____ 1. A client, age 56 years, became severely depressed when the last of her six children moved out of the
home 4 months ago. Since then she has neglected to care for herself, lost weight, and repeatedly
states “No o
...
____ 1. A client, age 56 years, became severely depressed when the last of her six children moved out of the
home 4 months ago. Since then she has neglected to care for herself, lost weight, and repeatedly
states “No one cares about me anymore.” Before the onset of symptoms she had been a meticulous
housekeeper, was neatly groomed, and often participated in community activities. She was
noncompliant with tricyclic antidepressant therapy, so admission to the mental health unit was
sought. After her admission, the client repeatedly tells nursing staff “No one cares about me. I’m not
worth anything.” A helpful response by the nurse would be
a. “I care about you, and I want to try to help you get better.”
b. “Things will look brighter soon. Everyone feels down once in a while.”
c. “It is difficult for others to care about you when you say the same negative things
over and over.”
d. “I’ll sit with you for 10 minutes, I’ll return for 10 minutes at lunchtime, and again
at 2:30 this afternoon.”
____ 2. A depressed client who is taking a tricyclic antidepressant tells the nurse “I don’t think I can keep
taking these pills. They make me very dizzy, especially when I stand up.” The nurse should
a. explain how to mange hypotension and reassure that side effects go away after
several weeks.
b. tell the client that the side effects are a minor inconvenience compared with
feelings of depression.
c. withhold the drug and have the physician examine the client.
d. perform a mental status examination on the client.
____ 3. Information given to a depressed client and family when the client begins selective serotonin
reuptake inhibitor antidepressant therapy should include the directive to
a. avoid exposure to bright sunlight.
b. report increased suicidal thoughts.
c. restrict sodium intake to 1 gm daily.
d. maintain a tyramine-free diet.
____ 4. A depressed client who is scheduled to receive electroconvulsive therapy this morning asks the nurse
“How is this treatment supposed to help me?” The best reply would be “Electroconvulsive therapy
a. probably increases the availability of brain neurotransmitters.”
b. makes you confused and you forget why you’re feeling depressed.”
c. serves as a punishment so your own conscience can stop punishing you.”
d. works by opening your mind to learning and applying new coping skills.”
____ 5. A client is being treated for depression with phenelzine (Nardil). The indicator that would be useful
to monitor the outcome “client will understand the potential side effects of monoamine oxidase
inhibitor (MAOI) antidepressants” is that the client
a. wears supportive shoes.
b. elevates legs when sitting.
c. eats at Chinese restaurants.
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