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Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Contemporary Psychiatric-Mental Health Nursing
Chapter 17Mood Disorders
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #1
The nurse would expect the client with major depressive disorder to have:
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #1
1.Flight of ideas.2.Euphoria or irritability. 3.Anergia.4.Grandiosity.
2
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #1
Answer #3 is correct. People with depression may have anergia or lack of energy.
Application level
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #2
The major difference between hypomania and mania is that in hypomania the client:
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #2
1.Does not require hospitalization2.Has psychotic features.3. Is more extreme.4.Behavior is excessive.
3
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #2
Answer #1 is correct. Hypomania does not require hospitalization because it does not markedly impair functioning.
Analysis level
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #3
What question should a nurse ask in order to obtain information needed to support a diagnosis of major depressive disorder? “Have you ever had within a two week period:
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #3
1.Distractibility every day?”2. Increase in goal directed activity or psychomotor
agitation every day?” 3.Feelings of worthlessness or excessive or
inappropriate guilt every day?”4.A decreased need for sleep every day?”
4
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #3
Answer #3 is correct. Feelings of worthlessness or excessive or inappropriate guilt every day are symptoms of major depressive disorder.
Evaluation level
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #4
Each year two sisters fly to their hometown to meet at the gravesite on the anniversary of their mother’s death. They are exhibiting:
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #4
1.Anticipatory grief.2.Normal grief.3.Dysfunctional grieving.4.Bereavement.
5
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #4
Answer #2 is correct. They are exhibiting normal grief because they have moved on with their life. It is not dysfunctional grieving because the grieving has come to the point of resolution.
Analysis level
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #5
A client states he has no control over his life. His wife controls his friends and his boss limits his commissions. This is a cognitive theory called the theory of:
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #5
1.Learned helplessness.2.Unsatisfactory mother-infant relationship.3.Object loss.4.Biologic factors.
6
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #5
Answer #1 is correct. Learned helplessness is the only cognitive theory option. The client has learned to be helpless by allowing others to control his life.
Synthesis level
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #6
Animal studies have demonstrated that:
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #6
1.Estrogen decelerates the biological clock.2.Antimanic drugs accelerate the biological clock3.Tricyclic antidepressants decelerate the biological
clock. 4.Alcohol decelerates the biological clock.
7
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #6
Answer #4 is correct. Alcohol and antimanic drugs slow the biological clock.
Evaluation level
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #7
A nurse feels annoyed by a client’s demanding behaviors and becomes angry when the client consistently exceeds established limits. The nurse should:
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #7
1.Discuss his/her feelings with the nurse manager.2.Point out other colleagues’ inappropriate responses
to the client.3.Avoid working with this client.4.Realize that s/he is the only nurse willing to work
with this client.
8
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #7
Answer #1 is correct. The nurse should discuss his/her feelings with the nurse manager to gain insight and self-awareness. It may lead to behaviors that support a more therapeutic communication with the client.
Synthesis level
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #8
A client is placed on Isocarboxazid (Marplan). The nurse should teach the client and family that headaches and elevated blood pressure may be caused by:
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #8
1.Anticholinergic effects. 2.The intake of tyramine-rich agents.3.Hyperglycemia.4.An infection.
9
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #8
Answer #2 is correct. Marplan is a monoamine oxidase inhibitor (MAOI) and requires the use of a low-tyramine diet.
Analysis level
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #9
Which intervention should the nurse plan to implement to decrease a client’s negative view of self?
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #9
1.Set limits on time spent reviewing past failures.2.Client will verbalize positive aspects of self and
increased feelings of self-worth.3.To minimize negative self-view4.To counteract negative self-view and increase self
worth.
10
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #9
Answer #1 is correct. Setting limits on time spent reviewing past failures is an intervention.
Application level
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #10
A client has poor self esteem. Which outcome would the nurse consider most appropriate?
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Question #10
1.Expresses satisfaction with current life circumstances.
2.Ability to choose between two or more alternatives. 3.Personal judgment of self worth.4.An internal state of optimism that is personally
satisfying and life supporting.
11
Copyright ©2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458
All rights reserved.Contemporary Psychiatric-Mental Health Nursing, Second EditionCarol R. Kneisl and Eileen Trigoboff
Rationale #10
Answer #3 is correct. Personal judgment of self worth is the most appropriate outcome.
Application level
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