NR 326 FINAL EXAM 2 LATEST VERSIONS /NUR 326 MENTAL
HEALTH FINAL EXAM VERSION A AND VERSION B ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWER
Depression - ANSWER: - an alteration in mood that is expressed by feelings of
sadness, despair and pessimism.
- loss of interest in usual activities and somatic complaints, changes in appetite and
sleep patterns
Depression: Predisposing Factors - ANSWER: - unclear, no single cause
- genetics
- deficiency in monoamine neutotransmitters
Learning Theory - ANSWER: learned helplessness
Cognitives Theory - ANSWER: thought distortions resulting in negative thought
patterns
Transactional Model - ANSWER: no single cause
Major Depressive Disorder - ANSWER: - depressed mood
- loss of interest or pleasure in usual activities
- symptoms have been present for 2 weeks
- significant change in normal functioning
- recurrent thoughts of death, suicide
Persistent Depressive Disorder (Dysthymia) - ANSWER: - sad, down in the dumps
- changes in normal functioning
- chronically depressed mood for most of the day, more days than not, for 2 years
- no suicidal ideation
Premenstrual Dysphoric Disorder - ANSWER: - depressed mood
- anxiety
- mood swings
- decreased interest in activities
- begin during week prior to menses, start to improve within few days of onset of
menses
Risk for Harm: The Suicidal Patient - ANSWER: - assess ideation
- plan
- means
- opportunity
- lethality
Suicide Precaution - ANSWER: - provide safety from suicidal actions
, - maintain appropriate level of suicide precaution
Nursing Interventions for Depression (active) - ANSWER: - don't push decision
making
- begin client with one to one activities
- use encouragement to participate in unit activities
- provide activities for easy mastery (focus on strengths)
- engage in gross motor activities
Nursing Interventions for Depression (communication) - ANSWER: - mute-make
observations
- simple, concrete words
- allow time to respond
- listen for covert messages
Nursing Interventions for Depression - ANSWER: - nutrition
- adl's
- sleep patterns
- altered thought processes
Hamilton Depression Scale Scoring - ANSWER: 0-6 (No Evidence of Depression)
7-17 (Mild Depression)
18-24 (Moderate Depression)
>24 (Severe Depression)
Transient Depression - ANSWER: symptoms not necessarily dysfunctional
Mild Depression - ANSWER: Symptoms identified by those associated with normal
grieving
Moderate Depression - ANSWER: symptoms associated with dysthymic disorders
Severe Depression - ANSWER: symptoms intensified from moderate depression
Determining Suicidal Intent - ANSWER: - have you ever thought about harming
yourself
- plans, means, opportunity and lethality
- more specific the plan more likely they'll go through with it.
Suicidal Interventions - ANSWER: - positive regard
- encourage patient to talk about feelings
- suicide precautions
- antidepressants
Electroconvulsive Therapy: Procedure - ANSWER: - the induction of a grand mal
seizure through the application of electrical current to the brain
- usually 6-12 treatments every other day, three times per week
HEALTH FINAL EXAM VERSION A AND VERSION B ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWER
Depression - ANSWER: - an alteration in mood that is expressed by feelings of
sadness, despair and pessimism.
- loss of interest in usual activities and somatic complaints, changes in appetite and
sleep patterns
Depression: Predisposing Factors - ANSWER: - unclear, no single cause
- genetics
- deficiency in monoamine neutotransmitters
Learning Theory - ANSWER: learned helplessness
Cognitives Theory - ANSWER: thought distortions resulting in negative thought
patterns
Transactional Model - ANSWER: no single cause
Major Depressive Disorder - ANSWER: - depressed mood
- loss of interest or pleasure in usual activities
- symptoms have been present for 2 weeks
- significant change in normal functioning
- recurrent thoughts of death, suicide
Persistent Depressive Disorder (Dysthymia) - ANSWER: - sad, down in the dumps
- changes in normal functioning
- chronically depressed mood for most of the day, more days than not, for 2 years
- no suicidal ideation
Premenstrual Dysphoric Disorder - ANSWER: - depressed mood
- anxiety
- mood swings
- decreased interest in activities
- begin during week prior to menses, start to improve within few days of onset of
menses
Risk for Harm: The Suicidal Patient - ANSWER: - assess ideation
- plan
- means
- opportunity
- lethality
Suicide Precaution - ANSWER: - provide safety from suicidal actions
, - maintain appropriate level of suicide precaution
Nursing Interventions for Depression (active) - ANSWER: - don't push decision
making
- begin client with one to one activities
- use encouragement to participate in unit activities
- provide activities for easy mastery (focus on strengths)
- engage in gross motor activities
Nursing Interventions for Depression (communication) - ANSWER: - mute-make
observations
- simple, concrete words
- allow time to respond
- listen for covert messages
Nursing Interventions for Depression - ANSWER: - nutrition
- adl's
- sleep patterns
- altered thought processes
Hamilton Depression Scale Scoring - ANSWER: 0-6 (No Evidence of Depression)
7-17 (Mild Depression)
18-24 (Moderate Depression)
>24 (Severe Depression)
Transient Depression - ANSWER: symptoms not necessarily dysfunctional
Mild Depression - ANSWER: Symptoms identified by those associated with normal
grieving
Moderate Depression - ANSWER: symptoms associated with dysthymic disorders
Severe Depression - ANSWER: symptoms intensified from moderate depression
Determining Suicidal Intent - ANSWER: - have you ever thought about harming
yourself
- plans, means, opportunity and lethality
- more specific the plan more likely they'll go through with it.
Suicidal Interventions - ANSWER: - positive regard
- encourage patient to talk about feelings
- suicide precautions
- antidepressants
Electroconvulsive Therapy: Procedure - ANSWER: - the induction of a grand mal
seizure through the application of electrical current to the brain
- usually 6-12 treatments every other day, three times per week
