VARCAROLIS CHAPTER 14: DEPRESSIVE
DISORDERS
Chapter 14: Depressive Disorders
MULTIPLE CHOICE
1. A patient became severely depressed when the last of the family's six children moved out of
the home 4 months ago. The patient repeatedly says, "No one cares about me. I'm not worth
anything." Which response by the nurse would be the most helpful?
a.
"Things will look brighter soon. Everyone feels down once in a while."
b.
"Our staff members care about you and want to try to help you get better."
c.
"It is difficult for others to care about you when you repeatedly say the same negative things."
d.
"I'll sit with you for 10 minutes now and 10 minutes after lunch to help you feel that I care about
you." - Answer- D
Client Needs: Psychosocial Integrity
2. A patient became depressed after the last of the family's six children moved out of the home 4
months ago. Select the best initial outcome for the nursing diagnosis Situational low self-esteem
related to feelings of abandonment. The patient will:
a.
verbalize realistic positive characteristics about self by (date).
b.
agree to take an antidepressant medication regularly by (date).
c.
initiate social interaction with another person daily by (date).
d.
identify two personal behaviors that alienate others by (date). - Answer- A
Client Needs: Psychosocial Integrity
3. A patient diagnosed with major depression says, "No one cares about me anymore. I'm not
worth anything." Today the patient is wearing a new shirt and has neat, clean hair. Which remark
by the nurse supports building a positive self-esteem for this patient?
a.
"You look nice this morning."
c.
"I like the shirt you are wearing."
b.
"You're wearing a new shirt."
d.
"You must be feeling better today." - Answer- B
, Client Needs: Psychosocial Integrity
4. An adult diagnosed with major depression was treated with medication and cognitive
behavioral therapy. The patient now recognizes how passivity contributed to the depression.
Which intervention should the nurse suggest?
a.
Social skills training
c.
Desensitization techniques
b.
Relaxation training classes
d.
Use of complementary therapy - Answer- A
Client Needs: Psychosocial Integrity
5. Priority interventions for a patient diagnosed with major depression and feelings of
worthlessness should include:
a.
distracting the patient from self-absorption.
b.
careful unobtrusive observation around the clock.
c.
allowing the patient to spend long periods alone in meditation.
d.
opportunities to assume a leadership role in the therapeutic milieu. - Answer- B
Client Needs: Safe, Effective Care Environment
6. When counseling patients diagnosed with major depression, an advanced practice nurse will
address the negative thought patterns by using:
a.
psychoanalytic therapy.
b.
desensitization therapy.
c.
cognitive behavioral therapy.
d.
alternative and complementary therapies. - Answer- C
Client Needs: Psychosocial Integrity
7. A patient says to the nurse, "My life doesn't have any happiness in it anymore. I once enjoyed
holidays, but now they're just another day." The nurse documents this report as an example of:
a.
dysthymia.
c.
euphoria.
b.
DISORDERS
Chapter 14: Depressive Disorders
MULTIPLE CHOICE
1. A patient became severely depressed when the last of the family's six children moved out of
the home 4 months ago. The patient repeatedly says, "No one cares about me. I'm not worth
anything." Which response by the nurse would be the most helpful?
a.
"Things will look brighter soon. Everyone feels down once in a while."
b.
"Our staff members care about you and want to try to help you get better."
c.
"It is difficult for others to care about you when you repeatedly say the same negative things."
d.
"I'll sit with you for 10 minutes now and 10 minutes after lunch to help you feel that I care about
you." - Answer- D
Client Needs: Psychosocial Integrity
2. A patient became depressed after the last of the family's six children moved out of the home 4
months ago. Select the best initial outcome for the nursing diagnosis Situational low self-esteem
related to feelings of abandonment. The patient will:
a.
verbalize realistic positive characteristics about self by (date).
b.
agree to take an antidepressant medication regularly by (date).
c.
initiate social interaction with another person daily by (date).
d.
identify two personal behaviors that alienate others by (date). - Answer- A
Client Needs: Psychosocial Integrity
3. A patient diagnosed with major depression says, "No one cares about me anymore. I'm not
worth anything." Today the patient is wearing a new shirt and has neat, clean hair. Which remark
by the nurse supports building a positive self-esteem for this patient?
a.
"You look nice this morning."
c.
"I like the shirt you are wearing."
b.
"You're wearing a new shirt."
d.
"You must be feeling better today." - Answer- B
, Client Needs: Psychosocial Integrity
4. An adult diagnosed with major depression was treated with medication and cognitive
behavioral therapy. The patient now recognizes how passivity contributed to the depression.
Which intervention should the nurse suggest?
a.
Social skills training
c.
Desensitization techniques
b.
Relaxation training classes
d.
Use of complementary therapy - Answer- A
Client Needs: Psychosocial Integrity
5. Priority interventions for a patient diagnosed with major depression and feelings of
worthlessness should include:
a.
distracting the patient from self-absorption.
b.
careful unobtrusive observation around the clock.
c.
allowing the patient to spend long periods alone in meditation.
d.
opportunities to assume a leadership role in the therapeutic milieu. - Answer- B
Client Needs: Safe, Effective Care Environment
6. When counseling patients diagnosed with major depression, an advanced practice nurse will
address the negative thought patterns by using:
a.
psychoanalytic therapy.
b.
desensitization therapy.
c.
cognitive behavioral therapy.
d.
alternative and complementary therapies. - Answer- C
Client Needs: Psychosocial Integrity
7. A patient says to the nurse, "My life doesn't have any happiness in it anymore. I once enjoyed
holidays, but now they're just another day." The nurse documents this report as an example of:
a.
dysthymia.
c.
euphoria.
b.
