NU 345 Exam 2 UPDATED Exam Questions
and CORRECT Answers
The nurse is assessing a client in the postpartum clinic. The client has been diagnosed with post
partum depression and is scheduled to meet with a psychiatrist for an evaluation. In addition to
the psychiatric evaluation, what other action could the nurse suggest that is know to be
therapeutic for clients with this diagnosis?
a) Spend more time with her infant.
b) Take a course at a local university.
c) Join a support group.
d) Hire a babysitter and spend some more time with her partner. - CORRECT ANSWER -
c) Join a support group.
The nurse remarks to a depressed client, "I see you are trying not to cry. Tell me what is
happening." There is a long period of silence. What is the best initial action?
a) Wait quietly for the client to reply.
b) Prompt the client to speak
c) Repeat the question
d) Ask another question. - CORRECT ANSWER - a) Wait quietly for the client to reply.
The nurse is caring for a client who will be starting Trans Magnetic Stimulation (TMS) for
treatment of depression. The client asks the nurse about the frequency and number of treatments
required. What is the nurse's best response?
a) Two to three treatments per week up to 6 to 8 total treatments.
b) Once per month for at least one year.
c) Weekly until the symptoms of depression subside.
d) Five days per week for 4 to 6 weeks. - CORRECT ANSWER - d) Five days per week
for 4 to 6 weeks.
,The nurse is caring for a client diagnosed with Major Depression who despite a lack of evidence,
always assumes other clients and staff don't like him. What intervention will be most effective
with this client?
a) Educate the client that his reactions the distortions of reality that can occur with depression.
b) Confront the client about his negative view of others.
c) Help client question underlying beliefs and consider alternate explanations.
d) Explain to the client that he is using an ineffective coping mechanism. - CORRECT
ANSWER - c) Help client question underlying beliefs and consider alternate explanations.
A client prescribed a monamine oxidase inhibitor (MOA) has a pass to go out to lunch. What
food choice will indicate that the client is knowledgeable about the required diet?
a) avocado salad plate.
b) fruit and cottage cheese plate.
c) kielbasa and sauerkraut.
d) liver and onion sandwich - CORRECT ANSWER - b) fruit and cottage cheese plate.
The female client tells the nurse, "This antidepressant medication is not working. I have been
taking it for days and I don't feel any better." What information will serve as a basis for the
nurse's response?
a) Improvement in mood may take 1 to 2 weeks or longer.
b) The medications tend to be more effective for men.
c) More than one antidepressant is often needed for treatment.
d) Clients often need ECT and medication. - CORRECT ANSWER - a) Improvement in
mood may take 1 to 2 weeks or longer.
The nurse is caring for a client who has acute symptoms of depression. The client has been
treated with several antidepressants without any effect on the symptoms. The client agrees to a
, trial of Electroconvulsive Therapy (ECT). The client is asking the nurse how many ECT
treatments will be needed. What is the nurse's best response?
a) Usually one treatment bilaterally will have the desired effect.
b) One treatment daily for a month.
c) Treatments twice daily until depressive symptoms subside.
d) Two or three treatments per week to a total of 6 to 12 treatments. - CORRECT
ANSWER - d) Two or three treatments per week to a total of 6 to 12 treatments.
The nurse is caring for a client who has a diagnosis of Major Depression. The client is withdrawn
and mute most of the time. What statement could the nurse make to show acceptance and to be
most therapeutic?
a) "I will be spending time with you each day to try to improve your mood."
b) "I would like to sit with you for 15 minutes now and again this afternoon."
c) "Each day we will spend time together to talk about things that are bothering you."
d) "It is important for you to share your thoughts with someone who can help you evaluate your
thinking." - CORRECT ANSWER - b) "I would like to sit with you for 15 minutes now
and again this afternoon."
The nurse is caring for a client who has a diagnosis of Major Depression. The client is exhibiting
vegetative symptoms. What would the nurse identify as an appropriate outcome of care?
a) Verbalizes suicide ideation.
b) Improves personal care.
c) Expresses hope for a positive future.
d) Manages stressors better. - CORRECT ANSWER - b) Improves personal care.
A client with symptoms of acute depression tells the nurse, "There is no sense in trying. I am
never able to do anything right!" What is the most therapeutic nursing response?
and CORRECT Answers
The nurse is assessing a client in the postpartum clinic. The client has been diagnosed with post
partum depression and is scheduled to meet with a psychiatrist for an evaluation. In addition to
the psychiatric evaluation, what other action could the nurse suggest that is know to be
therapeutic for clients with this diagnosis?
a) Spend more time with her infant.
b) Take a course at a local university.
c) Join a support group.
d) Hire a babysitter and spend some more time with her partner. - CORRECT ANSWER -
c) Join a support group.
The nurse remarks to a depressed client, "I see you are trying not to cry. Tell me what is
happening." There is a long period of silence. What is the best initial action?
a) Wait quietly for the client to reply.
b) Prompt the client to speak
c) Repeat the question
d) Ask another question. - CORRECT ANSWER - a) Wait quietly for the client to reply.
The nurse is caring for a client who will be starting Trans Magnetic Stimulation (TMS) for
treatment of depression. The client asks the nurse about the frequency and number of treatments
required. What is the nurse's best response?
a) Two to three treatments per week up to 6 to 8 total treatments.
b) Once per month for at least one year.
c) Weekly until the symptoms of depression subside.
d) Five days per week for 4 to 6 weeks. - CORRECT ANSWER - d) Five days per week
for 4 to 6 weeks.
,The nurse is caring for a client diagnosed with Major Depression who despite a lack of evidence,
always assumes other clients and staff don't like him. What intervention will be most effective
with this client?
a) Educate the client that his reactions the distortions of reality that can occur with depression.
b) Confront the client about his negative view of others.
c) Help client question underlying beliefs and consider alternate explanations.
d) Explain to the client that he is using an ineffective coping mechanism. - CORRECT
ANSWER - c) Help client question underlying beliefs and consider alternate explanations.
A client prescribed a monamine oxidase inhibitor (MOA) has a pass to go out to lunch. What
food choice will indicate that the client is knowledgeable about the required diet?
a) avocado salad plate.
b) fruit and cottage cheese plate.
c) kielbasa and sauerkraut.
d) liver and onion sandwich - CORRECT ANSWER - b) fruit and cottage cheese plate.
The female client tells the nurse, "This antidepressant medication is not working. I have been
taking it for days and I don't feel any better." What information will serve as a basis for the
nurse's response?
a) Improvement in mood may take 1 to 2 weeks or longer.
b) The medications tend to be more effective for men.
c) More than one antidepressant is often needed for treatment.
d) Clients often need ECT and medication. - CORRECT ANSWER - a) Improvement in
mood may take 1 to 2 weeks or longer.
The nurse is caring for a client who has acute symptoms of depression. The client has been
treated with several antidepressants without any effect on the symptoms. The client agrees to a
, trial of Electroconvulsive Therapy (ECT). The client is asking the nurse how many ECT
treatments will be needed. What is the nurse's best response?
a) Usually one treatment bilaterally will have the desired effect.
b) One treatment daily for a month.
c) Treatments twice daily until depressive symptoms subside.
d) Two or three treatments per week to a total of 6 to 12 treatments. - CORRECT
ANSWER - d) Two or three treatments per week to a total of 6 to 12 treatments.
The nurse is caring for a client who has a diagnosis of Major Depression. The client is withdrawn
and mute most of the time. What statement could the nurse make to show acceptance and to be
most therapeutic?
a) "I will be spending time with you each day to try to improve your mood."
b) "I would like to sit with you for 15 minutes now and again this afternoon."
c) "Each day we will spend time together to talk about things that are bothering you."
d) "It is important for you to share your thoughts with someone who can help you evaluate your
thinking." - CORRECT ANSWER - b) "I would like to sit with you for 15 minutes now
and again this afternoon."
The nurse is caring for a client who has a diagnosis of Major Depression. The client is exhibiting
vegetative symptoms. What would the nurse identify as an appropriate outcome of care?
a) Verbalizes suicide ideation.
b) Improves personal care.
c) Expresses hope for a positive future.
d) Manages stressors better. - CORRECT ANSWER - b) Improves personal care.
A client with symptoms of acute depression tells the nurse, "There is no sense in trying. I am
never able to do anything right!" What is the most therapeutic nursing response?
