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CHAPTER 14 VARCOLIS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CHAPTER 14 VARCOLIS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CHAPTER 14 VARCOLIS QUESTIONSAND ANSWERS WITH SOLUTIONS 2024
ChapterJ14:JDepressiveJDisorders
Halter:JVarcarolis'JFoundationsJofJPsychiatricJMentalJHealthJNursing:JAJClinical
Approach,J8thJEdition
MULTIPLEJCHOICE
1.JAJpatientJbecameJseverelyJdepressedJwhenJtheJlastJofJtheJfamily'sJsixJchildrenJmovedJoutJof
theJhomeJ4JmonthsJago.JTheJpatientJrepeatedlyJsays,J"NoJoneJcaresJaboutJme.JI'mJnotJworth
anything."JWhichJresponseJbyJtheJnurseJwouldJbeJtheJmostJhelpful?
a.J"ThingsJwillJlookJbrighterJsoon.JEveryoneJfeelsJdownJonceJinJaJwhile."
b.J"OurJstaffJmembersJcareJaboutJyouJandJwantJtoJtryJtoJhelpJyouJgetJbetter."
c.J"ItJisJdifficultJforJothersJtoJcareJaboutJyouJwhenJyouJrepeatedlyJsayJtheJsame
negativeJthings."
d.J"I'llJsitJwithJyouJforJ10JminutesJnowJandJ10JminutesJafterJlunchJtoJhelpJyouJfeel
thatJIJcareJaboutJyou."J-JANSWERJANS:JD
SpendingJtimeJwithJtheJpatientJatJintervalsJthroughoutJtheJdayJshowsJacceptanceJbyJtheJnurse
andJwillJhelpJtheJpatientJestablishJaJrelationshipJwithJtheJnurse.JTheJtherapeuticJtechniqueJis
"offeringJself."JSettingJdefiniteJtimesJforJtheJtherapeuticJcontactsJandJkeepingJthe
appointmentsJshowJpredictabilityJonJtheJpartJofJtheJnurse,JanJelementJthatJfostersJtrust
building.JTheJincorrectJresponsesJwouldJbeJdifficultJforJaJpersonJwithJprofoundJdepressionJto
believe,JprovideJfalseJreassurance,JandJareJcounterproductive.JTheJpatientJisJunableJtoJsay
positiveJthingsJatJthisJpoint.
PTS:J1JDIF:JCognitiveJLevel:JApplyJ(Application)
REF:JPagesJ14-27,J57J(TableJ14-4)J|JPageJ14-16J(CaseJStudyJandJNursingJCareJPlan)
TOP:JNursingJProcess:JImplementationJMSC:JClientJNeeds:JPsychosocialJIntegrity
2.JAJpatientJbecameJdepressedJafterJtheJlastJofJtheJfamily'sJsixJchildrenJmovedJoutJofJtheJhomeJ4
monthsJago.JSelectJtheJbestJinitialJoutcomeJforJtheJnursingJdiagnosisJSituationalJlow
,self-esteemJrelatedJtoJfeelingsJofJabandonment.JTheJpatientJwill
a.JverbalizeJrealisticJpositiveJcharacteristicsJaboutJselfJbyJ(date).
b.JagreeJtoJtakeJanJantidepressantJmedicationJregularlyJbyJ(date).
c.JinitiateJsocialJinteractionJwithJanotherJpersonJdailyJbyJ(date).
d.JidentifyJtwoJpersonalJbehaviorsJthatJalienateJothersJbyJ(date).J-JANSWERJANS:JA
LowJself-esteemJisJreflectedJbyJmakingJconsistentlyJnegativeJstatementsJaboutJselfJand
self-worth.JReplacingJnegativeJcognitionsJwithJmoreJrealisticJappraisalsJofJselfJisJan
appropriateJintermediateJoutcome.JTheJincorrectJoptionsJareJnotJasJclearlyJrelatedJtoJthe
nursingJdiagnosis.JOutcomesJareJbestJwhenJframedJpositively;JidentifyingJtwoJpersonal
behaviorsJthatJmightJalienateJothersJisJaJnegativeJconcept.
PTS:J1JDIF:JCognitiveJLevel:JApplyJ(Application)
REF:JPagesJ14-27,J53J(TableJ14-2)J|JPageJ14-16J(CaseJStudyJandJNursingJCareJPlan)J|JPageJ274
TOP:JNursingJProcess:JOutcomesJIdentification
MSC:JClientJNeeds:JPsychosocialJIntegrity
TestBankWorld.org
3.JAJpatientJdiagnosedJwithJmajorJdepressiveJdisorderJsays,J"NoJoneJcaresJaboutJmeJanymore.
I'mJnotJworthJanything."JTodayJtheJpatientJisJwearingJaJnewJshirtJandJhasJneat,JcleanJhair.
WhichJremarkJbyJtheJnurseJsupportsJbuildingJaJpositiveJself-esteemJforJthisJpatient?
a.J"YouJlookJniceJthisJmorning."
b.J"You'reJwearingJaJnewJshirt."
c.J"IJlikeJtheJshirtJyouJareJwearing."
d.J"YouJmustJbeJfeelingJbetterJtoday."J-JANSWERJANS:JB
PatientsJwithJdepressionJusuallyJseeJtheJnegativeJsideJofJthings.JTheJmeaningJofJcompliments
mayJbeJalteredJtoJ"IJdidn'tJlookJniceJyesterday"JorJ"TheyJdidn'tJlikeJmyJotherJshirt."JNeutral
commentsJsuchJasJmakingJanJobservationJavoidJnegativeJinterpretations.JSaying,J"YouJlook
nice"JorJ"IJlikeJyourJshirt"JgivesJapprovalJ(nontherapeuticJtechniques).JSayingJ"YouJmustJbe
feelingJbetterJtoday"JisJanJassumption,JwhichJisJnontherapeutic.
PTS:J1JDIF:JCognitiveJLevel:JApplyJ(Application)
, REF:JPageJ14-53J(TableJ14-2)J|JPageJ14-16J(CaseJStudyJandJNursingJCareJPlan)
TOP:JNursingJProcess:JImplementationJMSC:JClientJNeeds:JPsychosocialJIntegrity
4.JAnJadultJdiagnosedJwithJmajorJdepressiveJdisorderJwasJtreatedJwithJmedicationJand
cognitive-behavioralJtherapy.JTheJpatientJnowJrecognizesJhowJpassivityJcontributedJtoJthe
depression.JWhichJinterventionJshouldJtheJnurseJsuggest?
a.JSocialJskillsJtraining
b.JRelaxationJtrainingJclasses
c.JDesensitizationJtechniques
d.JUseJofJcomplementaryJtherapyJ-JANSWERJANS:JA
SocialJskillsJtrainingJisJhelpfulJinJtreatingJandJpreventingJtheJrecurrenceJofJdepression.
TrainingJfocusesJonJassertivenessJandJcopingJskillsJthatJleadJtoJpositiveJreinforcementJfrom
othersJandJdevelopmentJofJaJpatient'sJsupportJsystem.JUseJofJcomplementaryJtherapyJrefersJto
adjunctiveJtherapiesJsuchJasJherbals,JwhichJwouldJbeJlessJhelpfulJthanJsocialJskillsJtraining.
AssertivenessJwouldJbeJofJgreaterJvalueJthanJrelaxationJtrainingJbecauseJpassivityJwasJa
concern.JDesensitizationJisJusedJinJtreatmentJofJphobias.
PTS:J1JDIF:JCognitiveJLevel:JAnalyzeJ(Analysis)
REF:JPagesJ14-16J(CaseJStudyJandJNursingJCareJPlan),J43JTOP:JNursingJProcess:JPlanning
MSC:JClientJNeeds:JPsychosocialJIntegrity
5.JPriorityJinterventionsJforJaJpatientJdiagnosedJwithJmajorJdepressiveJdisorderJandJfeelingsJof
worthlessnessJshouldJinclude
a.JdistractingJtheJpatientJfromJself-absorption.
b.JcarefulJunobtrusiveJobservationJaroundJtheJclock.
c.JallowingJtheJpatientJtoJspendJlongJperiodsJaloneJinJmeditation.
d.JopportunitiesJtoJassumeJaJleadershipJroleJinJtheJtherapeuticJmilieu.J-JANSWERJANS:JB
TestBankWorld.org
ApproximatelyJtwo-thirdsJofJpeopleJwithJdepressionJcontemplateJsuicide.JPatientsJwith
depressiveJdisorderJwhoJexhibitJfeelingsJofJworthlessnessJareJatJhigherJrisk.JRegularJplanned
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