MENTAL HEALTH EXAM 3 QUESTIONS
WITH THE LATEST SCORE.
At 10:00 P.M., the nurse offers trazodone (Desyrel) 150 milligrams to a newly
admitted client experiencing mania. The client responds, "I feel great, and I
don't need to sleep." The nurse's most therapeutic response is: --Answer--
You and your family stated you did not sleep at all last night. That can be
tough on your system.
During family support group, a family member asks: "How is bipolar disorder
different from depression?" Which of the following is the best response? --
Answer-- Often, individuals with bipolar disorder can feel elated, are
productive, and do not think there is anything wrong when they have manic
feelings.
Your client states, "Many of the people in my family experience similar
symptoms with each depressive episode. Does that mean that we have the
same genetic defect?" Your best response includes which of the following?
(Select all that apply.) --Answer-- Heredity does seem to play a role in mood
disorders. You and your family members may have the same biologic
predisposition.
There are probably several genetic or biologic abnormalities associated with
depression.
Your client states, "I'm going to participate in an experimental brain imaging
study. My primary health care provider thinks I have bipolar I disorder. Are
there lab tests that can help diagnose mood disorders?" Your first response
is: --Answer-- Although some abnormal results are found in individuals with
mood disorders, there are no diagnostic lab tests specific to mood disorders
at this time.
You administer the first dose of an antidepressant to your inpatient client
with major depression. The client asks, "Is this medicine going to fix my
depression?" Your accurate response includes which of the following? (Select
, all that apply.) --Answer-- In addition, we are going to assist you in regulating
your circadian rhythms, which should improve your depression.
It should help your depression, and you should feel the full therapeutic effect
in 2 to 3 weeks.
This medication should increase the availability of neurotransmitters in your
brain.
Based on your knowledge of circadian rhythms, discharge teaching for
clients with mood disorders should include which of the following? --Answer--
Antidepressants and mood stabilizers can help restore circadian rhythms.
You are the triage nurse in an emergency room. Your initial assessment
indicates that depression may be part of the client's problem. Which of the
following nursing actions is essential? --Answer-- Ask about depression and
suicidal ideation directly.
Your client with intense suicidal ideation has been hospitalized for 1 week,
during which time he has received a selective serotonin reuptake inhibitor
(SSRI). He reports "no change" in suicidal ideation, although he
demonstrates a wider range of affect and takes more initiative in self-care.
The health care team is considering his imminent discharge. It is essential to
consider which of the following factors? --Answer-- The client may have
enough energy to plan and complete a suicide attempt.
A colleague expresses frustration with a client with bipolar disorder on his
seventh admission within 2 years. "I wish he would try taking his medication.
Instead he keeps stopping the medicine and coming back here." Your best
initial response is: --Answer-- It can be frustrating to care for chronically ill
clients.
Frequent countertransference reactions in caring for clients with mood
disorders include (select all that apply): --Answer-- Rescue fantasy with a
depressed client.
Frustration with continued depression.
Emotional contagion.
WITH THE LATEST SCORE.
At 10:00 P.M., the nurse offers trazodone (Desyrel) 150 milligrams to a newly
admitted client experiencing mania. The client responds, "I feel great, and I
don't need to sleep." The nurse's most therapeutic response is: --Answer--
You and your family stated you did not sleep at all last night. That can be
tough on your system.
During family support group, a family member asks: "How is bipolar disorder
different from depression?" Which of the following is the best response? --
Answer-- Often, individuals with bipolar disorder can feel elated, are
productive, and do not think there is anything wrong when they have manic
feelings.
Your client states, "Many of the people in my family experience similar
symptoms with each depressive episode. Does that mean that we have the
same genetic defect?" Your best response includes which of the following?
(Select all that apply.) --Answer-- Heredity does seem to play a role in mood
disorders. You and your family members may have the same biologic
predisposition.
There are probably several genetic or biologic abnormalities associated with
depression.
Your client states, "I'm going to participate in an experimental brain imaging
study. My primary health care provider thinks I have bipolar I disorder. Are
there lab tests that can help diagnose mood disorders?" Your first response
is: --Answer-- Although some abnormal results are found in individuals with
mood disorders, there are no diagnostic lab tests specific to mood disorders
at this time.
You administer the first dose of an antidepressant to your inpatient client
with major depression. The client asks, "Is this medicine going to fix my
depression?" Your accurate response includes which of the following? (Select
, all that apply.) --Answer-- In addition, we are going to assist you in regulating
your circadian rhythms, which should improve your depression.
It should help your depression, and you should feel the full therapeutic effect
in 2 to 3 weeks.
This medication should increase the availability of neurotransmitters in your
brain.
Based on your knowledge of circadian rhythms, discharge teaching for
clients with mood disorders should include which of the following? --Answer--
Antidepressants and mood stabilizers can help restore circadian rhythms.
You are the triage nurse in an emergency room. Your initial assessment
indicates that depression may be part of the client's problem. Which of the
following nursing actions is essential? --Answer-- Ask about depression and
suicidal ideation directly.
Your client with intense suicidal ideation has been hospitalized for 1 week,
during which time he has received a selective serotonin reuptake inhibitor
(SSRI). He reports "no change" in suicidal ideation, although he
demonstrates a wider range of affect and takes more initiative in self-care.
The health care team is considering his imminent discharge. It is essential to
consider which of the following factors? --Answer-- The client may have
enough energy to plan and complete a suicide attempt.
A colleague expresses frustration with a client with bipolar disorder on his
seventh admission within 2 years. "I wish he would try taking his medication.
Instead he keeps stopping the medicine and coming back here." Your best
initial response is: --Answer-- It can be frustrating to care for chronically ill
clients.
Frequent countertransference reactions in caring for clients with mood
disorders include (select all that apply): --Answer-- Rescue fantasy with a
depressed client.
Frustration with continued depression.
Emotional contagion.
