Education
This statement about symptoms of depression in adolescents is correct.
What is 'many symptoms of depression are associated with normal period of adolescence'?
This is the highest priority for hospitalized depressed clients.
What is safety (free from harm)?
This FDA-approved medication would be administered to a 13-year-old with MDD.
What is Lexapro?
This characteristic helps distinguish between dysthymia and major depressive disorder.
What is the chronically depressed mood in dysthymia?
This religious element could decrease the suicide risk in depressed individuals.
What is religious patients tend to attempt suicide less often than nonreligious counterparts?
This would indicate successful teaching for a client taking a tricyclic antidepressant.
What is 'continue taking the medication even if symptoms have not subsided'?
This is the rationale for giving oxygen during and after ECT.
What is preventing anoxia from medication-induced paralysis?
This is the correct application of an Emsam (selegiline) patch for depression.
What is applying to dry, outer skin of upper arm?
The patient would do this during light therapy.
What is sitting in front of light box with eyes open?
(Not directly into light)
This is the best strategy for eliciting suicidal risk in a patient.
What is asking a direct question such as 'Do you ever think about killing yourself?"
This theory explains the etiology behind a client with a history of multiple losses.
What is learning theory?
The learning theory is a model of learned helplessness in which multiple life failures cause the patient to abandon future attempts to succeed, leading to depression.
This is the nurse's priority for clients who refuse ECT.
What is accepting the client's decision.
This habit should be avoided while taking nortriptyline (Aventyl).
What is smoking??
This scale is widely administered for measuring mood, guilty feelings, suicidal ideation, and anxiety.
What is the Hamilton Depressing Rating scale?
This would be important for the nurse to lower the patient's risk for suicide after they are newly admitted patient on the inpatient psychiatric ward.
What is observation at regular intervals as determined by assessed data?
(The nurse would observe an actively suicidal patient continuously to start, and the observation status would be determined after a full assessment by the treatment team.)
This educational point is important for patients taking Wellbutrin.
What is the importance of not doubling up on a dose?
This is the priority for a client with command hallucinations of self-harm.
What is placing the client on a one-to-one while monitoring suicidal ideations?
This physical finding regarding a patient's reflexes may indicate serotonin syndrome.
What is myoclonus?
This would be an appropriate follow-up question for an elderly client who is depressed and done with life-saving attempts to be kept alive.
What is "how often are you alone at home"?
(Increased supervision would decrease likelihood of self-harm)
This piece of information would indicate that a patient is participating in their plan for safety.
What is disclosing a plan for suicide to staff?
A degree of responsibility is given to the patient, and they are actively participating when they communicate thoughts of self-harm.
This important teaching point would be critical for a patient taking Nardil and trying to lose weight.
What is avoiding diet pills?
This would be the first documented intervention when caring for a severely depressed client?
What is assessment of suicide risk?
This crisis could result if a client taking SSRIs and tricyclics also receives MAOIs.
What is a hypertensive crisis?
This is an accurate statement regarding the percentage of suicides in the elderly population.
What is "the elderly account for 15% of all suicides"?
This historical element in the patient's psychiatric history would be most critical when determining risk for suicide in a newly admitted patient?
What is their history of suicide attempts?