mental health exam #3
Study online at https://quizlet.com/_10rr88
1. At 10:00 P.M., the nurse offers trazodone (Desyrel) 150 milligrams to a newly
admitted client experiencing mania. The client responds, "I feel great, and I
don't need to sleep." The nurse's most therapeutic response is:: You and your family
stated you did not sleep at all last night. That can be tough on your system.
2. During family support group, a family member asks: "How is bipolar disorder
different from depression?" Which of the following is the best response?: Often,
individuals with bipolar disorder can feel elated, are productive, and do not think there is anything wrong when they
have manic feelings.
3. Your client states, "Many of the people in my family experience similar symp-
toms with each depressive episode. Does that mean that we have the same
genetic defect?" Your best response includes which of the following? (Select all
that apply.): Heredity does seem to play a role in mood disorders. You and your family members may have the
same biologic predisposition.
There are probably several genetic or biologic abnormalities associated with depression.
4. Your client states, "I'm going to participate in an experimental brain imaging
study. My primary health care provider thinks I have bipolar I disorder. Are there
lab tests that can help diagnose mood disorders?" Your first response is:: Although
some abnormal results are found in individuals with mood disorders, there are no diagnostic lab tests specific to mood
disorders at this time.
5. You administer the first dose of an antidepressant to your inpatient client
with major depression. The client asks, "Is this medicine going to fix my de-
pression?" Your accurate response includes which of the following? (Select all
that apply.): In addition, we are going to assist you in regulating your circadian rhythms, which should improve
your depression.
It should help your depression, and you should feel the full therapeutic effect in 2 to 3 weeks.
This medication should increase the availability of neurotransmitters in your brain.
6. Based on your knowledge of circadian rhythms, discharge teaching for clients
with mood disorders should include which of the following?: Antidepressants and mood
stabilizers can help restore circadian rhythms.
, mental health exam #3
Study online at https://quizlet.com/_10rr88
7. You are the triage nurse in an emergency room. Your initial assessment
indicates that depression may be part of the client's problem. Which of the
following nursing actions is essential?: Ask about depression and suicidal ideation directly.
8. Your client with intense suicidal ideation has been hospitalized for 1 week,
during which time he has received a selective serotonin reuptake inhibitor
(SSRI). He reports "no change" in suicidal ideation, although he demonstrates
a wider range of affect and takes more initiative in self-care. The health care
team is considering his imminent discharge. It is essential to consider which of
the following factors?: The client may have enough energy to plan and complete a suicide attempt.
9. A colleague expresses frustration with a client with bipolar disorder on his
seventh admission within 2 years. "I wish he would try taking his medication.
Instead he keeps stopping the medicine and coming back here." Your best
initial response is:: It can be frustrating to care for chronically ill clients.
10. Frequent countertransference reactions in caring for clients with mood dis-
orders include (select all that apply):: Rescue fantasy with a depressed client.
Frustration with continued depression.
Emotional contagion.
Anger at help-rejecting behavior.
11. Displacement: Specific phobia
12. Separation anxiety and sudden object loss: Agoraphobia
13. Activation of the locus ceruleus: Panic attacks
14. Alteration in serotonin synthesis: Childhood obsessive-compulsive disorde
15. A client's husband informs you, "She's had GAD for years, and we figured
it would get worse during pregnancy, but instead, she seems more relaxed
than ever before in her adult life." Based on your knowledge of neurobiological
theory, your best response is:: It is possible that progesterone metabolites are actually helping her to
relax.
16. During family support group, a family member states, "I have an anxiety dis-
order, but I never experienced anything like my sister's obsessive-compulsive
Study online at https://quizlet.com/_10rr88
1. At 10:00 P.M., the nurse offers trazodone (Desyrel) 150 milligrams to a newly
admitted client experiencing mania. The client responds, "I feel great, and I
don't need to sleep." The nurse's most therapeutic response is:: You and your family
stated you did not sleep at all last night. That can be tough on your system.
2. During family support group, a family member asks: "How is bipolar disorder
different from depression?" Which of the following is the best response?: Often,
individuals with bipolar disorder can feel elated, are productive, and do not think there is anything wrong when they
have manic feelings.
3. Your client states, "Many of the people in my family experience similar symp-
toms with each depressive episode. Does that mean that we have the same
genetic defect?" Your best response includes which of the following? (Select all
that apply.): Heredity does seem to play a role in mood disorders. You and your family members may have the
same biologic predisposition.
There are probably several genetic or biologic abnormalities associated with depression.
4. Your client states, "I'm going to participate in an experimental brain imaging
study. My primary health care provider thinks I have bipolar I disorder. Are there
lab tests that can help diagnose mood disorders?" Your first response is:: Although
some abnormal results are found in individuals with mood disorders, there are no diagnostic lab tests specific to mood
disorders at this time.
5. You administer the first dose of an antidepressant to your inpatient client
with major depression. The client asks, "Is this medicine going to fix my de-
pression?" Your accurate response includes which of the following? (Select all
that apply.): In addition, we are going to assist you in regulating your circadian rhythms, which should improve
your depression.
It should help your depression, and you should feel the full therapeutic effect in 2 to 3 weeks.
This medication should increase the availability of neurotransmitters in your brain.
6. Based on your knowledge of circadian rhythms, discharge teaching for clients
with mood disorders should include which of the following?: Antidepressants and mood
stabilizers can help restore circadian rhythms.
, mental health exam #3
Study online at https://quizlet.com/_10rr88
7. You are the triage nurse in an emergency room. Your initial assessment
indicates that depression may be part of the client's problem. Which of the
following nursing actions is essential?: Ask about depression and suicidal ideation directly.
8. Your client with intense suicidal ideation has been hospitalized for 1 week,
during which time he has received a selective serotonin reuptake inhibitor
(SSRI). He reports "no change" in suicidal ideation, although he demonstrates
a wider range of affect and takes more initiative in self-care. The health care
team is considering his imminent discharge. It is essential to consider which of
the following factors?: The client may have enough energy to plan and complete a suicide attempt.
9. A colleague expresses frustration with a client with bipolar disorder on his
seventh admission within 2 years. "I wish he would try taking his medication.
Instead he keeps stopping the medicine and coming back here." Your best
initial response is:: It can be frustrating to care for chronically ill clients.
10. Frequent countertransference reactions in caring for clients with mood dis-
orders include (select all that apply):: Rescue fantasy with a depressed client.
Frustration with continued depression.
Emotional contagion.
Anger at help-rejecting behavior.
11. Displacement: Specific phobia
12. Separation anxiety and sudden object loss: Agoraphobia
13. Activation of the locus ceruleus: Panic attacks
14. Alteration in serotonin synthesis: Childhood obsessive-compulsive disorde
15. A client's husband informs you, "She's had GAD for years, and we figured
it would get worse during pregnancy, but instead, she seems more relaxed
than ever before in her adult life." Based on your knowledge of neurobiological
theory, your best response is:: It is possible that progesterone metabolites are actually helping her to
relax.
16. During family support group, a family member states, "I have an anxiety dis-
order, but I never experienced anything like my sister's obsessive-compulsive
