NUR 4290 LATEST 2026 TEST PAPER QUESTIONS AND
ANSWERS RATED A+
✔✔A patient diagnosed with major depressive disorder received six ECT sessions and
aggressive
doses of antidepressant medication. The patient owns a small business and was
counseled not
to make major decisions for a month. Select the correct rationale for this counseling.
a. Antidepressant medications alter catecholamine levels, which impairs decision-
making
abilities.
b. Antidepressant medications may cause confusion related to limitation of tyramine in
the
diet.
c. Temporary memory impairments and confusion may occur with ECT.
d. The patient needs time to readjust to a pressured work schedule. - ✔✔ANS: C
✔✔A nurse instructs a patient taking a medication that inhibits the action of monoamine
oxidase
(MAO) to avoid certain foods and drugs because of the risk of
a. hypotensive shock.
b. hypertensive crisis.
c. cardiac dysrhythmia.
d. cardiogenic shock. - ✔✔ANS: B
✔✔Transcranial Magnetic Stimulation (TCM) is scheduled for a patient diagnosed with
major
depressive disorder. Which comment by the patient indicates teaching about the
procedure
was effective?
a. "They will put me to sleep during the procedure so I won't know what is happening."
b. "I might be a little dizzy or have a mild headache after each procedure."
c. "I will be unable to care for my children for about 2 months."
d. "I will avoid eating foods that contain tyramine." - ✔✔ANS: B
✔✔The admission note indicates a patient diagnosed with major depressive disorder
has anergia
and anhedonia. For which measures should the nurse plan? (Select all that apply.) a.
Channeling excessive energy
b. Reducing guilty ruminations
c. Instilling a sense of hopefulness
d. Assisting with self-care activities
e. Accommodating psychomotor retardation - ✔✔ANS: C, D, E
,✔✔A nurse caring for a patient diagnosed with major depressive disorder reads in the
patient's
medical record, "This patient shows vegetative signs of depression." Which nursing
diagnoses
most clearly relate to this documentation? (Select all that apply.) a. Imbalanced
nutrition: less
than body requirements
b. Chronic low self-esteem
c. Sexual dysfunction
d. Self-care deficit
e. Powerlessness
f. Insomnia - ✔✔ANS: A, C, D, F
✔✔A patient diagnosed with major depressive disorder shows vegetative signs of
depression.
Which nursing actions should be implemented? (Select all that apply.) a. Offer laxatives
if
needed.
b. Monitor food and fluid intake.
c. Provide a quiet sleep environment.
d. Eliminate all daily caffeine intake.
e. Restrict intake of processed foods. - ✔✔ANS: A, B, C
✔✔A patient being treated with paroxetine 50 mg po daily reports to the clinic nurse, "I
took a
few extra tablets earlier today and now I feel bad." Which assessments are most
critical?
(Select all that apply.) a. Vital signs
b. Urinary frequency
c. Psychomotor retardation
d. Presence of abdominal pain and diarrhea
e. Hyperactivity or feelings of restlessness - ✔✔ANS: A, D, E
✔✔An adult outpatient diagnosed with major depressive disorder has a history of
several suicide
attempts by overdose. Given this patient's history and diagnosis, which antidepressant
medication would the nurse expect to be prescribed?
a. Amitriptyline
b. Fluoxetine
c. Desipramine
d. Tranylcypromine sulfate nurse expect to be prescribed? a. Amitriptyline b. Fluoxetine
c. Desipramine d. Tranylcypromine sulfate - ✔✔ANS: B
✔✔Four individuals have given information about their suicide plans. Which plan
evidences the
, highest suicide risk?
a. Turning on the oven and letting gas escape into the apartment during the night
b. Cutting the wrists in the bathroom while the spouse reads in the next room
c. Overdosing on aspirin with codeine while the spouse is out with friends
d. Jumping from a railroad bridge located in a deserted area late at night - ✔✔d.
Jumping from a railroad bridge located in a deserted area late at night
✔✔Which measure would be considered a form of primary prevention for suicide?
a. Psychiatric hospitalization of a suicidal patient
b. Referral of a formerly suicidal patient to a support group
c. Suicide precautions for 24 hours for newly admitted patients
d. Helping school children learn to manage stress and be resilient - ✔✔ANS: D
✔✔Which change in the brain's biochemical function is most associated with suicidal
behavior?
a. Dopamine excess
b. Serotonin deficiency
c. Acetylcholine excess
d. γ-aminobutyric acid deficiency - ✔✔b. Serotonin deficiency
✔✔A college student who failed two tests cried for hours and then tried to telephone a
parent but
got no answer. The student then gave several expensive sweaters to a roommate and
asked to be
left alone for a few hours. Which behavior provides the strongest clue of an impending
suicide
attempt?
a. Calling parents
b. Excessive crying
c. Giving away sweaters
d. Staying alone in dorm room - ✔✔ANS: C
✔✔A nurse uses the SAD PERSONS scale to interview a patient. This tool provides
data relevant
to
a. current stress level.
b. mood disturbance.
c. suicide potential.
d. level of anxiety. - ✔✔c. suicide potential.
✔✔A person intentionally overdosed on antidepressants. Which nursing diagnosis has
the highest
priority?
a. Powerlessness
b. Social isolation
ANSWERS RATED A+
✔✔A patient diagnosed with major depressive disorder received six ECT sessions and
aggressive
doses of antidepressant medication. The patient owns a small business and was
counseled not
to make major decisions for a month. Select the correct rationale for this counseling.
a. Antidepressant medications alter catecholamine levels, which impairs decision-
making
abilities.
b. Antidepressant medications may cause confusion related to limitation of tyramine in
the
diet.
c. Temporary memory impairments and confusion may occur with ECT.
d. The patient needs time to readjust to a pressured work schedule. - ✔✔ANS: C
✔✔A nurse instructs a patient taking a medication that inhibits the action of monoamine
oxidase
(MAO) to avoid certain foods and drugs because of the risk of
a. hypotensive shock.
b. hypertensive crisis.
c. cardiac dysrhythmia.
d. cardiogenic shock. - ✔✔ANS: B
✔✔Transcranial Magnetic Stimulation (TCM) is scheduled for a patient diagnosed with
major
depressive disorder. Which comment by the patient indicates teaching about the
procedure
was effective?
a. "They will put me to sleep during the procedure so I won't know what is happening."
b. "I might be a little dizzy or have a mild headache after each procedure."
c. "I will be unable to care for my children for about 2 months."
d. "I will avoid eating foods that contain tyramine." - ✔✔ANS: B
✔✔The admission note indicates a patient diagnosed with major depressive disorder
has anergia
and anhedonia. For which measures should the nurse plan? (Select all that apply.) a.
Channeling excessive energy
b. Reducing guilty ruminations
c. Instilling a sense of hopefulness
d. Assisting with self-care activities
e. Accommodating psychomotor retardation - ✔✔ANS: C, D, E
,✔✔A nurse caring for a patient diagnosed with major depressive disorder reads in the
patient's
medical record, "This patient shows vegetative signs of depression." Which nursing
diagnoses
most clearly relate to this documentation? (Select all that apply.) a. Imbalanced
nutrition: less
than body requirements
b. Chronic low self-esteem
c. Sexual dysfunction
d. Self-care deficit
e. Powerlessness
f. Insomnia - ✔✔ANS: A, C, D, F
✔✔A patient diagnosed with major depressive disorder shows vegetative signs of
depression.
Which nursing actions should be implemented? (Select all that apply.) a. Offer laxatives
if
needed.
b. Monitor food and fluid intake.
c. Provide a quiet sleep environment.
d. Eliminate all daily caffeine intake.
e. Restrict intake of processed foods. - ✔✔ANS: A, B, C
✔✔A patient being treated with paroxetine 50 mg po daily reports to the clinic nurse, "I
took a
few extra tablets earlier today and now I feel bad." Which assessments are most
critical?
(Select all that apply.) a. Vital signs
b. Urinary frequency
c. Psychomotor retardation
d. Presence of abdominal pain and diarrhea
e. Hyperactivity or feelings of restlessness - ✔✔ANS: A, D, E
✔✔An adult outpatient diagnosed with major depressive disorder has a history of
several suicide
attempts by overdose. Given this patient's history and diagnosis, which antidepressant
medication would the nurse expect to be prescribed?
a. Amitriptyline
b. Fluoxetine
c. Desipramine
d. Tranylcypromine sulfate nurse expect to be prescribed? a. Amitriptyline b. Fluoxetine
c. Desipramine d. Tranylcypromine sulfate - ✔✔ANS: B
✔✔Four individuals have given information about their suicide plans. Which plan
evidences the
, highest suicide risk?
a. Turning on the oven and letting gas escape into the apartment during the night
b. Cutting the wrists in the bathroom while the spouse reads in the next room
c. Overdosing on aspirin with codeine while the spouse is out with friends
d. Jumping from a railroad bridge located in a deserted area late at night - ✔✔d.
Jumping from a railroad bridge located in a deserted area late at night
✔✔Which measure would be considered a form of primary prevention for suicide?
a. Psychiatric hospitalization of a suicidal patient
b. Referral of a formerly suicidal patient to a support group
c. Suicide precautions for 24 hours for newly admitted patients
d. Helping school children learn to manage stress and be resilient - ✔✔ANS: D
✔✔Which change in the brain's biochemical function is most associated with suicidal
behavior?
a. Dopamine excess
b. Serotonin deficiency
c. Acetylcholine excess
d. γ-aminobutyric acid deficiency - ✔✔b. Serotonin deficiency
✔✔A college student who failed two tests cried for hours and then tried to telephone a
parent but
got no answer. The student then gave several expensive sweaters to a roommate and
asked to be
left alone for a few hours. Which behavior provides the strongest clue of an impending
suicide
attempt?
a. Calling parents
b. Excessive crying
c. Giving away sweaters
d. Staying alone in dorm room - ✔✔ANS: C
✔✔A nurse uses the SAD PERSONS scale to interview a patient. This tool provides
data relevant
to
a. current stress level.
b. mood disturbance.
c. suicide potential.
d. level of anxiety. - ✔✔c. suicide potential.
✔✔A person intentionally overdosed on antidepressants. Which nursing diagnosis has
the highest
priority?
a. Powerlessness
b. Social isolation
