MENTAL HEALTH
NURSING
MOD 1 EXAM
QNS & ANS
20232024
,1. A patient diagnosed with major depressive disorder is receiving imipramine (Tofranil) 200 mg every night
at bedtime. Which assessment finding would prompt the nurse to collaborate with the health care provider
regarding potentially hazardous side effects of this drug?
a. Dry mouth
b. Blurred vision
c. Nasal congestion
d. Urinary retention
2. A patient diagnosed with major depressive disorder tells the nurse, Bad things that happen are always my
fault. To assist the patient in reframing this overgeneralization, the nurse should respond:
a. I really doubt that one person can be blamed for all the bad things that happen.
b. Lets look at one bad thing that happened to see if another explanation exists.
c. You are being exceptionally hard on yourself when you say those things.
d. How does your belief in fate relate to your cultural heritage?
3. A nurse worked with a patient diagnosed with major depressive disorder who was severely withdrawn and
dependent on others. After 3 weeks, the patient did not improve. The nurse is at risk for feelings of:
a. overinvolvement.
b. guilt and despair.
c. interest and pleasure.
d. ineffectiveness and frustration.
4. A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI)
antidepressant therapy. Priority information given to the patient and family should include a directive to:
a. avoid exposure to bright sunlight.
b. report increased suicidal thoughts.
c. restrict sodium intake to 1 g daily.
d. maintain a tyramine-free diet.
5. A nurse teaching a patient about a tyramine-restricted diet would approve which meal?
a. Mashed potatoes, ground beef patty, corn, green beans, apple pie
b. Avocado salad, ham, creamed potatoes, asparagus, chocolate cake
c. Macaroni and cheese, hot dogs, banana bread, caffeinated coffee
d. Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls
6. What is the focus of priority nursing interventions for the period immediately after electroconvulsive
therapy treatment?
a. Supporting physiologic stability
b. Reducing disorientation and confusion
c. Monitoring pupillary responses
d. Assisting the patient to identify and test negative thoughts
7. A nurse provided medication education for a patient who takes phenelzine (Nardil) for depression. Which
behavior indicates effective learning? The patient:
a. monitors sodium intake and weight daily.
b. wears support stockings and elevates the legs when sitting.
, c. consults the pharmacist when selecting over-the-counter medications.
d. can identify foods with high selenium content, which should be avoided.
8. A patients employment is terminated and major depressive disorder results. The patient says to the nurse,
Im not worth the time you spend with me. Im the most useless person in the world. Which nursing diagnosis
applies?
a. Powerlessness
b. Defensive coping
c. Situational low self-esteem
d. Disturbed personal identity
9. A patient diagnosed with major depressive disorder does not interact with others except when addressed
and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the
patient. Select the nurses most effective approach to communication.
a. Make observations.
b. Ask the patient direct questions.
c. Phrase questions to require yes or no answers.
d. Frequently reassure the patient to reduce guilt feelings.
10. A patient being treated for major depressive disorder has taken 300 mg amitriptyline (Elavil) daily for a
year. The patient calls the case manager at the clinic and says, I stopped taking my antidepressant 2 days ago.
Now I am having cold sweats, nausea, a rapid heartbeat, and nightmares. The nurse should advise the
patient:
a. Go to the nearest emergency department immediately.
b. Do not to be alarmed. Take two aspirin and drink plenty of fluids.
c. Take one dose of the antidepressant. Come to the clinic to see the health care provider.
d. Resume taking the antidepressant for 2 more weeks, and then discontinue it again.
11. Which documentation indicates the treatment plan of a patient diagnosed with major depressive disorder
was effective?
a. Slept 6 hours uninterrupted. Sang with activity group. Anticipates seeing grandchild.
b. Slept 10 hours uninterrupted. Attended craft group; stated project was a failure, just like me.
c. Slept 5 hours with brief interruptions. Personal hygiene adequate with assistance. Weight loss of 1 pound.
d. Slept 7 hours uninterrupted. Preoccupied with perceived inadequacies. States, I feel tired all the time.
12. A woman gave birth to a healthy newborn 1 month ago. The patient now reports she cannot cope and is
unable to sleep or eat. She says, I feel like a failure. This baby is the root of my problems. The priority nursing
diagnosis is:
a. Insomnia
b. Ineffective coping
c. Situational low self-esteem
d. Risk for other-directed violence
13. A patient diagnosed with major depressive disorder repeatedly tells staff members, I have cancer. Its my
punishment for being a bad person. Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.
a. Powerlessness
b. Risk for suicide
c. Stress overload
d. Spiritual distress
14. Which beverage should the nurse offer to a patient diagnosed with major depressive disorder who refuses
solid food?
a. Tomato juice
b. Orange juice
NURSING
MOD 1 EXAM
QNS & ANS
20232024
,1. A patient diagnosed with major depressive disorder is receiving imipramine (Tofranil) 200 mg every night
at bedtime. Which assessment finding would prompt the nurse to collaborate with the health care provider
regarding potentially hazardous side effects of this drug?
a. Dry mouth
b. Blurred vision
c. Nasal congestion
d. Urinary retention
2. A patient diagnosed with major depressive disorder tells the nurse, Bad things that happen are always my
fault. To assist the patient in reframing this overgeneralization, the nurse should respond:
a. I really doubt that one person can be blamed for all the bad things that happen.
b. Lets look at one bad thing that happened to see if another explanation exists.
c. You are being exceptionally hard on yourself when you say those things.
d. How does your belief in fate relate to your cultural heritage?
3. A nurse worked with a patient diagnosed with major depressive disorder who was severely withdrawn and
dependent on others. After 3 weeks, the patient did not improve. The nurse is at risk for feelings of:
a. overinvolvement.
b. guilt and despair.
c. interest and pleasure.
d. ineffectiveness and frustration.
4. A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI)
antidepressant therapy. Priority information given to the patient and family should include a directive to:
a. avoid exposure to bright sunlight.
b. report increased suicidal thoughts.
c. restrict sodium intake to 1 g daily.
d. maintain a tyramine-free diet.
5. A nurse teaching a patient about a tyramine-restricted diet would approve which meal?
a. Mashed potatoes, ground beef patty, corn, green beans, apple pie
b. Avocado salad, ham, creamed potatoes, asparagus, chocolate cake
c. Macaroni and cheese, hot dogs, banana bread, caffeinated coffee
d. Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls
6. What is the focus of priority nursing interventions for the period immediately after electroconvulsive
therapy treatment?
a. Supporting physiologic stability
b. Reducing disorientation and confusion
c. Monitoring pupillary responses
d. Assisting the patient to identify and test negative thoughts
7. A nurse provided medication education for a patient who takes phenelzine (Nardil) for depression. Which
behavior indicates effective learning? The patient:
a. monitors sodium intake and weight daily.
b. wears support stockings and elevates the legs when sitting.
, c. consults the pharmacist when selecting over-the-counter medications.
d. can identify foods with high selenium content, which should be avoided.
8. A patients employment is terminated and major depressive disorder results. The patient says to the nurse,
Im not worth the time you spend with me. Im the most useless person in the world. Which nursing diagnosis
applies?
a. Powerlessness
b. Defensive coping
c. Situational low self-esteem
d. Disturbed personal identity
9. A patient diagnosed with major depressive disorder does not interact with others except when addressed
and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the
patient. Select the nurses most effective approach to communication.
a. Make observations.
b. Ask the patient direct questions.
c. Phrase questions to require yes or no answers.
d. Frequently reassure the patient to reduce guilt feelings.
10. A patient being treated for major depressive disorder has taken 300 mg amitriptyline (Elavil) daily for a
year. The patient calls the case manager at the clinic and says, I stopped taking my antidepressant 2 days ago.
Now I am having cold sweats, nausea, a rapid heartbeat, and nightmares. The nurse should advise the
patient:
a. Go to the nearest emergency department immediately.
b. Do not to be alarmed. Take two aspirin and drink plenty of fluids.
c. Take one dose of the antidepressant. Come to the clinic to see the health care provider.
d. Resume taking the antidepressant for 2 more weeks, and then discontinue it again.
11. Which documentation indicates the treatment plan of a patient diagnosed with major depressive disorder
was effective?
a. Slept 6 hours uninterrupted. Sang with activity group. Anticipates seeing grandchild.
b. Slept 10 hours uninterrupted. Attended craft group; stated project was a failure, just like me.
c. Slept 5 hours with brief interruptions. Personal hygiene adequate with assistance. Weight loss of 1 pound.
d. Slept 7 hours uninterrupted. Preoccupied with perceived inadequacies. States, I feel tired all the time.
12. A woman gave birth to a healthy newborn 1 month ago. The patient now reports she cannot cope and is
unable to sleep or eat. She says, I feel like a failure. This baby is the root of my problems. The priority nursing
diagnosis is:
a. Insomnia
b. Ineffective coping
c. Situational low self-esteem
d. Risk for other-directed violence
13. A patient diagnosed with major depressive disorder repeatedly tells staff members, I have cancer. Its my
punishment for being a bad person. Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.
a. Powerlessness
b. Risk for suicide
c. Stress overload
d. Spiritual distress
14. Which beverage should the nurse offer to a patient diagnosed with major depressive disorder who refuses
solid food?
a. Tomato juice
b. Orange juice
