contemporary psychiatric-mental health nursing · title: microsoft powerpoint - kneisl_crs_ch17...

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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



Question #1

The nurse would expect the client with major depressive disorder to have:



Question #1

1.Flight of ideas.2.Euphoria or irritability. 3.Anergia.4.Grandiosity.

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Rationale #1

Answer #3 is correct. People with depression may have anergia or lack of energy.

Application level



Question #2

The major difference between hypomania and mania is that in hypomania the client:



Question #2

1.Does not require hospitalization2.Has psychotic features.3. Is more extreme.4.Behavior is excessive.

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Rationale #2

Answer #1 is correct. Hypomania does not require hospitalization because it does not markedly impair functioning.

Analysis level



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:



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?”

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Rationale #3

Answer #3 is correct. Feelings of worthlessness or excessive or inappropriate guilt every day are symptoms of major depressive disorder.

Evaluation level



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:



Question #4

1.Anticipatory grief.2.Normal grief.3.Dysfunctional grieving.4.Bereavement.

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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



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:



Question #5

1.Learned helplessness.2.Unsatisfactory mother-infant relationship.3.Object loss.4.Biologic factors.

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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



Question #6

Animal studies have demonstrated that:



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.

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Rationale #6

Answer #4 is correct. Alcohol and antimanic drugs slow the biological clock.

Evaluation level



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:



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.

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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



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:



Question #8

1.Anticholinergic effects. 2.The intake of tyramine-rich agents.3.Hyperglycemia.4.An infection.

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Rationale #8

Answer #2 is correct. Marplan is a monoamine oxidase inhibitor (MAOI) and requires the use of a low-tyramine diet.

Analysis level



Question #9

Which intervention should the nurse plan to implement to decrease a client’s negative view of self?



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.

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Rationale #9

Answer #1 is correct. Setting limits on time spent reviewing past failures is an intervention.

Application level



Question #10

A client has poor self esteem. Which outcome would the nurse consider most appropriate?



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.

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Rationale #10

Answer #3 is correct. Personal judgment of self worth is the most appropriate outcome.

Application level

contemporary psychiatric-mental health nursing · title: microsoft powerpoint - kneisl_crs_ch17...

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