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When completing a baseline assessment of a client with depression, which
diagnostic tests would the nurse anticipate? - ANSWER ✅thyroid test
Which is a food that might be incorporated into the plan of care for a client
diagnosed in the manic phase of bipolar disorder? - ANSWER ✅bananas
An elderly client is admitted to the hospital with fatigue and weight loss of 20
pounds in 1 month. Upon further assessment, the client is diagnosed with
depression. What other thing should the nurse assess this client for based on the
weight loss? - ANSWER ✅dehydration
Following a change in job position, a minister asks a client how the client likes the
new job. The client states, "Oh everything is great. I can really see myself going far
in this new position." However, the client's voice is monotone and the client's face
is nearly absent of affective expression. The minister is worried about this client
and describes this facial expression as what? - ANSWER ✅flat
A client has been diagnosed with major depression and placed on amitriptyline.
Which is a side effect of amitriptyline? - ANSWER ✅orthostatic hypotension
Which could be incorporated into the plan of care for a client receiving an
antidepressant who is experiencing orthostatic hypotension? - ANSWER
✅increase hydration
, A client was admitted to the psychiatric unit with major depression after a suicide
attempt. In addition to the client's feelings of sadness and hopelessness, the nurse
would expect to assess what? - ANSWER ✅Psychomotor retardation
Psychodynamic theory attributes the development of mood disorders to what? -
ANSWER ✅Unexpressed and unconscious anger
The parent of a suicidal adolescent is concerned that "only crazy people commit
suicide." When helping the parent understand a daughter's suicidal behavior, the
nurse would explain what? - ANSWER ✅Analysis of suicide notes reveals that
most people who commit suicide are extremely unhappy
The nurse is assessing a client with depression and a colleague suggests that the
client be encouraged to sign a no-suicide contract. What is the nurse's best
response to the colleague.. - ANSWER ✅There's no demonstrated benefit of no-
suicide contracts, though they're not believed to be harmful."
A client is diagnosed with panic disorder. When considering the neurochemical
theory of the disorder, which would the nurse expect to administer as the drug of
choice initially? - ANSWER ✅SSRI
A biologic theory explains anxiety disorders in which way? - ANSWER ✅Based
in genetics with clinical symptoms being a result of chromosomal influence
A group of students is reviewing information about anxiety disorders in
preparation for a class examination. The students demonstrate understanding of the
material when they state what? - ANSWER ✅Women experience anxiety
disorders more often than do men
A client diagnosed with panic disorder has been receiving medication therapy,
which is being discontinued. A nurse would be alert for possible withdrawal
symptoms if the client was receiving what? - ANSWER ✅lorazepam
A nurse is preparing a plan of care for a client with anxiety. Which elements
would the nurse likely include? Select all that apply. - ANSWER ✅Using
appropriate coping skills; Identifying treatment modalities; Involving family for
support, if appropriate; Providing supportive feedback
, Which client is most likely to be at risk for drug dependence and difficulties with
withdrawal? - ANSWER ✅taking lorazepam
Which is considered a tricyclic antidepressant (TCA) used in the treatment of
clients with panic disorder? - ANSWER ✅imipramine
The most important factor in the person's stress response is what? - ANSWER
✅adaptive coping strategies
A nurse determines that a client who is experiencing anxiety is using relief or
primitive survival behaviors. The nurse determines that the client is experiencing
which degree of anxiety? - ANSWER ✅severe
A client checks and rechecks the lock on the door five times before leaving home.
What statement by the client indicates that this behavior is a result of obsessive-
compulsive disorder (OCD)? - ANSWER ✅I check until my anxiety subsides."
The nurse is interviewing the parents of a child who is exhibiting obsessive-
compulsive disorder (OCD). The nurse would anticipate that the parents would
report the occurrence of which situation with the child? - ANSWER ✅Failing
classes due to a lack of concentration.
Psychosurgery is an option for severe OCD but is not - ANSWER ✅the treatment
of trichotillomania, hoarding, or skin-picking disorder
A client spends an hour cleaning and rearranging the client's desk prior to starting
work after every break. This occurs about five to six times a day. How does the
nurse rate the client according to the Yale-Brown Obsessive Compulsive Scale? -
ANSWER ✅severe
The nurse is assisting a client with behavior therapy for OCD. What nursing
intervention may help enhance self-esteem? - ANSWER ✅provide opportunities
for the client to accomplish an activity
he nurse is assessing the physiological effects of severe obsessive-compulsive
disorder (OCD) in a client. What does the nurse expect to find during assessment?
- ANSWER ✅The client is unable to maintain adequate personal hygiene...Early
onset may indicate family history of OCD