The registered nurse is teaching a group of student nurses about
cognitive therapy. Which statement made by a student nurse requires
correction Correct Answer-Cognitive therapy describes mania as a triad
of negative distortions
A nurse is caring for an adolescent client with major depressive disorder.
Which medications will the nurse expect to be contraindicated in such
clients? Select all that apply. Correct Answer-paroxetine
duloxetine
citalopram
A client is prescribed duloxetine. Which client education is most
appropriate for the nurse to provide? Correct Answer-Medication should
not be discontinued abruptly
Which condition would the nurse suspect if a client who just gave birth
complains of "feeling blue"? Correct Answer-Postpartum Depression
A client is diagnosed with anaclitic depression. Which could be the
cause of such a condition? Correct Answer-Separation from mother
during the first year of life
A client has been feeling "down in the dumps" because of the loss of a
pet 2 years ago. Which condition would the nurse suspect in the client?
Correct Answer-Persistent depressive disorder
,Which action would the nurse take during the first phase of individual
psychotherapy? Correct Answer-Encourage the client to continue
participating in regular activities
While caring for a postpartum client, the nurse suspects the client to
have postpartum depression with psychotic features. Which symptom in
the client made the nurse suspect this condition? Correct Answer-
Rejection of the baby
An adolescent in a psychiatric unit has a temperamental outburst, saying,
"I tried my best but could not reach my parents' expectations. I
disappointed them. My life is of no use." Which condition would the
nurse suspect in the client? Correct Answer-Depressive mood
dysregulation disorder
Which biochemical is estimated in the dexamethasone suppression test
performed to determine if a client has somatically treatable depression?
Correct Answer-Serum cortisol
Which type of depression occurs with everyday disappointments?
Mild depression Correct Answer-Transient depression
Which client's condition can be best explained using the
psychoanalytical theory of depression? Correct Answer-A client who is
experiencing depression after a sudden death 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 does the nurse anticipate will be prescribed
by the primary health-care provider to help in improving the mood of the
client? Correct Answer-Cognitive therapy
Which treatment modality is beneficial to a client who experiences
winter "blues"? Correct Answer-Light therapy
The primary health-care provider suggests that the nurse schedule light
therapy for a client early in the day. Which complication can be
prevented in the client as a result of this intervention? Correct Answer-
insomnia
A nurse suspects that the client is experiencing low self-esteem. Which
objective data would support the nurse's suspicion Correct Answer-the
client does not make eye contact
At which age would a child experience symptoms of depression that
include morbid thoughts, excessive worrying, and poor self-esteem
Correct Answer-9-12 years old
A nurse, on reviewing the prescription of a client with depression,
instructs the client to chew sugarless candies occasionally. Which
complication can be relieved in the client by implementing the nurse's
suggestion Correct Answer-Dry mouth