Chapter 11: Depressive Disorders

Chapter 11: Depressive Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   You are admitting a new patient 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

 

 

____     2.   In caring for a patient with major depression, the nurse knows that the patient 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.

 

 

____     3.   Patients with major depression commonly display signs of:

A.	Energy.
B.	Repetitive, compulsive behaviors.
C.	Worthlessness.
D.	Visual hallucinations.

 

 

____     4.   When your patient 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 Section

 

MULTIPLE CHOICE

 

1. ANS:  D

Responses A and C are not helpful in just meeting the patient. Though response B is important, it begins with trust.

 

PTS:   1

REF:   Chapter 11: Depressive Disorders; Table 11-2, Nursing Care Plan for Depressed Patient; page 187

KEY:  Integrated Processes: Caring | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication

 

2. ANS:  D

The depressed patient may become overwhelmed if too much is offered too soon. Structured, goal-directed activities are less stressful.

 

PTS:   1

REF:   Chapter 11: Depressive Disorders; Table 11-3, Nursing Care Plan for Depressed Patient; page 188

KEY:  Integrated Processes: Caring | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication

 

3. ANS:  C

Feelings of worthlessness are part of the common symptoms of sadness and low self-worth seen in major depression.

 

PTS:   1                    REF:   Chapter 11: Depressive Disorders; Major Depressive Disorders; page 182

KEY:  Integrated Processes: Nursing Process: Assessment | Content Area: Mental Health: Mood disorders | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts

 

4. ANS:  D

This response gives the patient an opening to share feelings without being pressured to come up with reasons for these feelings. Responses A and C are not helpful for someone with depression because they minimize what the patient is experiencing.

 

PTS:   1                    REF:   Chapter 11: Depressive Disorders; General Nursing Interventions; page 186-187

KEY:  Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication