NUR190 Depression Exam Questions with Verified Answers (Graded A+)
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NUR190 Depression
Institution
NUR190 Depression
NUR190 Depression Exam Questions with Verified Answers (Graded A+)
Major depressive disorder (MDD) - Answers Feelings last EVERYDAY for a minimum of 2 weeks, and last most of the day
dysthymic disorder (DD) - Answers Persistent depressive disorder; chronic version of MDD. Lasts at least 2 years f...
Tricyclic antidepressants - Answers Block the reputable of norepinephrine and serotonin at the
presynaptic neuron. Causes decreased libido.
MAOIs - Answers Used in a typical depression. Inhibits the action of the enzyme MAO, thereby
preventing the degradation of norepinephrine and serotonin and increasing their concentration in the
nervous system. Patients must avoid anything with tyramine (bologna, chocolate, soy, beer, red wine,
aged cheeses, bananas, chicken, beef, liver,cola) Patients usually will refuse taking because of side
effects.
MAOI antidote - Answers Phentolamine (IV) 5-10 mg
Antidepressants therapeutic time - Answers 2-4 weeks to fully take effect
1st line of treatment - Answers SSRIs
2nd line of treatment - Answers SNRIs
Anhedonia - Answers lack of pleasure
1st line of treatment for SAD - Answers Light therapy
1st line of treatment for MDD - Answers Electroconvulsive therapy (ECT)
, ECT - Answers Administer atropine
6-12 treatments ( usually 1 every other day)
Have to have a written physician order
A nurse discovers a clients suicide note that details the time, place, and means to commit suicide. What
should be the priority nursing action, and why? - Answers Place client on one-to-one suicide
precautions, because specific plans likely lead to attempts.
Because the more specific the plan, the more likely the client will attempt suicide.
In planning care for a suicidal client, which correctly written outcome should be a nurses first priority? -
Answers The client will establish a trusting relationship with the nurse.
A nurse administers 100% oxygen to a client during and after ECT treatment . What is the rationale for
this procedure? - Answers To prevent anoxia resulting from medication induced paralysis of respiratory
muscles
Immediately after ECT, in which position should a nurse place the client? - Answers On his or her side, to
prevent aspiration
A client is diagnosed with major depressive episode. Which nursing diagnosis should a nurse assign to
this client, to address a behavioral symptom of this disorder? - Answers Social isolation R/T poor self
esteem AEB secluding self in room
A client diagnosed with major depressive episode hears voices commanding self harm. Which should be
the nurses priority intervention at this time? - Answers Placing the client on one-to-one observation
while continuing to monitor suicidal ideations.
A nurse assesses a client suspected of having the diagnosis of major depressive episode. Which client
symptom would rule out this diagnosis? - Answers The client has maxed-out charge cards and exhibits
promiscuous behaviors.
A nursing instructor is teaching about the new DSM-5 diagnostic category of disruptive mood days
regulation disorder (DMDD). Which of the following information should the instructor include? -
Answers Symptoms include verbal rages or physical aggression toward people or property
Temper outbursts must be present in at least two settings (at home, school, or with peers)
DMDD is characterized by severe recurrent temper outbursts
A client with a history of suicide attempts has been taking fluoxetine (Prozac) for one month. The client
suddenly presents with a bright affect, rates mood at 9 out of 10, and is much more communicative.
Which action should be the nurses priority at this time? - Answers Increase the level of this client's
suicide precautions.
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