Comprehensive Questions

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Total Questions : 23

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Question 1:

A client whose husband died 6 months ago is diagnosed with major depressive disorder. She says to the nurse, “I start feeling angry that Harold died and left me all alone; he should have stopped smoking years ago! But then I start feeling guilty for feeling that way.” What is an appropriate response by the nurse?

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Question 2:

A newly admitted depressed client isolates herself in her room and just sits and stares into space. How best might the nurse begin an initial therapeutic relationship with this client?

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Question 3:

A client has just been admitted to the psychiatric unit with a diagnosis of major depressive disorder. Which of the following behavioral manifestations might the nurse expect to assess? Select all that apply.

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Question 4:

A client recently diagnosed with depression tells a nurse that she is 2 months pregnant and is reluctant to take an antidepressant medication. The client asks what other treatment options are available. Which type of therapy should a nurse recommend as an alternate treatment for depression?

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Question 5:

Which client statement is evidence of the etiology of major depressive disorder from a genetic perspective?

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Question 6:

A depressed client states that her daughter uses amphetamines, then asks the nurse, “What will happen when my daughter can’t get them and goes into withdrawal from them?” Which response by the nurse would be helpful information for the client?

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Question 7:

Which nursing diagnosis would be most appropriate for the client who has undergone the full course of electroconvulsive therapy (ECT)?

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Question 8:

Which nursing diagnosis supports the psychoanalytic theory of development of major depressive disorder?

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Question 9:

Which of the following conditions is considered to be the only absolute contraindication for ECT?

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Question 10:

The nurse is interviewing a client admitted to an in-patient psychiatric unit with major depressive disorder. Which is the primary goal in the assessment phase of the nursing process for this client?

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Question 11:

Which statement describes a major difference between a client diagnosed with major depressive disorder and a client diagnosed with dysthymic disorder?

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Question 12:

Which client is at highest risk for the diagnosis of major depressive disorder?

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Question 13:

Which symptom is an example of an affective alteration exhibited by clients diagnosed with severe depression?

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Question 14:

Which is the key to understanding if a child or adolescent is experiencing an underlying depressive disorder?

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Question 15:

A client admitted with major depressive disorder has a nursing diagnosis of ineffective sleep pattern related to aches and pains. Which is an appropriate short-term outcome for this client?

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Question 16:

A newly admitted client diagnosed with major depressive disorder isolates self in room and stares out the window. Which nursing intervention would be the most appropriate to implement initially, when establishing a nurse-client relationship?

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Question 17:

Which of the following medications may be administered before electroconvulsive therapy? Select all that apply.

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Question 18:

A client is admitted to an in-patient psychiatric unit with a diagnosis of major depressive disorder. Which of the following data would the nurse expect to assess? Select all that apply.

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Question 19:

A client diagnosed with major depressive disorder is being considered for electroconvulsive therapy (ECT). Which client teaching should the nurse prioritize?

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Question 20:

Which intervention takes priority when working with newly admitted clients experiencing suicidal ideations?

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Question 21:

Which of the following medications may be administered before electroconvulsive therapy? Select all that apply.

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Question 22:

A nursing student is studying major depressive disorder. Which student statement indicates that learning has occurred?

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Question 23:

A client diagnosed with major depressive disorder has an outcome that states, “The client will verbalize a measure of hope about the future by day 3.” Which client statement indicates this outcome was successful?

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