Rasmussen NUR 2488 Exam 2, Fall
with complete verified solutions
2025-2026
Common symptoms of depression - answer Suicidal ideations, lack of
judgement, memory difficulty, dfficulty with simple taks, difficulty making
decisions, feelings of helplessness, questioning the meaning of life,
feelings of worthlessness, anhedonia
Beck's cognitive triad - answer
Risk for suicide, questions to ask patient - answer have you thought about
hurking/killing yourself, do you have a plan, how would you carry out that
plan
High risk for suicide - answer Psychiatric disorder with severe symptoms
of acute precipitating event protective factors not relevant, Potentially
lethal suicide attempt or persistent ideation with strong intent or suicide
rehearsal
nursing diagnosis for depression patients - answer When a patient is
mute, use the technique of making observations: "There are many new
pictures on the wall" or "You are wearing your new shoes.". Use simple,
concrete words.
Allow time for the patient to respond. Listen for covert messages and ask
about suicide plans: "Have you had thoughts of killing or harming yourself
in any way?". Avoid platitudes such as, "Things will look up" or "Everyone
gets down once in a while."
communication interventions in depression - answer Help the patient
question underlying assumptions and beliefs and consider an alternate
explanation to problems. Work with the patient to identify cognitive
distortions that encourage negative self-appraisal. Encourage activities
that can raise self-esteem. Identify the need for (a) problem-solving skills,
(b) coping skills, and (c) assertiveness skills.
,Discuss physical activities the patient enjoys.
Encourage formation of supportive relationships, such as through support
groups, therapy, and peer support. Provide information referrals, when
needed, for spiritual/religious information (e.g., readings, programs,
tapes, community resources).
Interventions for physical needs in depressed patients - answer Offer
small, high-calorie, and high-protein snacks frequently throughout the day
and evening, Weigh the patient weekly and observe the patient's eating
patterns, Provide periods of rest after activities, Monitor intake and
output, especially bowel movements, Evaluate the need for laxatives and
enemas.
Commonly used SSRI's - answer Citalopram, Escitalopram, Fluoxetine,
Paroxetine, Sertraline
Commonly used TCA's - answer Amitriptyline, Clomipramine, Desipramine,
Doxepin, Imipramine, Nortriptyline, Trimipramine
Commonly Used MAOI's - answer isocarboxazid, phenelzine,
tranylcypromine, selegiline
Potential effects of norepinephrine blockers - answer Decreased
depression, Tremors, Tachycardia, Erectile and/or ejaculatory dysfunction
Potential effects of specific epinephrine blockers - answer Antipsychotic
effect, Postural hypotension, Dizziness, Reflux tachycardia, Ejaculatory
dysfunction and/or impotence, Memory dysfunction
Potential effects of specific norepinephrine blockers - answer priapism
Potential effects of serotonin receptor blocker - answer Decreased
depression, Antianxiety effects, Gastrointestinal disturbance, Sexual
dysfunction
, Potential effects of serotonin 2 receptor blockers - answer Decreased
depression, Decreased suicidal behavior, Antipsychotic effects,
Hypotension, Ejaculatory dysfunction, Weight gain and carbohydrate
craving
Potential effect of dopamine reuptake blocked - answer Decreased
psychosis, Psychomotor agitation, Parkinsonian effect
Effect of acetylcholine receptor blocker - answer Anticholinergic effects
Potential effect of histamine receptor blockers - answer Sedation, Weight
gain, Cognitive impairment
Advantages of citalopram/ Celexa - answer Minimal interaction with other
drugs, minimal weight gain, sedation
Disadvantages of citalopram/ Celexa - answer Possible initial anxiety
Advantages of escitalopram/ Lexapro - answer Minimal interaction, low
sedation, and weight gain
Disadvantages of escitalopram/ Lexapro - answer Possible initial anxiety
Advantages of fluoxetine/ Prozac - answer energizing
Disadvantages of fluoxetine/ Prozac - answer Possible interaction with
other drugs, initial anxiety
Advantages of paroxetine/ Paxil - answer good anti-anxiety benefits
Disadvantages of paroxetine/ Paxil - answer Weight gain, interacts with
other meds, contraindicated in pregnancy
with complete verified solutions
2025-2026
Common symptoms of depression - answer Suicidal ideations, lack of
judgement, memory difficulty, dfficulty with simple taks, difficulty making
decisions, feelings of helplessness, questioning the meaning of life,
feelings of worthlessness, anhedonia
Beck's cognitive triad - answer
Risk for suicide, questions to ask patient - answer have you thought about
hurking/killing yourself, do you have a plan, how would you carry out that
plan
High risk for suicide - answer Psychiatric disorder with severe symptoms
of acute precipitating event protective factors not relevant, Potentially
lethal suicide attempt or persistent ideation with strong intent or suicide
rehearsal
nursing diagnosis for depression patients - answer When a patient is
mute, use the technique of making observations: "There are many new
pictures on the wall" or "You are wearing your new shoes.". Use simple,
concrete words.
Allow time for the patient to respond. Listen for covert messages and ask
about suicide plans: "Have you had thoughts of killing or harming yourself
in any way?". Avoid platitudes such as, "Things will look up" or "Everyone
gets down once in a while."
communication interventions in depression - answer Help the patient
question underlying assumptions and beliefs and consider an alternate
explanation to problems. Work with the patient to identify cognitive
distortions that encourage negative self-appraisal. Encourage activities
that can raise self-esteem. Identify the need for (a) problem-solving skills,
(b) coping skills, and (c) assertiveness skills.
,Discuss physical activities the patient enjoys.
Encourage formation of supportive relationships, such as through support
groups, therapy, and peer support. Provide information referrals, when
needed, for spiritual/religious information (e.g., readings, programs,
tapes, community resources).
Interventions for physical needs in depressed patients - answer Offer
small, high-calorie, and high-protein snacks frequently throughout the day
and evening, Weigh the patient weekly and observe the patient's eating
patterns, Provide periods of rest after activities, Monitor intake and
output, especially bowel movements, Evaluate the need for laxatives and
enemas.
Commonly used SSRI's - answer Citalopram, Escitalopram, Fluoxetine,
Paroxetine, Sertraline
Commonly used TCA's - answer Amitriptyline, Clomipramine, Desipramine,
Doxepin, Imipramine, Nortriptyline, Trimipramine
Commonly Used MAOI's - answer isocarboxazid, phenelzine,
tranylcypromine, selegiline
Potential effects of norepinephrine blockers - answer Decreased
depression, Tremors, Tachycardia, Erectile and/or ejaculatory dysfunction
Potential effects of specific epinephrine blockers - answer Antipsychotic
effect, Postural hypotension, Dizziness, Reflux tachycardia, Ejaculatory
dysfunction and/or impotence, Memory dysfunction
Potential effects of specific norepinephrine blockers - answer priapism
Potential effects of serotonin receptor blocker - answer Decreased
depression, Antianxiety effects, Gastrointestinal disturbance, Sexual
dysfunction
, Potential effects of serotonin 2 receptor blockers - answer Decreased
depression, Decreased suicidal behavior, Antipsychotic effects,
Hypotension, Ejaculatory dysfunction, Weight gain and carbohydrate
craving
Potential effect of dopamine reuptake blocked - answer Decreased
psychosis, Psychomotor agitation, Parkinsonian effect
Effect of acetylcholine receptor blocker - answer Anticholinergic effects
Potential effect of histamine receptor blockers - answer Sedation, Weight
gain, Cognitive impairment
Advantages of citalopram/ Celexa - answer Minimal interaction with other
drugs, minimal weight gain, sedation
Disadvantages of citalopram/ Celexa - answer Possible initial anxiety
Advantages of escitalopram/ Lexapro - answer Minimal interaction, low
sedation, and weight gain
Disadvantages of escitalopram/ Lexapro - answer Possible initial anxiety
Advantages of fluoxetine/ Prozac - answer energizing
Disadvantages of fluoxetine/ Prozac - answer Possible interaction with
other drugs, initial anxiety
Advantages of paroxetine/ Paxil - answer good anti-anxiety benefits
Disadvantages of paroxetine/ Paxil - answer Weight gain, interacts with
other meds, contraindicated in pregnancy
