PP RNSG 1538 MOOD AND AFFECT
MASTERY QUIZ QUSTIONS WITH
COMPLETE SOLUTIONS
A client taking paroxetine 40 mg PO every morning tells the nurse that her mouth "feels
like cotton." Which statement by the client necessitates further assessment by the
nurse? - Answer-"I am drinking 12 glasses of water every day."
A client diagnosed with major depression and substance dependence is being admitted
to the concurrent disorder treatment unit. In explaining the focus of this program, the
nurse should tell what information to the client? - Answer-There will be simultaneous
treatment of the addiction and depression.
On admission to the psychiatric unit, a client is dressed in a red leotard and an exercise
bra and has an assortment of chains and brightly colored scarves on her head, waist,
wrists, and ankles. The client shakes the nurse's hand and says cheerfully, "We need to
become better acquainted. I have the world's greatest intellect, and you are probably an
intellectual midget." How can the nurse document the client's mood in her assessment?
- Answer-Expansive and grandiose
During therapy, a client on the mental health unit is restless and is starting to make
sarcastic remarks to others in the therapy session. The nurse responds by saying, "you
look angry." Which of the following communication techniques is the nurse using? -
Answer-Making observations
The nurse has been teaching a client about depression. Which statement indicates
insight into the client's diagnosis? - Answer-"I believe that my sadness affects my work
and feelings."
The nurse is teaching a group of unlicensed assistive personnel (UAP) about providing
care to clients with depression. Which approach by one of the UAPs indicates an
understanding of the most effective approach to a depressed client? - Answer-
empathetic
When discussing recent onset of feelings of sadness and depression in a client with
hypothyroidism who has just started to take thyroid hormone replacement, the nurse
should inform the client that these feelings are: - Answer-most likely related to low
thyroid hormone levels and will improve with treatment.
A client states the following to the nurse: "I am a failure, and I wish I had died." Which of
the following statements by the nurse demonstrates a therapeutic response? -
Answer-"You feel like a failure; would you like to talk more about the way you feel?"
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