TEST BANK Varcarolis’ Essentials of Psychiatric Mental
Health Nursing 2025/2026: A Communication Approach
to Evidence-Based Care 5th Edition By Chyllia D Fosbre |
Complete Guide chapter 1-28
A client is prescribed duloxetine. Which client education would the
nurse provide? - ANSWER-The medication should not be discontinued
abruptly
. 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?
- ANSWER-Persistent depressive disorder
A client is scheduled for individual psychotherapy. Which would be the
nursing intervention during the first phase of individual psychotherapy?
- ANSWER-Encouraging the client to continue participating in regular
activities
1|Page
,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? - 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 parent's expectations. I
disappointed them. My life is of no use." Which would the nurse
suspect in the client? - ANSWER-Disruptive mood dysregulation
disorder
Which type of treatment modality is beneficial to a client who
experiences winter "blues"? - 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? - ANSWER-
Insomnia
A nurse, while preparing a client for electroconvulsive therapy (ECT),
administers a muscle relaxant. Which further care would the nurse
provide to ensure safety during the therapy? - ANSWER-Oxygenate the
client during the treatment.
2|Page
,A nurse, on reviewing the prescription of a client with depression,
informs the client to chew sugarless candies occasionally. Which
complication can be relieved in the client by implementing the nurse's
suggestion? - ANSWER-Dry mouth
Antidepressant drugs usually cause dry mouth as a complication. The
client is advised to chew sugarless candies to prevent dry mouth.
The nurse reviews the prescription of a client with depression and
informs the client, "You should make sure you slowly rise up from the
sitting or lying down position." Which is the nurse expecting to control
in the client? - ANSWER-*Variation in blood pressure
The nurse informs the client on antidepressant therapy to rise slowly
from the sitting or lying position to prevent orthostatic hypotension.
Orthostatic hypotension refers to a drop in blood pressure when the
client rises from a sitting or lying position.
How does electroconvulsive therapy (ECT) work to treat a depressed
client? - ANSWER-*ECT increases serotonin levels.
The electrical stimulation of ECT causes significant increase in
neurotransmitter levels. This increases serotonin levels.
Which interventions would the nurse implement while applying a
selegiline transdermal patch? Select all that apply. - ANSWER-*Wash
hands after applying
3
*Avoid exposing the site of application to direct heat
3|Page
, *Apply a new patch to a new site if the patch falls off
After applying the patch, the nurse would wash his or her hands to
prevent the medication from being absorbed into the skin.
The site of application would not be exposed to direct heat because it
can affect the therapeutics of the drug.
A new patch would be applied to a new site if the patch falls off, and
the previous schedule must be resumed.
Which neurotransmitter level in the mesolimbic system of the brain is
thought to exert a strong influence over human mood and behavior? -
ANSWER-*Dopamine
Dopamine levels in the mesolimbic system of the brain are thought to
exert a strong influence over human mood and behavior.
The nurse is caring for a client with complicated grieving. Which action
of the client would be monitored to evaluate the effectiveness of the
nursing care? - ANSWER-*The client is expressing appropriate anger
about the loss.
When the client expresses appropriate anger about the loss, the
nursing care is effective.
4|Page
Health Nursing 2025/2026: A Communication Approach
to Evidence-Based Care 5th Edition By Chyllia D Fosbre |
Complete Guide chapter 1-28
A client is prescribed duloxetine. Which client education would the
nurse provide? - ANSWER-The medication should not be discontinued
abruptly
. 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?
- ANSWER-Persistent depressive disorder
A client is scheduled for individual psychotherapy. Which would be the
nursing intervention during the first phase of individual psychotherapy?
- ANSWER-Encouraging the client to continue participating in regular
activities
1|Page
,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? - 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 parent's expectations. I
disappointed them. My life is of no use." Which would the nurse
suspect in the client? - ANSWER-Disruptive mood dysregulation
disorder
Which type of treatment modality is beneficial to a client who
experiences winter "blues"? - 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? - ANSWER-
Insomnia
A nurse, while preparing a client for electroconvulsive therapy (ECT),
administers a muscle relaxant. Which further care would the nurse
provide to ensure safety during the therapy? - ANSWER-Oxygenate the
client during the treatment.
2|Page
,A nurse, on reviewing the prescription of a client with depression,
informs the client to chew sugarless candies occasionally. Which
complication can be relieved in the client by implementing the nurse's
suggestion? - ANSWER-Dry mouth
Antidepressant drugs usually cause dry mouth as a complication. The
client is advised to chew sugarless candies to prevent dry mouth.
The nurse reviews the prescription of a client with depression and
informs the client, "You should make sure you slowly rise up from the
sitting or lying down position." Which is the nurse expecting to control
in the client? - ANSWER-*Variation in blood pressure
The nurse informs the client on antidepressant therapy to rise slowly
from the sitting or lying position to prevent orthostatic hypotension.
Orthostatic hypotension refers to a drop in blood pressure when the
client rises from a sitting or lying position.
How does electroconvulsive therapy (ECT) work to treat a depressed
client? - ANSWER-*ECT increases serotonin levels.
The electrical stimulation of ECT causes significant increase in
neurotransmitter levels. This increases serotonin levels.
Which interventions would the nurse implement while applying a
selegiline transdermal patch? Select all that apply. - ANSWER-*Wash
hands after applying
3
*Avoid exposing the site of application to direct heat
3|Page
, *Apply a new patch to a new site if the patch falls off
After applying the patch, the nurse would wash his or her hands to
prevent the medication from being absorbed into the skin.
The site of application would not be exposed to direct heat because it
can affect the therapeutics of the drug.
A new patch would be applied to a new site if the patch falls off, and
the previous schedule must be resumed.
Which neurotransmitter level in the mesolimbic system of the brain is
thought to exert a strong influence over human mood and behavior? -
ANSWER-*Dopamine
Dopamine levels in the mesolimbic system of the brain are thought to
exert a strong influence over human mood and behavior.
The nurse is caring for a client with complicated grieving. Which action
of the client would be monitored to evaluate the effectiveness of the
nursing care? - ANSWER-*The client is expressing appropriate anger
about the loss.
When the client expresses appropriate anger about the loss, the
nursing care is effective.
4|Page
