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

Description

1. A patient is expressing anger when the nurse attempts to make him take a medication that he is refusing. If the nurse pushes to give the medication against his will, the nurse is:

A.	Violating the patient’s rights.
B.	Achieving a treatment goal to get the medication in the patient any way possible.
C.	Supporting the family’s demand that he take the medication.
D.	Following orders from the charge nurse.

____ 2. A mental health nurse bumps into a member of her church, who begins questioning her about a former neighbor. The woman from the church asks the nurse, “How is Rachael? We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she seeing one of the psychiatrists?” The nurse’s response is:

A.	“The HIPAA law prevents me from disclosing any information about any patient.”
B.	“All I can say is she is seeing Dr. Leone.”
C.	“Rachael is seeing Dr. Leone because she is concerned about feeling extremely happy sometimes and about feeling extremely depressed other times.”
D.	“Rachael was only there to renew her medication.”

____ 3. You are working on a mental health unit and have a diverse group of patients. Some of the patients are of Middle Eastern descent. These patients have communicated to you that they would like to follow the same period for praying as they did prior to admission. What is your response?

A.	“You are in America now.”
B.	“You can go back to your regular time for praying when you are discharged.”
C.	“How can I accommodate you with your prayer time?”
D.	“Would you like to learn another prayer?”

____ 4. The nursing student uses the client’s full name on the assigned care plan during her recent clinical rotation. What is the instructor’s priority intervention?

A.	Express the importance of factual documentation and that it should include the patient’s name.
B.	Remind the student of the importance of maintaining patient confidentiality.
C.	Discuss with student that the patient is homeless and illiterate. As a result of this, maybe the patient will not be embarrassed about their homelessness status; therefore confidentiality is not an issue.
D.	Explain to the student because the patient was committed involuntary, confidentiality is not an issue.

____ 5. While shopping in the local supermarket, a mental health nurse encounters an individual who recently was a patient on her unit. Which is the proper response by the nurse?

A.	Stop the person and ask how they are doing since discharge.
B.	The closer you get to the patient, look in another direction.
C.	Speak to the patient, but not by name.
D.	If eye contact is made and the patient responds, then you should respond back.

____ 6. The telephone rings at the nurses’ station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patient’s rights and confidentiality?

A.	“I cannot confirm or deny that Ms. Honey was admitted here.”
B.	“Ms. Honey is in group therapy at present.”
C.	“Hold on, I’ll go see if she is in her room.”
D.	“Are you a family member? Ms. Honey can only receive calls from family members.”

Completion

Complete each statement.

1. In the group therapy session, the nurse speaks up to remind a patient of a recent improvement in his coping. The nurse’s action is an example of ______________________.

1. Another term to describe the ethical principle of veracity is _________________.

1. The name of a law that provides immunity to a citizen who offers medical aid is _________________________.

1. The patient is upset because her doctor has not been to see her today. The nurse tells the patient the doctor will be in by 3 p.m., even though the nurse does not know this to be true. This nurse has violated the ethical principle of _____________.

1. The basic concepts and fundamental moral principles that govern conduct are known as _________________________.

1. Another term for accepting responsibility is ________________.

1. _____________________ relates to space, time, and waiting and is influenced by culture.

1. The National Federation of Licensed _________ Nurse organization adopted the standards of practice that include ethics for the LPN/LVN.

1. The American Nurse Association has written guidelines for minimum __________________ of care.

1. The Nurse Practice _____ indicates the acceptable scope of nursing practice for the different levels of nursing.

1. _________________ addresses the security and privacy involved with medical records and how that information is identified and passed between care providers.

1. The _____________ ________________ is the leading national accreditation body of health care organizations.

1. Immunity for citizens who stop to assist someone in need of medical help is protected by the Good ___________ Act.

1. This document protects patients who are receiving care in a facility: Patient Bill of _________.

1. Abuse should be reported by ________________________.

1. Nurses are expected to be respectful of the beliefs of their patients and coworkers and not to force their personal beliefs on others at work. This is a demonstration of the trait of ______________, which is required to be nurse.

1. The _________Commission is the leading accrediting body of health care organizations.

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 24. Patient’s Bill of Rights includes the right(s) to (select all that apply):

A.	Open mail and make personal phone calls.
B.	Have privacy and visitors.
C.	Treat staff in a disrespectful manner.
D.	Be identified as a client.
E.	Choose one’s own nurse.

____ 25. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was developed by the Department of Health and Human Services to provide national standards pertaining to transmission and communication of medical information. Which of the following are true about HIPAA (select all that apply)?

A.	Only applies to electronic chart, not the paper one
B.	Provides national standards relating to the electronic transmission and communication of medical information between patients, providers, employers, and insurers
C.	Allows less control on the part of the patient as to what part of health information is disclosed
D.	Gives the patient immediate access to his/her medical record at any time it is requested
E.	Eliminates the need for patients to sign informed consents
F.	HIPAA was implemented in 2003

____ 26. The goals and objectives of the Joint Commission (JC) include (select all that apply):

A.	Committing to quality on a daily basis within the entire facility.
B.	Reducing risk of undesirable patient outcomes.
C.	Encouraging continuous improvement.
D.	Reducing health care costs.
E.	Promoting nursing education through scholarships and financial aid.

____ 27. The LPNs/LVNs will use the Nurse Practice Act as a guide in their practice. The Nurse Practice Act (select all that apply):

A.	Is a federal document that all states must follow.
B.	Is established by each state to define the scope of nursing practice in that state.
C.	Protects nurses from lawsuits for violating rules about patients’ confidentiality.
D.	Established fair compensation and benefits for nurses.
E.	Dictates the acceptable scope of practice for the different levels of nursing.

Chapter 5: Sociocultural Influences on Mental Health

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. Which of the following is appropriate with a patient who is homeless?

A.	Treat patients according to their ability to pay.
B.	The homeless patient is only treated in the emergency room—they should not be admitted unless life threatening condition; never admit them to the unit.
C.	Treat the homeless patient as you would treat any patient.
D.	Some parts of the Patient Bill of Rights do not apply to the homeless.

____ 2. A student recently moved from the Middle East and is attending a new school in the United States, where he is excluded from conversations pertaining to the Christmas holidays. The students assume that the new student doesn’t understand anything about the holiday. The students are most likely doing what to this new student?

A.	Being hateful
B.	Showing prejudice
C.	Believing stereotypes
D.	Being rude

____ 3. According to Diana Baumrind, there are three types of parenting. When the parent sets up the rules and others have no voice, this is known as:

A.	Permissive parent.
B.	Authoritarian parent.
C.	Authoritative parent.
D.	Administrative parent.

____ 4. According to Diana Baumrind, there are three types of parenting. When the parent provides a minimum amount of structure and the child does not learn any boundaries, this type of parenting is known as:

A.	Permissive parent.
B.	Authoritarian parent.
C.	Authoritative parent.
D.	Administrative parent.

____ 5. Janet, an African American female, fell at the mall shopping and was transported to an urgent care center to be examined. The x-rays were negative for fracture and Janet was not prescribed anything for her pain. At the urgent care center where Janet was treated, the health care providers were aware that this type of injury can be painful. According to recent studies within health care, failure to offer Janet pain medication could be a form of:

A.	Prejudice.
B.	Ethnocentrism.
C.	Stereotype.
D.	Malpractice.

____ 6. Cultural competency is

A.	The responsibility of the patient.
B.	The nurse being competent in his or her own culture
C.	The nurse being able to adapt care to meet the needs of patients from different backgrounds.
D.	A written test required for all Americans.

Completion

Complete each statement.

1. _________________is a shared way of life and the combination of traditions and beliefs that that make a group of people bond together.

1. A person’s personal traits are defined by some of these factors (name two) ___________________.

1. ________________ is judging a person or a situation before all the facts are available.

1. A mother, a father, and biological children were once known as the ___________ ___________.

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 11. The following are classified as a nontraditional family (select all that apply):

A.	Single-parent family
B.	Blended family
C.	Mother, father, and biological children
D.	Gay family

True/False

Indicate whether the statement is true or false.

____ 12. Culture is the same as ethnicity.

Chapter 7: Coping and Defense Mechanisms

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. Your patient is sternly criticized by her doctor for not complying with the medication regimen. The patient walks out of the office and yells at the parking attendant. This may be an example of which defense mechanism?

A.	Projection
B.	Intellectualization
C.	Reaction formation
D.	Displacement

____ 2. Which of the following best describes what defense mechanisms are?

A.	Abnormal coping mechanisms
B.	Genetically “wired” responses
C.	Protective devices that reduce anxiety
D.	All of the above

____ 3. A new patient with schizophrenia is admitted to the psychiatric unit. He is standing at the locked exit door and yelling, “Help me, I don’t belong here.” This behavior is most likely an example of what defense mechanism?

A.	Denial
B.	Regression
C.	Enabling
D.	Projection

____ 4. Nurse Anne recognizes that John is always blaming others for his shortcomings. Finger pointing is usually related to the defense mechanism of:

A.	Scapegoating.
B.	Identification.
C.	Restitution.
D.	Avoidance.

____ 5. Joy has just experienced her fifth spontaneous abortion. She is unable to understand why this is happening to her. Joy voices her anger toward her physician and the nurses, accusing them of incompetence. Assessing the situation, the nurse recognizes that the client may be using the coping mechanism of:

A.	Conversion reaction.
B.	Displacement.
C.	Denial.
D.	Regression.

____ 6. Marion, a 25-year-old patient who lives with her parents, explains to the nurse at the community clinic, “I really don’t need to talk to anyone, even my parents.” The patient expresses that she is too busy and does not have the time to sit and talk. The nurse recognizes that the client is most likely using the defense mechanism known as:

A.	Conversion reaction.
B.	Avoidance.
C.	Isolation.
D.	Denial.

____ 7. Karen Ann, a patient on the mental health unit, is in the bathroom with the door locked. She was admitted to the unit as a result of her psychotic behavior. The mental health nurse is asking her to come out and take her medication. The patient responds by stating, “There is nothing wrong with my behavior. I don’t need any medication. I don’t know why everyone is so upset.” Her response indicates that the defense mechanism being used is:

A.	Denial.
B.	Obsession.
C.	Displacement.
D.	Projection.

____ 8. “Unconscious refusal to see reality” describes this type of defense mechanism:

A.	Denial.
B.	Repression.
C.	Compensation.
D.	Isolation.

____ 9. “Use of a logical-sounding excuse to cover up true thoughts and feelings” describes this defense mechanism:

A.	Denial.
B.	Rationalization.
C.	Compensation.
D.	Isolation.

____ 10. “Emotion that is separated from the original feeling” describes this defense mechanism:

A.	Denial.
B.	Repression.
C.	Compensation.
D.	Isolation.

____ 11. Anthony is a 40-year-old patient who lost his job recently and wishes that he was back home living with his parents. Anthony has been noted to do things he used to do when he was a child. Anthony is going through a period of regression. Regression is best defined as:

A.	A retreat to a less stressful time in one’s life.
B.	An immature response technique.
C.	An assertive response.
D.	A therapeutic mechanism.

____ 12. Your patient Vicky just received a diagnosis of terminal cancer. You plan to speak to her about her response to the diagnosis.. When you reach her room, you find Vicky on the phone. As you’re standing in the doorway, she starts laughing. You are startled when she states, “Why are you looking so sad? Obviously the tests were wrong. I am not that sick.” The patient is displaying:

A.	Transference.
B.	Regression.
C.	Denial.
D.	Isolation.

____ 13. Audrey, a mental health nurse, has noticed that every day prior to going to work, she starts off with headaches, loose stools, episodes of feeling light-headed, and other disorders. These symptoms may be an expression of emotional disturbances. Audrey is aware she could be experiencing:

A.	Isolation.
B.	Repression.
C.	Splitting.
D.	Conversion.

____ 14. Lila’s three-year-old daughter is an only child who recently started day care. It was only 6 months ago that Lila had toilet trained her daughter. After 1 week in the day care, her daughter has started wetting herself and crawling. Her mother has become quite concerned. The school nurse explained to her that her daughter probably is experiencing:

A.	Regression.
B.	Depression.
C.	Manipulation.
D.	Compensation.

____ 15. An overweight male college student is unable to participate in competitive sports. Although he can’t be a sports hero, the student becomes the life of the party when socializing. This student also uses his student loan to purchase a new sports car. The student is displaying:

A.	Compensation.
B.	Reaction formation.
C.	Transference.
D.	Identification.

____ 16. One of the female patients on the mental health unit starts to have delusions of persecution and is hearing voices. Prior to this admission, she attempted several times to poison her boyfriend after the voices told her to do so. During your initial rounds, you enter her room and ask her how she is doing. The patient states, “she’s a bad person.” Your patient is exhibiting:

A.	Transference.
B.	Aggression.
C.	Dissociation.
D.	Denial.

____ 17. The charge nurse has been in a meeting with the director of nursing (DON). The DON has been given some very unpleasant mandates by administration, which came down to the charge nurse. It is now the charge nurse’s responsibility to disseminate these mandates to the nursing staff. When the charge nurse gives the news to the nursing staff, she gives it to them in a very harsh manner toward the staff. This is an example of:

A.	Compensation.
B.	Identification.
C.	Displacement.
D.	Reaction formation.

____ 18. A patient who has survived a motor vehicle accident has just learned that the passenger in the car has died. The survivor is unable to recall being in the car. The nurse on duty realizes that this is:

A.	Dissociation.
B.	Denial.
C.	Regression.
D.	Transference.

Completion

Complete each statement.

1. The patient yells at the nurse right after having a stressful conversation with his spouse. What defense mechanism is the patient most likely using? ________________

1. __________________is an unconscious “burying” or “forgetting” mechanism.

1. Using a logical-sounding excuse is known as ___________________________.

1. The physically unattractive person who wants to model and instead becomes a famous designer is demonstrating ____________________.

1. A wellness instructor who lectures on love and happiness but who is actually an abusive husband is using the defense mechanisms of ___________________.

1. The student who fails her finals is told she is out of the nursing program. She goes home and verbally abuses family members. This type of behavior is known as ___________________.

1. “I didn’t get the position because the director doesn’t like me” is an example of the defense mechanism ________________.

1. “I can quit smoking any time I want to.” The person is in ___________________.

1. A young married woman is attracted to a male coworker. To counteract these feelings, she tells the boss she can’t work with him. The defense mechanism used here is _________________.

1. _________________ is the way a person adapts to a stressor psychologically, physically, and behaviorally.

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 29. Defense mechanisms are methods used for reducing anxiety. Defense mechanisms unconsciously assist a person in handling stressful events in an effective manner. People have a group of defense mechanisms learned from childhood. The following are defense mechanisms (select all that apply):

A.	Compensation.
B.	Rationalization.
C.	Depression.
D.	Regression.
E.	Denial.

____ 30. Which of the following defense mechanisms do people typically use in times of stress (select all that apply):

A.	Denial.
B.	Bargaining.
C.	Compensation.
D.	Rationalization.
E.	Acceptance.

Chapter 9: Alternative and Complementary Treatment Modalities

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. The home health nurse is informed by her patient that she is taking a herbal over-the-counter medication. What action should the nurse take with this information?

A.	This information is not part of the medication record.
B.	The nurse should document this information and add it to the patient’s medication list and notify the charge nurse of the change.
C.	Research the benefits of this medication before deciding if it should be added to medication record.
D.	Tell the patient that herbal medications are not considered safe to take.

____ 2. Reflexology is based on the massage of this body part:

A.	Hands.
B.	Feet.
C.	Spine.
D.	Temples.

____ 3. Reiki is a term that means:

A.	“Universal life energy.”
B.	“Universal energy.”
C.	“Energizing the universe.”
D.	“Universal energy life.”

____ 4. The three primary methods of sensory representations are:

A.	Visual auditory, and kinesthetic.
B.	Visual, auditory, and kindred.
C.	Visa, authority, and kinesthetic.
D.	Seeing, hearing, and smelling.

Completion

Complete each statement.

1. Important to the effectiveness of any type of treatment are the patient’s _______________.

1. The type of therapy that seeks a response through the sense of smell is known as __________________________.

1. _____________________________ therapy is done by massaging the feet of the patient to act upon pathways, unblocking and renewing energy flow.

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 8. The side effects of ginkgo biloba include (select all that apply):

A.	Bleeding.
B.	Nausea and vomiting.
C.	Diarrhea.
D.	Fishy reflux.
E.	Headache.

____ 9. It is helpful as a nurse to be able to recognize the channel through which your patient communicates if following the primary sensory representation philosophy. Your patient Tamara’s sensory representation is visual. Determine which terms would identify visual sensory and (select all that apply):

A.	An eyeful.
B.	An earful.
C.	In light of.
D.	In view of.
E.	Hang in there.

____ 10. When teaching patients taking St. John’s wort about drug and food interactions, the nurse will inform them of the following precautions (select all that apply):

A.	Avoid foods containing large amounts of tyramine.
B.	Eat adequate amounts of meat and cheese.
C.	Increase the length of time in sunlight.
D.	Consult your physician before taking any over-the-counter flu and cold medications.
E.	It may decrease the effects of MAOIs.

Chapter 11: Depressive Disorders

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. You are admitting a new patient who is depressed. Your initial contact should do what?

A.	Address why he is depressed
B.	Keep communication open
C.	Lift his spirits
D.	Establish trust

____ 2. In caring for a patient with major depression, the nurse knows that the patient needs:

A.	Frequent changes in activities.
B.	Introduction to multiple new staff members.
C.	Behavior modification that restructures feelings.
D.	Well-defined, structured interactions at the beginning of treatment.

____ 3. Patients with major depression commonly display signs of:

A.	Energy.
B.	Repetitive, compulsive behaviors.
C.	Worthlessness.
D.	Visual hallucinations.

____ 4. When your patient says “I am depressed,” what is the best response?

A.	“We all feel that way now and then.”
B.	“Why do you feel that way?”
C.	“Everything will be OK once you snap out of it.”
D.	“Tell me more about what is going on with you.”

____ 5. Your patient takes tranylcypromine for depression. Which of the following is most likely to indicate dietary restrictions have not been followed?

A.	Hypertensive crisis
B.	Syncope
C.	Muscle spasms
D.	Increased depression

____ 6. Your depressed patient who is taking a tricyclic antidepressant is advised of possible anticholinergic side effects. Which of the following is NOT an anticholinergic side effect?

A.	Blurred vision
B.	Difficulty starting urine stream
C.	Dry mouth
D.	Muscle rigidity

____ 7. Helen, a 47-year-old client with a long history of severe depression, has not responded to antidepressant medications or psychotherapy. The nurse caring for the patient knows that the treatment of choice for depression unresponsive to conventional treatment would be:

A.	Lithium.
B.	Electroconvulsive therapy (ECT).
C.	Light therapy.
D.	Neurolinguistic programming.

____ 8. Your depressed patient is just started on duloxetine (Cymbalta). Which statement by the spouse tells you that family teaching has been effective?

A.	“I can’t wait for him to be back to his old self in the next day or so.”
B.	“I realize we can’t expect big changes right away.”
C.	“I have to take him for weekly blood tests to monitor the drug dosage.”
D.	“I will make sure he doesn’t eat any aged cheese for the next 2 months until the dose is stabilized.”

____ 9. Biological theories of depressive disorders include all of the following except:

A.	Chemical imbalances are responsible.
B.	The patient experiences maladaptive thought processes.
C.	There are genetic tendencies that run in families.
D.	Hormonal factors make women more susceptible than men.

____ 10. Light therapy has been shown to be effective in treating patients with:

A.	Bipolar disorder.
B.	Dysthymia.
C.	Major depression with seasonal pattern.
D.	Schizophrenia.

____ 11. You are doing patient teaching for Margaret, who has been prescribed amitriptyline (Elavil) for treatment of depression. Which of the following statements suggests that Margaret needs further instruction?

A.	“I know I might not start feeling better for a few weeks, but I’ll keep taking the medication just as the doctor prescribed.”
B.	“I’ll keep some hard candies in my purse in case my mouth gets dry from the medicine.”
C.	“Once I start feeling better, I’m looking forward to cutting down on this medication.”
D.	“I’m worried I may gain some weight, but that’s a small price to pay for feeling better.”

____ 12. What is the main difference between major depression and dysthymic depression?

A.	Dysthymia is a short-term depression and major depression lasts for years.
B.	Dysthymia is a chronic, low-level depression that lasts for years, while major depression is more severe.
C.	Dysthymia is more likely to be caused by psychological factors and major depression is caused by neurological dysfunction.
D.	Dysthymia is normally treated with psychotherapy only, while major depression is treated with antidepressants and psychotherapy.

____ 13. Your depressed patient is starting a new medication called phenelzine (Nardil). Which teaching would be most important to emphasize?

A.	Educate the patient to take this medication ongoing, even as symptoms improve.
B.	Instruct the patient and family about the many food-drug interactions.
C.	Instruct the patient about interventions to relieve dry mouth.
D.	Inform the patient that this medication takes 4 to 6 weeks to take full effect.

____ 14. Which of the following antidepressants is a tricyclic?

A.	Bupropion (Wellbutrin)
B.	Sertraline (Zoloft)
C.	Nortripyline (Pamelor)
D.	Venlafaxine (Effexor)

____ 15. Which statement is most true about depression?

A.	It is more common in women than men.
B.	It is rare to have more than one episode of major depression in one’s lifetime.
C.	Young children do not suffer from depression.
D.	As one ages, there is reduced risk of depression.

____ 16. A newly admitted client has been diagnosed with major depressive disorder. Which nursing diagnosis takes priority?

A.	Impaired social interaction
B.	Self-esteem deficit
C.	Hopelessness
D.	Self-care deficit

____ 17. The nurse knows that the two factors that often differentiate major depression from dysthymia depression are:

A.	Amounts of mania and sadness.
B.	Presence or absence of anger and guilt.
C.	Severity and duration of symptoms.
D.	Patient’s gender and age.

____ 18. You are caring for an older adult who is recently widowed. She says, “No one cares if I die. Everyone I ever loved is dead.” What is the best response?

A.	“I am sure that you still have people who care about you.”
B.	“You sound like you are feeling all alone.”
C.	“Boy, that is depressing.”
D.	“I don’t believe that.”

____ 19. Your patient with major depression tells you he suffers from urinary retention. Which medication would be most likely to cause this?

A.	Amitriptyline
B.	Duloxetine
C.	Carbamazepine
D.	Ritalin

____ 20. Which activity would be best for a depressed patient?

A.	A puzzle
B.	Drawing
C.	Crossword puzzles
D.	Television

____ 21. Which of the following meal choices indicates the patient understands the diet restrictions when taking an MAOI?

A.	Pepperoni pizza and beer
B.	Roast chicken, baked potato, and beer
C.	Fried fish, rice, and cola
D.	Pickled herring, eggs, and coffee

____ 22. Your patient with major depression sits in her room for hours staring out the window. Which of the following would be the most appropriate intervention?

A.	Sit with the patient and gently offer your availability to help.
B.	Keep encouraging the patient to go to exercise class.
C.	Offer the class once and then let the patient decide.
D.	Sit with the patient and ask her to list reasons for her depression.

____ 23. Which of the following drugs is a tricyclic antidepressant?

A.	Bupropion (Wellbutrin)
B.	Amitriptyline (Elavil)
C.	Fluoxetine (Prozac)
D.	Citalopram (Celexa)

____ 24. Some medications such as tricyclics cause blurred vision. What is the cause of this effect?

A.	Hyperglycemia
B.	Anticholinergic effect
C.	Hypoxia
D.	Hypertension

____ 25. Your patient has been taking a SSRI antidepressant for 6 weeks. On arrival at the clinic, which observation would indicate a positive outcome from the medication?

A.	Patient reports sleeping 12 hours a night.
B.	Patient reports sleeping 3 hours a night.
C.	Patient reports a weight loss of 10 pounds.
D.	Patient arrives neatly dressed.

____ 26. Which response best describes how dysthymic disorder is different from major depression?

A.	More severe depression with psychotic features
B.	Chronic low level depression
C.	Mild depression with episodes of hypomania
D.	Depression with more anxiety symptoms

____ 27. Which of the following would be the most effective intervention for a depressed patient?

A.	Establish one small goal to accomplish today.
B.	Help the patient develop a goal to complete in the next month.
C.	Encourage the patient to talk about recent failures in his or her life.
D.	Let the patient guide what is the next best action.

____ 28. Which of the following is an important intervention for a patient taking nortriptyline?

A.	Make sure that CBC is ordered to monitor blood counts.
B.	Monitor for anticholinergic side effects.
C.	Ensure that the patient’s diet is gluten free.
D.	Push fluids to prevent dehydration.

____ 29. A patient admitted to the mental unit has shown a deficit in providing self-care and has a medical diagnosis of major depression. The nursing diagnosis for this would be:

A.	Knowledge deficit related to personal choices.
B.	Self-care deficit related to impaired ability to provide personal hygiene.
C.	Risk for violence related to poor hygiene.
D.	Impaired social interaction related to poor hygiene.

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 30. Annie has been diagnosed as having dysthymic depression. The nurse knows that symptoms of this disorder include: (Select all that apply)

A.	A depressed mood that lasts for most of each day over a 2-year period
B.	Low self-esteem
C.	Hallucinations
D.	Difficulty in making decisions
E.	Periods of euphoria
F.	Sleep pattern disturbances

____ 31. Which of the following nursing interventions apply to all depressed patients? (Select all that apply)

A.	Show patience
B.	Monitor lithium levels
C.	Monitor for suicidal ideation
D.	Communicate effectively
E.	Provide meaningful activities
F.	Include alternative therapies in the treatment plan