Exam (elaborations)
Chapter 25. Depressive Disorders
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 25. Depressive Disorders
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Chapter 25. Depressive DisordersMULTIPLE CHOICE
1. A client is diagnosed with persistent depressive disorder (PDD) (dysthymia). Which
should the nurse classify as an affective symptom of this disordear?birb.com/test
1. Social isolation with a focus on self
2. Low energy level
3. Difficulty concentrating
4. Gloomy and pessimistic outlook on life
ANS: 4
Chapter: Chapter 25, Depressive Disorders
Objective: Identify symptomatology associated with depression and use this information
in client assessment.
Page: 495
Heading: Application of the Nursing Process > Background Assessment Data
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Knowledge [Remembering]
Concept: Mood
Difficulty: Moderate
Feedback
1. This is incorrect. Social isolation is a behavioral symptom.
2. This is incorrect. This is a physiological symptom of depression.
3. This is incorrect. Difficulty concentrating is a cognitive syambiprbt.ocomm./test
4. This is correct. Symptoms of depression can be described as alterations in four areas
of human functions: affective, behavioral, cognitive, and physiological. A gloomy
and pessimistic outlook on life is an affective symptom of adbyirsb.tchoymm/teisat .
Affective symptoms are those that relate to the mood.
CON: Mood
2. A client is diagnosed with major depressive disorder (MDD).
Wabirhbi.cohmn/teusrtsing diagnosis should the nurse assign to the client to address a
behavioral symptom of this disorder?
1. Altered communication related to (R/T) feelings of worthlessness as evidenced by
(AEB) anhedonia
,Townsend
PMHN, 10e
Chapter 25 - ETB
abirb.com/test
2. Social isolation R/T poor self-esteem AEB secluding self in room
3. Altered thought processes R/T hopelessness AEB persecutory delusions
4. Altered nutrition: less than body requirements R/T high anxiety AEB anorexia
ANS: 2
Chapter: Chapter 25, Depressive Disorders
Objective: Formulate nursing diagnoses and goals of care for clieanbitrsb.cwomit/htesdt
epression. Page: 495
Heading: Application of the Nursing Process > Background Assessment Data
(Moderate/Severe Depression); Diagnosis/Outcome Identification
Integrated Processes: Nursing Process: Analysis
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Mood
Difficulty: Moderate
Feedback abirb.com/test
1. This is incorrect. Feelings of worthlessness are affective symptoms.
2. This is correct. The nursing diagnosis of social isolation R/T poor self-esteem AEB
secluding self in room addresses a behavioral symptom of MDD. Other behavioral
symptoms include psychomotor retardation, virtually noneaxbiisrbt.ecnomt /cteosmt
munication, maintaining a fetal position, and no personal hygiene and/or grooming.
3. This is incorrect. Persecutory delusions are cognitive symptoms.
4. This is incorrect. Anorexia is a physiological symptom. abirb.com/test
CON: Mood
3. The nurse suspects the client of having MDD due to the client having psychomotor
retardation. Which of the following would be an example of psycahbiorbm.coomto/tersrt
etardation?
1. The client is disheveled and malodorous.
2. The client exhibits promiscuous behaviors.
3. The client ambulates independently.
4. The client has maxed-out charge cards.
ANS: 1
Chapter: Chapter 25, Depressive Disorders
Objective: Identify symptomatology associated with depression and use this information
in client assessment.
Page: 484
Heading: Application of the Nursing Process >Background Asseasbsimrb.econmt /Dtesat ta
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Mood
, Townsend
PMHN, 10e
Chapter 25 - ETB
abirb.com/test
Difficulty: Moderate
Feedback
1. This is correct. Psychomotor retardation can manifest as being disheveled and
malodorous.
2. This is incorrect. Hypersexuality is a symptom of mania, not depression.
3. This is incorrect. This is not an example of psychomotor reatbairrbd.caotmio/tens.t
4. This is incorrect. Excessive spending is a symptom of mania. The Diagnostic and
Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria indicate a
diagnosis of MDD is appropriate when there is no history
oabfirmb.caonmi/ctesbtehavior.
CON: Mood
4. Which of the following best defines secondary depression?
1. Depressive symptoms that occur as a consequence of an adverasbeirbs.icdoem/etefsftect
of certain medications.
2. Depressive symptoms as a result of MDD exacerbation and elevated serotonin levels.
3. Depressive symptoms that occur as a result of psychomotor retardation.
4. Depressive symptoms that occur with abrupt discontinuation oafbiarbn.ctoidme/tpesrtessants.
ANS: 1
Chapter: Chapter 25, Depressive Disorders
Objective: Identify symptomatology associated with depression and use this information
in client assessment.
Page: 485
Heading: Predisposing Factors > Biological Theories >
Physioloagbiicrba.lcoImn/ftelustences > Hormonal Disturbances
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Mood
Difficulty: Difficult
Feedback
1. This is correct. The DSM-5 stipulates that medical conditions should be identified
before a psychiatric diagnosis is made, as symptoms of a mabeidrbi.coaml /cteosnt
dition may
mimic those of psychiatric disorders. Depressive symptoms that occur as a
consequence of a non-mood disorder or as an adverse effect of certain medications
are known as secondary depression. Secondary depression may be related to
medication side effects, neurological disorders, electrolyte or hormonal disturbances,
nutritional deficiencies, and other physiological or psychological conditions.
2. This is incorrect. It has been theorized that since selective serotonin reuptake
inhibitors (SSRIs) are drugs that elevate serotonin levels, laobwirb.sceormo/tteosnt in
levels in the brain must be responsible for depression. However, SSRIs also seem to
be beneficial
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