Chapter 12: Mood Disorders: Depression, Bipolar, and Adjustment Disorders

Chapter 12: Mood Disorders: Depression, Bipolar, and Adjustment Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse learns at report that a newly admitted manic patient is demonstrating grandiosity. Which statement would be most consistent with this symptom?

a.	“I can’t do anything anymore.”
b.	“I’m the world’s most astute financier.”
c.	“I can understand why my wife is upset that I overspend.”
d.	“I can’t understand where all the money in our family goes.”

 

ANS: B

An individual who is demonstrating grandiosity has an exaggerated view of his abilities. The other options are more moderate statements and lack that element of exaggeration.

 

DIF:   Cognitive Level: Application        REF:  Page 233 | Page 235

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

 

2. The nurse will base a discussion of dysthymia on the fact that the condition:

a.	Typically has an acute onset
b.	Involves delusional thinking
c.	Is chronic low-level depression
d.	Does not include suicidal ideation

 

ANS: C

Dysthymia is identified as a chronic low-level depression frequently lasting over a period of several years without remitting. Dysthymia has a slow, insidious onset. Delusional thinking is not a common manifestation of dysthymia. Suicidal thoughts are seen among dysthymic patients.

 

DIF:   Cognitive Level: Comprehension  REF:  Pages 232-233

TOP:  Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity

 

3. What is the priority nursing diagnosis for a patient exhibiting signs of acute mania that include exaggerated physical activity, agitation, insomnia, and anorexia?

a.	Risk for injury
b.	Chronic low self-esteem
c.	Noncompliance
d.	Insomnia

 

ANS: A

Risk for injury is the priority diagnosis. Possible injuries include dehydration, which may result from not drinking and trauma, which may result from bumping into objects or from physical altercations. The other options are valid diagnoses, but not of highest priority.

 

DIF:   Cognitive Level: Analysis             REF:  Page 242        TOP:  Nursing Process: Diagnosis

MSC: NCLEX: Psychosocial Integrity

 

4. A patient has been admitted with a diagnosis of atypical depression. In planning interventions, the nurse would expect to consider the characteristic symptom of:

a.	Seasonal episodes
b.	Leaden paralysis
c.	Psychomotor agitation
d.	Increased depression in the morning

 

ANS: B

Behavioral characteristics of atypical depression include the feeling that one’s limbs are so heavy they cannot be lifted or moved (leaden paralysis). Seasonal mood changes are characteristic of seasonal affective disorder. Psychomotor agitation and depression that is greater in the morning than in the evening are characteristics more likely to be observed in patients with melancholic depression.

 

DIF:   Cognitive Level: Application        REF:  Page 237        TOP:  Nursing Process: Planning

MSC: NCLEX: Psychosocial Integrity

 

5. An inappropriately dressed patient has not slept for 3 days while making excessive, expensive long-distance phone calls. When the patient can be heard singing loudly in the examining room, the nurse makes initial plans to focus on:

a.	Assessing needs for food, liquids, and rest
b.	Setting strict limits on dress and behavior
c.	Conducting an in-depth suicide assessment
d.	Obtaining a complete psychosocial assessment

 

ANS: A

Patients with mania frequently ignore their basic physiologic needs, as evidenced by not sleeping for 3 days, thus making these assessments the priority. Limits, although appropriate to consider, are not the priority. The manic state precludes a thorough assessment initially. Suicide assessment is not a priority at this time but reckless behavior could result in personal injury.

 

DIF:   Cognitive Level: Application        REF:  Page 245        TOP:  Nursing Process: Planning

MSC:   NCLEX: Physiological Integrity