Betsy
Which of the following statements would a patient who has depression be likely to state during a new patient interview? Select all that apply.
a. “I’ve thought about the need to end my life over the last few days”
b. “I just don't see the point to continue to shower and shave every day”
c. “I seem to sleep most of the days away. I just can't seem to get out of bed in the morning.”
d. “I’ve lost 15 pounds over the last month without trying. No food sounds good to me any more.”
e. “I know I have a lot of value to bring to all conversations and relationships that I engage in.”
a. “I’ve thought about the need to end my life over the last few days”
b. “I just don't see the point to continue to shower and shave every day”
c. “I seem to sleep most of the days away. I just can't seem to get out of bed in the morning.”
d. “I’ve lost 15 pounds over the last month without trying. No food sounds good to me any more.”
What is the correct definition of hypomania?
a. A period of abnormally and persistently elevated, expansive, or irritable mood and some other milder symptoms of mania.
b. A period of normal behavior when someone is not experiencing any mania symptoms.
c. A period of depression between mania episodes
d. A period of mood swings in between mania episodes.
a. A period of abnormally and persistently elevated, expansive, or irritable mood and some other milder symptoms of mania.
A newly postpartum woman states they have been feeling horrible about themselves for the past few days, they continue on by saying they’ve been feeling fatigue, confusion, and hallucinations. Which of the following condition is the patient experiencing?
a. Postpartum Depression
b. Postpartum Psychosis
c. Premenstrual dysphoric
d. Baby blues
b. Postpartum Psychosis
Suicidal rates are doubled for which age group over others?
a. Young adults (21-39)
b. Middle age (40-64)
c. Older Adults (65 and up)
d. Teen (13-20)
c. Older Adults (65 and up)
Some cultures avoid verbalizing emotions due to cultural norms or beliefs.People who do not verbalize their emotions still may suffer from physiological symptoms of depression. Some common physiological symptoms that people may exhibit include which of the below? Select all that apply.
a. Backache
b. Umbilical Pain
c. Heart problems
d. Tingling in extremities
e. Headache
a. Backache
c. Heart problems
e. Headache
Nurse Joe is doing a follow up assessment on a patient diagnosed with bipolar disorder who was recently prescribed a new medication. Which of the following would be a que that the patient is having a manic episode?
a. The patient states that she has been able to go to work without any problems since her last visit.
b. The patient states she just invested her entire 401K into a pyramid scheme company because she knows this will lead her to an early retirement.
c. The patient states she would like to go on a vacation over the summer and has started saving to be able to go to the beach.
d. The patient is able to sit calmly and stay on topic during her assessment without difficulty.
b. The patient states she just invested her entire 401K into a pyramid scheme company because she knows this will lead her to an early retirement.
How many subtypes does Seasonal affective disorder (SAD) have?
a. Three
b. Four
c. Two
d. Seasonal affective disorder does not have any.
c. Two
2. The nurse is preparing a lithium administration for their 14 year old patient with bipolar type 1. Prior to administration the nurse sees the patient’s serum lithium level is 1.0. What will the nurse do next?
a. Hold the patient’s lithium and monitor for lithium toxicity
b. Administer a half dose of the order
c. Hold the patient’s lithium
d. Administer the patient’s lithium as ordered
d. Administer the patient’s lithium as ordered
Which of these behaviors are consistent with the manic phase of bipolar disorder? Select all that apply.
a. Cycles of euphoria
b. Difficulty with thinking
c. Loss of inhibitions
d. Increased physical activities
e. Spending binges
a. Cycles of euphoria
c. Loss of inhibitions
e. Spending binges
Serotonin syndrome occurs when MAOIs and SSRIs are taken with or too close together. Which is a sign of neuromuscular excitement associated with Serotonin Syndrome?
a. Urinary retention
b. Hypersalivation
c. Diaphoresis
d. Shivering
e. Hypoactive bowel sounds
d. Shivering
Which of the following statements would be an appropriate response when a patient who has a history of suicidal ideations tells the nurse “I just want to go to sleep and not think anymore.” Select all that apply.
a. “Go ahead and get some rest. You'll feel better when you wake up.”
b. “By ‘sleep’ do you mean ‘die’?”
c. “What is it that you do not want to think of anymore?”
d. “Specifically, how are you planning to sleep and not think anymore?”
e. “You’ve had a rough few years. I don't blame you for not wanting to think about it anymore.”
b. “By ‘sleep’ do you mean ‘die’?”
c. “What is it that you do not want to think of anymore?”
d. “Specifically, how are you planning to sleep and not think anymore?”
What are the names of the Seasonal affective disorder subtypes?
a. Winter depression or fall-onset, and spring on-set
b. Summer depression and Winter on-set
c. Fall depression or Winter on-set, summer on-set
d. Summer on-set or Fall depression, and Winter depression
a. Winter depression or fall-onset, and spring on-set
What age associated behavior of depression could manifest from an adolescent?
a. Cranky
b. Substance abuse
c. Bedwetting
d. Hyperactivity
b. Substance abuse
(True/False) People with bipolar disorder can be treated in the community by psychiatrists, psychiatric advanced practice nurses, and primary care physicians.
False
MAOIs are rarely used to treat depression and are commonly used only when other classes of antidepressants haven’t worked. Which statements regarding MAOIs are true?
a. MAOIs have potentially fatal side effects such as cerebral hemorrhaging.
b. MAOIs have a dangerous interaction with tyramine.
c. When MAOIs are ended there should be a 5-6 week washout period between switching to another class of antidepressant.
d. MAOIs have numerous interactions with both prescription and over the counter drugs.
e. All of the above.
e. All of the above.
The nurse at a community outreach program is screening patients for mood disorders. When the patient states “Sometimes I feel like I might be depressed but my friend told me that all mood disorders have episodes of psychosis so I know I don't have depression.” How would the nurse document this finding?
a. This patient is in denial about having mood disorders.
b. This patient has correct knowledge related to mood disorders.
c. This patient has a knowledge deficit related to mood disorders.
d. This patient is an immediate risk to self and others.
c. This patient has a knowledge deficit related to mood disorders.
What are the characteristics of Nonsuicidal self-injury?
a. Poor hygiene and nutrition
b. Walking barefoot so they can feel pain
c. Swallowing razor blades
d. Hitting the head against a wall constantly until there is damage
c. Swallowing razor blades
The nurse is conducting an assessment of a new patient with a history of depression. What medication will the nurse likely suspect the patient is taking?
a. Prozac
b. Pitocin
c. Levodopa
d. Methylcellulose
a. Prozac
Which statements will a nurse hear when offering solutions to help a person with depression? Select all that apply.
a. “I have tried that.”
b. “I will give it a try.”
c. “It would never work.”
d. “You don’t just understand.”
e. “I don’t have the time to do that.”
a. “I have tried that.”
c. “It would never work.”
d. “You don’t just understand.”
e. “I don’t have the time to do that.”
According to the DSM5-TR Diagnostic Criteria for Major Depressive Disorder at least 5 or more symptoms from their list in a two week episode that is different from previous functioning.
a. Insomnia
b. Diminished ability to concentrate or indecisiveness
c. Feelings of worthlessness
d. Psychomotor agitation
e. All of the above
e. All of the above
Which of the following groups of people would be more likely to have suicidal thoughts? Select all that apply.
a. College Graduates
b. Divorced men
c. Adolescents
d. Soccer moms
e. Substance abusers
b. Divorced men
c. Adolescents
e. Substance abusers
What is kindling?
a. When the patient is no longer depressed and shows kindness.
b. A seizure due to stress, low amounts of electrical impulses, or chemicals such as cocaine
c. A seizure due to depression, low amounts of electrical impulses, or chemical such as marijuana
d. A seizure due non-suicidal self-injury like hitting the head against a wall constantly
b. A seizure due to stress, low amounts of electrical impulses, or chemicals such as cocaine
The nurse is receiving hand off report from the emergency department for a patient being admitted to their med-surg unit for suicide attempt by self mutilation- intentional cutting. What interventions will the nurse prepare prior to the patient’s arrival?
a. Ensure a phone is at the bedside for the patient to call family
b. Set up a sign at the door warning for bleeding precautions
c. Institute suicide precautions for the room
d. Place IV materials at the bedside
c. Institute suicide precautions for the room
In an inpatient hospital, how often are patients with high potential lethality observed?
a. Every 15 minutes
b. Every 30 minutes
c. 1:1 supervision
d. Kept by the nurses station
e. Buddy system with another client
c. 1:1 supervision
Suicide is a leading cause of death among adolescents, prevention and treatment are vital for these youth. Screening for risk factors is a key component of prevention. Which is not a risk factor for suicide in youth?
a. Family strife
b. Close parent-child relationship
c. Parental alcoholism
d. History of fighting
e. All of the above
b. Close parent-child relationship