury during ECT." (succinylcholine is administered to reduce risk of
injury during induced seizure activity)
A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
A. "TMS is indicated for clients who have schizophrenia spectrum disorders"
B. "I will provide postanesthesia care following TMS."
C. "TMS treatments usually last 5-10 minuets."
D. "I will schedule the client for TMS treatments 3-5 times a week for the first several weeks." - Answer
"I will schedule the client for TMS treatments 3-5 times a week for the first several weeks."
Anadonia - Answer inability to experience pleasure
Atypical sub-type of major depressive disorder - Answer excessive sleep or sleepiness, increased
appetite, marked fatigue or weakness, mood reactive to environmental circumstances, and extreme
sensitivity to rejection
,Dysthymic Disorder effects which age groups? - Answer persists for at least two years -Children,
adolescents, adults
How does the Onset of Dysthymic Disorder during teanage years show? - Answer "always felt this way"
being depressed is normal way of functioning (may have periods of full-blown major depressive
episodes)
Premenstrual Dysphoric Disorder - Answer Refers to cluster of symptoms that occur in the last week
prior to onset of woman's period
Premenstrual Dysphoric Disorder symptoms - Answer They decrease significantly or disappear with the
onset of menstruation• Physical discomfort and emotional symptoms similar to MDD (Anger or
irritability. Anxiety and panic attacks. Depression and suicidal thoughts. Difficulty concentrating. Fatigue
and low energy. Food cravings or binge eating. Headaches. Insomnia.)
Substance - Induced Mood (Depressive) Disorder - Answer marked mood changes from a person's
baseline mood associated with the person's exposure to a substance or medication
What is the onset of symptoms for Substance - Induced Mood (Depressive) Disorder - Answer Onset of
symptoms occurs during or within 1 month of a patient initiating use of a substance or medication.
Depressive Disorder Associated with Another Medical Condition can come from what illness - Answer
Result of changes that are directly related to certain illnesses
Kidney failure; Parkinson's disease; Alzheimer's disease
What is commonly known that with depression there are _______ disorders. - Answer psychiatric
What are some other comorbidity's that someone can have with depression? - Answer Panic disorder
Anxiety disorders
Borderline personality disorder
Schizophrenia
Substance abuse
,Schizoaffective disorder
OCD
Eating disorders
% of people with depression who are diagnosed - Answer Less than half of depressed patients seek
medical help, Of those who present for treatment only half are accurately diagnosedEarly treatment for
depression can result in improved outcomes.
Assessment tools for diagnosing depression in a client - Answer Beck Depression Inventory
The Hamilton Depression Scale
The Zung Depression Scale
The Geriatric Depression Scale
The Patient Health Questionnaire-9
% of people with clinical depression who commit suicide? - Answer 15%of people with clinical
depression commit suicide
How long does it take for antidepressants to fully work in a client? - Answer It takes a minimum of two
weeks for the antidepressant drugs to work in a client
Assessment of Suicide Potential: what to check/ ask about - Answer Risk for suicide in patients with
major depression is increased in the presence of the following symptoms:
Severe Hopelessness
Overuse of Alcohol
Recent Loss or Separation
Past and Serious Suicide Attempts
, Acute suicidal ideation
In clients who have past suicidal ideation or past attempts what is something that needs to be done
when they are in a facility? - Answer Check on them more than once an hour, and know that they are
at higher risk of actually committing suicide the next time they try
OTHER RISK FACTORS FOR DEPRESSIVE DISORDERS ARE AS FOLLOWS: - Answer 1. Unmarried (no
significant other)
2. ACEs-history of childhood trauma
3. Post -partum period
4. female gender
5. Chronic illness
6. History of loss
7. Substance abuse
8. Age greater than 45 or older
9. Less college education
Key Assessment Findings for a pt with major depressive disorder - Answer - Depressed Mood;
Anhedonia; Anergia
- Anxiety; Psychomotor agitation; Psychomotor retardation
- Somatic complaints -headaches, malaise, backaches (manifestations of pain as this continues)
- Vegetative signs of depression -change in bowel movements; eating habits, sleep disturbances,
disinterested in sex
- Chronic Pain
Nursing Interventions for pts with major depressive disorder - Answer - Sit with them in silence/ Spend
time with the patient
- Self-care -Monitor ADL's and encourage independence as much as possible
- Make time to be with the client, even if he does not speak
With Solved Solutions.
Melancholic sub-type of major depressive disorder - Answer insomnia, loss of appetite, lack of
reactiveness to environmental circumstances and marked anhedonia
A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment o major
depressive disorder. Which of the following client statements indicates understanding of the teaching?
a. "it is common to treat depression with ECT before trying any medications."
b. I can have my depression cured if I receive a series of ECT treatments."
c. "I should receive ECT once a week for 6 weeks."
d. "I will receive a muscle relaxant to protect me from injury during ECT." - Answer "I will receive a
muscle relaxant to protect me from injury during ECT." (succinylcholine is administered to reduce risk of
injury during induced seizure activity)
A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
A. "TMS is indicated for clients who have schizophrenia spectrum disorders"
B. "I will provide postanesthesia care following TMS."
C. "TMS treatments usually last 5-10 minuets."
D. "I will schedule the client for TMS treatments 3-5 times a week for the first several weeks." - Answer
"I will schedule the client for TMS treatments 3-5 times a week for the first several weeks."
Anadonia - Answer inability to experience pleasure
Atypical sub-type of major depressive disorder - Answer excessive sleep or sleepiness, increased
appetite, marked fatigue or weakness, mood reactive to environmental circumstances, and extreme
sensitivity to rejection
,Dysthymic Disorder effects which age groups? - Answer persists for at least two years -Children,
adolescents, adults
How does the Onset of Dysthymic Disorder during teanage years show? - Answer "always felt this way"
being depressed is normal way of functioning (may have periods of full-blown major depressive
episodes)
Premenstrual Dysphoric Disorder - Answer Refers to cluster of symptoms that occur in the last week
prior to onset of woman's period
Premenstrual Dysphoric Disorder symptoms - Answer They decrease significantly or disappear with the
onset of menstruation• Physical discomfort and emotional symptoms similar to MDD (Anger or
irritability. Anxiety and panic attacks. Depression and suicidal thoughts. Difficulty concentrating. Fatigue
and low energy. Food cravings or binge eating. Headaches. Insomnia.)
Substance - Induced Mood (Depressive) Disorder - Answer marked mood changes from a person's
baseline mood associated with the person's exposure to a substance or medication
What is the onset of symptoms for Substance - Induced Mood (Depressive) Disorder - Answer Onset of
symptoms occurs during or within 1 month of a patient initiating use of a substance or medication.
Depressive Disorder Associated with Another Medical Condition can come from what illness - Answer
Result of changes that are directly related to certain illnesses
Kidney failure; Parkinson's disease; Alzheimer's disease
What is commonly known that with depression there are _______ disorders. - Answer psychiatric
What are some other comorbidity's that someone can have with depression? - Answer Panic disorder
Anxiety disorders
Borderline personality disorder
Schizophrenia
Substance abuse
,Schizoaffective disorder
OCD
Eating disorders
% of people with depression who are diagnosed - Answer Less than half of depressed patients seek
medical help, Of those who present for treatment only half are accurately diagnosedEarly treatment for
depression can result in improved outcomes.
Assessment tools for diagnosing depression in a client - Answer Beck Depression Inventory
The Hamilton Depression Scale
The Zung Depression Scale
The Geriatric Depression Scale
The Patient Health Questionnaire-9
% of people with clinical depression who commit suicide? - Answer 15%of people with clinical
depression commit suicide
How long does it take for antidepressants to fully work in a client? - Answer It takes a minimum of two
weeks for the antidepressant drugs to work in a client
Assessment of Suicide Potential: what to check/ ask about - Answer Risk for suicide in patients with
major depression is increased in the presence of the following symptoms:
Severe Hopelessness
Overuse of Alcohol
Recent Loss or Separation
Past and Serious Suicide Attempts
, Acute suicidal ideation
In clients who have past suicidal ideation or past attempts what is something that needs to be done
when they are in a facility? - Answer Check on them more than once an hour, and know that they are
at higher risk of actually committing suicide the next time they try
OTHER RISK FACTORS FOR DEPRESSIVE DISORDERS ARE AS FOLLOWS: - Answer 1. Unmarried (no
significant other)
2. ACEs-history of childhood trauma
3. Post -partum period
4. female gender
5. Chronic illness
6. History of loss
7. Substance abuse
8. Age greater than 45 or older
9. Less college education
Key Assessment Findings for a pt with major depressive disorder - Answer - Depressed Mood;
Anhedonia; Anergia
- Anxiety; Psychomotor agitation; Psychomotor retardation
- Somatic complaints -headaches, malaise, backaches (manifestations of pain as this continues)
- Vegetative signs of depression -change in bowel movements; eating habits, sleep disturbances,
disinterested in sex
- Chronic Pain
Nursing Interventions for pts with major depressive disorder - Answer - Sit with them in silence/ Spend
time with the patient
- Self-care -Monitor ADL's and encourage independence as much as possible
- Make time to be with the client, even if he does not speak
