PP RNSG 1538 Mood and Affect Mastery Quiz
and answers with solutions
"I am drinking 12 glasses of water every day." - ANSWER A client taking paroxetine 40 mg PO
every morning tells the nurse that her mouth "feels like cotton." Which statement by the client
necessitates further assessment by the nurse?
There will be simultaneous treatment of the addiction and depression. - ANSWER A client
diagnosed with major depression and substance dependence is being admitted to the
concurrent disorder treatment unit. In explaining the focus of this program, the nurse should
tell what information to the client?
Expansive and grandiose - ANSWER On admission to the psychiatric unit, a client is dressed in a
red leotard and an exercise bra and has an assortment of chains and brightly colored scarves on
her head, waist, wrists, and ankles. The client shakes the nurse's hand and says cheerfully, "We
need to become better acquainted. I have the world's greatest intellect, and you are probably
an intellectual midget." How can the nurse document the client's mood in her assessment?
Making observations - ANSWER During therapy, a client on the mental health unit is restless and
is starting to make sarcastic remarks to others in the therapy session. The nurse responds by
saying, "you look angry." Which of the following communication techniques is the nurse using?
"I believe that my sadness affects my work and feelings." - ANSWER The nurse has been
teaching a client about depression. Which statement indicates insight into the client's
diagnosis?
empathetic - ANSWER The nurse is teaching a group of unlicensed assistive personnel (UAP)
about providing care to clients with depression. Which approach by one of the UAPs indicates
an understanding of the most effective approach to a depressed client?
, most likely related to low thyroid hormone levels and will improve with treatment. - ANSWER
When discussing recent onset of feelings of sadness and depression in a client with
hypothyroidism who has just started to take thyroid hormone replacement, the nurse should
inform the client that these feelings are:
"You feel like a failure; would you like to talk more about the way you feel?" - ANSWER A client
states the following to the nurse: "I am a failure, and I wish I had died." Which of the following
statements by the nurse demonstrates a therapeutic response?
Ensuring relevance to, and quickly refocusing upon, the client's experience - ANSWER The nurse
is working with a client with depression in a mental health clinic. During the interaction, the
nurse uses the technique of self-disclosure. In order for this technique to be therapeutic, which
of the following steps must be a priority for the nurse?
allow privacy, but check on the client frequently. - ANSWER A client with a history of post-
traumatic stress is found in his room panting and breathing heavily while shouting out some
strange words. The nurse reviews the nursing assessment and understands that the client is
practicing a form of relaxation called power breathing. The best action for the nurse to take is
to:
A preoccupation with death - ANSWER A nurse is assessing a severely depressed adolescent.
Which finding indicates a risk of suicide?
"Telling sexual jokes and touching others is not permitted here." - ANSWER A nurse observes a
male client who is hyperactive and intrusive sitting very close to a female client with his arm
around her shoulders. The nurse hears the male client tell a sexually explicit joke. The nurse
approaches the client and asks him to walk down the hallway. Which statement by the nurse
should benefit the client?
emotional lability - ANSWER A client receiving dialysis directs profanities at the nurse and then
abruptly hangs his head and pleads, "Please forgive me. Something just came over me. Why do I
say those things?" The nurse interprets this as which finding?
and answers with solutions
"I am drinking 12 glasses of water every day." - ANSWER A client taking paroxetine 40 mg PO
every morning tells the nurse that her mouth "feels like cotton." Which statement by the client
necessitates further assessment by the nurse?
There will be simultaneous treatment of the addiction and depression. - ANSWER A client
diagnosed with major depression and substance dependence is being admitted to the
concurrent disorder treatment unit. In explaining the focus of this program, the nurse should
tell what information to the client?
Expansive and grandiose - ANSWER On admission to the psychiatric unit, a client is dressed in a
red leotard and an exercise bra and has an assortment of chains and brightly colored scarves on
her head, waist, wrists, and ankles. The client shakes the nurse's hand and says cheerfully, "We
need to become better acquainted. I have the world's greatest intellect, and you are probably
an intellectual midget." How can the nurse document the client's mood in her assessment?
Making observations - ANSWER During therapy, a client on the mental health unit is restless and
is starting to make sarcastic remarks to others in the therapy session. The nurse responds by
saying, "you look angry." Which of the following communication techniques is the nurse using?
"I believe that my sadness affects my work and feelings." - ANSWER The nurse has been
teaching a client about depression. Which statement indicates insight into the client's
diagnosis?
empathetic - ANSWER The nurse is teaching a group of unlicensed assistive personnel (UAP)
about providing care to clients with depression. Which approach by one of the UAPs indicates
an understanding of the most effective approach to a depressed client?
, most likely related to low thyroid hormone levels and will improve with treatment. - ANSWER
When discussing recent onset of feelings of sadness and depression in a client with
hypothyroidism who has just started to take thyroid hormone replacement, the nurse should
inform the client that these feelings are:
"You feel like a failure; would you like to talk more about the way you feel?" - ANSWER A client
states the following to the nurse: "I am a failure, and I wish I had died." Which of the following
statements by the nurse demonstrates a therapeutic response?
Ensuring relevance to, and quickly refocusing upon, the client's experience - ANSWER The nurse
is working with a client with depression in a mental health clinic. During the interaction, the
nurse uses the technique of self-disclosure. In order for this technique to be therapeutic, which
of the following steps must be a priority for the nurse?
allow privacy, but check on the client frequently. - ANSWER A client with a history of post-
traumatic stress is found in his room panting and breathing heavily while shouting out some
strange words. The nurse reviews the nursing assessment and understands that the client is
practicing a form of relaxation called power breathing. The best action for the nurse to take is
to:
A preoccupation with death - ANSWER A nurse is assessing a severely depressed adolescent.
Which finding indicates a risk of suicide?
"Telling sexual jokes and touching others is not permitted here." - ANSWER A nurse observes a
male client who is hyperactive and intrusive sitting very close to a female client with his arm
around her shoulders. The nurse hears the male client tell a sexually explicit joke. The nurse
approaches the client and asks him to walk down the hallway. Which statement by the nurse
should benefit the client?
emotional lability - ANSWER A client receiving dialysis directs profanities at the nurse and then
abruptly hangs his head and pleads, "Please forgive me. Something just came over me. Why do I
say those things?" The nurse interprets this as which finding?
