Neeb’s Fundamentals of Mental Health Nursing 4th Edition By Linda M. – Test Bank

Chapter 11: Depressive Disorders
Answer Section

MULTIPLE CHOICE

1. ANS: D
Responses A and C are not helpful in just meeting the patient. Though response B is important, it begins with trust.

PTS: 1
REF: Chapter 11: Depressive Disorders; Table 11-2, Nursing Care Plan for Depressed Patient; page 187
KEY: Integrated Processes: Caring | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication

2. ANS: D
The depressed patient may become overwhelmed if too much is offered too soon. Structured, goal-directed activities are less stressful.

PTS: 1
REF: Chapter 11: Depressive Disorders; Table 11-3, Nursing Care Plan for Depressed Patient; page 188
KEY: Integrated Processes: Caring | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication

3. ANS: C
Feelings of worthlessness are part of the common symptoms of sadness and low self-worth seen in major depression.

PTS: 1 REF: Chapter 11: Depressive Disorders; Major Depressive Disorders; page 182
KEY: Integrated Processes: Nursing Process: Assessment | Content Area: Mental Health: Mood disorders | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts

4. ANS: D
This response gives the patient an opening to share feelings without being pressured to come up with reasons for these feelings. Responses A and C are not helpful for someone with depression because they minimize what the patient is experiencing.

PTS: 1 REF: Chapter 11: Depressive Disorders; General Nursing Interventions; page 186-187
KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication

5. ANS: A
This medication is a MAOI (monoamine oxidase inhibitor). Eating foods with this enzyme can trigger a hypertensive crisis.

PTS: 1 REF: Chapter 11: Depressive Disorders; Table 11-2, Antidepressants; page 187
KEY: Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Pharmacology | Cognitive Level: Comprehension | Client Need: Physiological Integrity: Pharmacological and parenteral therapies: Medication administration as well as expected actions/outcomes as well as adverse effects/contraindications/side effects/interactions

6. ANS: D
Muscle rigidity is not an anticholinergic side effect.

PTS: 1 REF: Chapter 11: Depressive Disorders; Table 11-2, Antidepressants; page 187
KEY: Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Pharmacology | Cognitive Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and parenteral therapies: Medication administration as well as adverse effects/contraindications/side effects/interactions

7. ANS: B
Though antidepressants are the treatment of choice for depression, electroconvulsive therapy is sometimes needed in cases of severe depression unresponsive to antidepressants. Lithium is generally not useful in depression. Light therapy and neurolinguistic programming may be adjuvants, not primary treatment in severe depression.

PTS: 1
REF: Chapter 11: Depressive Disorders; Treatment of Depressive Disorders; page 185
KEY: Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Mood disorders | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts

8. ANS: B
This response tells you the spouse understands that antidepressants can take some time before seeing improvements. Response A tells you the spouse incorrectly thinks the drug will work immediately. There are no blood tests or food restrictions with this drug.

PTS: 1 REF: Chapter 11: Depressive Disorders; Pharmacology Corner; page 286
KEY: Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Mood disorders and Adult health: Pharmacology | Cognitive Level: Application | Client Need: Health Promotion and Maintenance: Principles of Teaching/Learning: Psychosocial Integrity: Mental health concepts

9. ANS: B
Responses A, C, and D are all contributing biological factors to depression.

PTS: 1 REF: Chapter 11: Depressive Disorders; Etiology of Depressive disorders; page 185
KEY: Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Mood disorders | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts

10. ANS: C
Exposure to light has been shown to lift mood in this disorder.

PTS: 1 REF: Chapter 11: Depressive Disorders; Alternative Treatment; pages 185-186
KEY: Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Mood disorder | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts