Chapter 16: Depressive Disorders

Chapter 16: 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.   The nurse educator is lecturing a group of nursing students on depression in adolescents. Which statement indicates that teaching has been effective?

1.	“Adolescents are not likely to suffer from depression.”
2.	“Depressed adolescents always seek immediate treatment.”
3.	“Many symptoms are attributed to normal adjustments of adolescents.”
4.	“Suicide is not common among depressed adolescents.”

 

 

____     2.   When planning care for a depressed client, which correctly written outcome should be a nurse’s first priority?

1.	The client will promise not to physically harm self.
2.	The client will discuss feelings with staff and family by day three.
3.	The client will establish a trusting relationship with the nurse.
4.	The client will remain safe during hospital stay.

 

 

____     3.   A nurse administers 100 percent oxygen to a client during and after electroconvulsive therapy treatment (ECT). What is the rationale for this procedure?

1.	To prevent increased intracranial pressure resulting from anoxia
2.	To prevent decreased blood pressure, pulse, and respiration owing to electrical stimulation
3.	To prevent anoxia resulting from medication-induced paralysis of respiratory muscles
4.	To prevent blocked airway, resulting from seizure activity

 

 

____     4.   Immediately after electroconvulsive therapy (ECT), in which position should a nurse place the client?

1.	On his or her side, to prevent aspiration
2.	In high Fowler’s position, to prevent increased intracranial pressure
3.	In Trendelenburg’s position, to promote blood flow to vital organs
4.	In prone position, to prevent airway blockage

 

 

____     5.   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?

1.	Altered communication R/T feelings of worthlessness AEB anhedonia
2.	Social isolation R/T poor self-esteem AEB secluding self in room
3.	Altered thought processes R/T hopelessness AEB persecutory delusions
4.	Altered nutrition: less than body requirements R/T high anxiety AEB anorexia

 

MULTIPLE CHOICE

 

1. ANS:  3

Chapter: Chapter 16, Depressive Disorders

Objective: Identify symptomology associated with depression and use this information in client assessment.

Page: 388

Heading: Adolescence

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Evaluation [Evaluating]

Concept: Cognition

Difficulty: Moderate

 

	Feedback
1	Adolescents commonly suffer from depression.
2	Depressed adolescents may not immediately seek treatment.
3	Many symptoms of depression may attributed to normal adjustments of adolescents.
4	Suicide is common among depressed adolescents.

 

 

PTS:   1                    CON:  Cognition

 

2. ANS:  4

Chapter: Chapter 16, Depressive Disorders

Objective: Describe appropriate nursing interventions for behaviors associated with depression.

Page: 393

Heading: Table 16-2 Care Plan for the Depressed Client

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Cognition

Difficulty: Moderate

 

	Feedback
1	The outcome should be specific.
2	The outcome should be realistic.
3	The outcome should have a time frame.
4	The nurse’s first priority should be that the client will remain safe during the hospital stay. Client safety should always be the nurse’s first priority.

 

 

PTS:   1                    CON:  Cognition

 

3. ANS:  3

Chapter: Chapter 16, Depressive Disorders

Objective: Describe appropriate nursing interventions for behaviors associated with depression.

Page: 405–406

Heading: Treatment Modalities for Depression > Electroconvulsive Therapy

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Perfusion

Difficulty: Moderate

 

	Feedback
1	Oxygen is not administered to prevent increased intracranial pressure.
2	Oxygen is not administered to prevent diminished vital signs.
3	The nurse administers 100 percent oxygen during and after ECT to prevent anoxia resulting from medication-induced paralysis of respiratory muscles.
4	Oxygen is not administered to prevent a blocked airway.

 

 

PTS:   1                    CON:  Perfusion

 

4. ANS:  1

Chapter: Chapter 16, Depressive Disorders

Objective: Describe appropriate nursing interventions for behaviors associated with depression.

Page: 405–406

Heading: Treatment Modalities for Depression > Electroconvulsive Therapy

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Cognition

Difficulty: Moderate

 

	Feedback
1	The nurse should place a client who has received ECT on his or her side to prevent aspiration.
2	High Fowler’s does not prevent aspiration.
3	Trendelenburg does not prevent aspiration.
4	Prone position does not prevent aspiration.

 

 

PTS:   1                    CON:  Cognition

 

5. ANS:  2

Chapter: Chapter 16, Depressive Disorders

Objective: Formulate nursing diagnoses and goals of care for clients with depression.

Page: 380

Heading: Types of Depressive Disorders > Major Depressive Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Cognition

Difficulty: Moderate

 

	Feedback
1	Altered communication R/T feelings of worthlessness AEB anhedonia does not address a behavioral symptom of this disorder.
2	A nursing diagnosis of social isolation R/T poor self-esteem AEB secluding self in room addresses a behavioral symptom of major depressive episode. Other behavioral symptoms include psychomotor retardation, virtually nonexistent communication, curled-up position, and no attention to personal hygiene and grooming.
3	Altered thought processes R/T hopelessness AEB persecutory delusions does not address a behavioral symptom of this disorder.
4	Altered nutrition: less than body requirements R/T high anxiety AEB anorexia does not address a behavioral symptom of this disorder.

 

 

PTS:   1                    CON:  Cognition