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NURS 663 EXAM-STAHL STUDY GUIDE CHAPTER #7 QUESTIONS WITH COMPLETE ANSWERS
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NURS 663 EXAM-STAHL STUDY GUIDE CHAPTER #7 QUESTIONS WITH COMPLETE ANSWERS
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NURS 663 EXAM-STAHL STUDY GUIDECHAPTER #7 QUESTIONS WITH
COMPLETE ANSWERS
You are admitting a new pt 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 - Answer-D. establish trust
In caring for a pt with major depression, the nurse knows that the pt 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 - Answer-D. well
defined structured interactions at the beginning of treatment
Pts with major depression commonly display signs of
A. energy
B. repetitive, compulsive behaviors
C. worthlessness
D. visual hallucinations - Answer-C. worthlessness
When your pt 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 - Answer-D. tell me more about what is
going on with you
Your pt 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 - Answer-A. hypertensive crisis
Your depressed pt who is taking a TCA 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 - Answer-D. muscle rigidity
, Helen, a 47 yr old client with a long hx of severe depression, has not responded to
antidepressant meds or psychotherapy. The nurse caring for the pt knows that the tx of
choice for depression unresponsive to conventional tx would be
A. lithium
B. ECT
C. light therapy
D. neurolinguistic programming - Answer-B. ECT
Your depressed pt is just started on duloxetine. Which statement by the spouse tells
you that family teaching has been effective
A. i cant 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. - Answer-B. i realize we can't expect big changes right away
Biological theories of depressive disorders include all of the following except
A. chemical imbalances are responsible
B. the pt experiences maladaptive thought processes
C. there are genetic tendencies that run in families
D. hormonal factors make women more susceptible than men - Answer-B. the pt
experiences maladaptive thought processes
Light therapy has been shown to be effective in treating pts with
A. bipolar disorder
B. dysthymia
C. major depression with seasonal pattern
D. schizophrenia - Answer-C. major depression with seasonal pattern
You are doing pt teaching for Margaret, who has been prescribed amitriptyline for tx 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 Ill keep taking the med just
as the doc prescribed
B. Ill keep some hard candies in my purse in case my mouth gets dry from the med
C. Once I start feeling better, Im looking forward to cutting down on this med
D. I'm worried I may gain some weight, but thats a small price to pay for feeling better -
Answer-C. Once I start feeling better, Im looking forward to cutting down on this med
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
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