Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
$2.99
Chapter 25: Depressive Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Depressed mood for 2 weeks; anhedonia; feelings of worthlessness |
| b. | Delusions of guilt and poverty; weight loss; agitation beginning 3 weeks ago |
| c. | Depressed mood for 3 months; suicidal ruminations; hypersomnia; sullen affect |
| d. | Depressed for 3 years; poor concentration; anhedonia; low self-esteem; indecision |
ANS: D
Dysthymia is a depressive disorder marked by chronicity. The depression must have been present more than 50% of the time for at least 2 years. The other options describe major depression and psychotic depression.
DIF: Cognitive level: Applying REF: p. 272
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Assess history of seasonal variations of mood. |
| b. | Observe for increased sensitivity to rejection. |
| c. | Monitor and document sleep patterns. |
| d. | Assess for echolalia and posturing. |
ANS: C
Individuals with the depressive variant of melancholia often display anhedonia, depression worse in the morning, early-morning awakening, anorexia and/or weight loss, and inappropriate guilt. It is appropriate to monitor sleep patterns to ascertain if sleep disturbance is present. Homeostasis is contingent on adequate sleep. The distracters are seen in depression with catatonic features, atypical depression, and seasonal affective disorder.
DIF: Cognitive level: Analyzing REF: p. 273 TOP: Nursing process: Planning
MSC: NCLEX: Physiologic Integrity
| a. | “Your depressed mood will probably spontaneously improve in 6 months to a year.” |
| b. | “People with seasonal affective disorder usually feel better in spring and summer, when there are longer periods of light.” |
| c. | “It’s important to engage in community activities to improve your depressed mood. Activity stimulates important brain chemicals.” |
| d. | “Most people with seasonal affective disorder feel better during the fall and winter seasons as they experience the pleasure of the holidays.” |
ANS: B
Seasonal affective disorder is a depression occurring in conjunction with a seasonal change, most often beginning in fall and winter and remitting in spring in the Northern Hemisphere. The correct answer is the only option that reflects the information regarding the seasonal nature of the disorder.
DIF: Cognitive level: Applying REF: pp. 273
TOP: Nursing process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | Parents killed in an auto accident |
| b. | Lived with adoptive parents since birth |
| c. | Allergies to dust, pollen, and mold |
| d. | Frequent conflicts with siblings |
ANS: A
The events that predispose children and adolescents to develop depression involve loss such as death or separation from parents, death of a close relative, death of a pet, a move to another neighborhood, academic problems, or illness or injury that requires hospitalization. This is the only answer that reflects the relationship of loss to the disorder.
DIF: Cognitive level: Analyzing REF: p. 274
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $25.00.$15.00Current price is: $15.00.
Original price was: $499.00.$49.00Current price is: $49.00.
Original price was: $60.00.$40.00Current price is: $40.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.