Passpoint Mood, adjustment and dementia disorders | A depressed client tells a nurse, "I want to die. Life just isn't worth living." Which response by the nurse is most appropriate?

Passpoint Mood, adjustment and dementia disorders  Question 1 See full question

A depressed client tells a nurse, "I want to die. Life just

isn't worth living." Which response by the nurse is most

appropriate?

You Selected:

• "Of course life is worth living. You'll feel better soon."

Correct response:

• "This must be a very difficult time for you."

Explanation:

Remediation:

Question 2 See full question

A professional artist is admitted to the psychiatric unit for

treatment of bipolar disorder. During the previous 2

weeks, the client has created 154 paintings, slept only 2

to 3 hours every 2 days, and lost 18 lb (8.2 kg). Based on

Maslow's hierarchy of needs, what should the nurse

provide this client with first?

You Selected:

• Help with reestablishing a normal sleep pattern

Correct response:

• Help with reestablishing a normal sleep pattern

Explanation:

Remediation:

Question 3 See full question

For the client receiving outpatient treatment for

depression and suicidal ideation, what is the correct

amount of imipramine to have at one time?

You Selected:

• a 30-day supply

Correct response:

• a 7-day supply

Explanation:

Remediation:

Question 4 See full question

When developing appropriate assignments for the staff,

which client should the nurse manager judge to be at

highest risk for suicide completion?

You Selected:

• an 85-year-old Caucasian man who lives alone after his

wife's death

Correct response:

• an 85-year-old Caucasian man who lives alone after his

wife's death

Explanation:

Remediation:

Question 5 See full question

Which statement by a client taking valproic acid for

bipolar disorder indicates that further teaching about this

medication is necessary?

You Selected:

• "I can chew the pills if necessary."

Correct response:

• "I can chew the pills if necessary."

Explanation:

Remediation:

Question 6 See full question

During the nurse’s conversation with a depressed client,

the client states, “I have no reason to be sad. I have a

great job and a wonderful wife and family.” Which

comment would be best for the nurse to make at this

time?

You Selected:

• "Depression can be caused by a chemical imbalance in

the brain."

Correct response:

• "Depression can be caused by a chemical imbalance in

the brain."

Explanation:

Remediation:

Question 7 See full question

When educating a client who has been diagnosed with

dysthymia about possible treatment for the disorder,

which information should the nurse include?

You Selected:

• "Antidepressants offer you the best treatment for your

disorder."

Correct response:

• "Dysthymia often responds to the combination of

psychotherapy and antidepressants."

Explanation:

Question 8 See full question

The family of a client diagnosed with Alzheimer's disease

wants to keep the client at home. They say that they

have the most difficulty in managing his wandering. What

should the nurse instruct the family to do? Select all that

apply.

You Selected:

• Ask the health care provider (HCP) for a sleeping

medication.

• Install door alarms and high door locks.

Correct response:

• Install motion and sound detectors.

• Have the client wear a Medical Alert bracelet.

• Install door alarms and high door locks.

Explanation:

Remediation:

Question 9 See full question

During the initial assessment, a female client exhibits

pressured speech. She points to certain patterns on the

wallpaper and says, "This is the writing about the

tsunami. Thousands of people died because I read the

writing. I should never have read the writing; it was my

fault." Which of the following would be central to the

nurse’s interventions?

You Selected:

• Replying to the client with feedback about reality and the

client's behaviors

Correct response:

• Replying to the client with feedback about reality and the

client's behaviors

Explanation:

Remediation:

Question 10 See full question

A client taking tranylcypromine sulfate for depression was

treated in the emergency department for a headache,

vomiting, and blood pressure of 190/100 mm/Hg following

dinner at a restaurant. At discharge, the nurse evaluated

the client’s understanding of diet instructions. For what

menu choice will the nurse provide further education?

You Selected:

• Carrot cake and black coffee

Correct response:

• Mexican sausage soup with guacamole and chips

Explanation:

Remediation:

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TAKE A PRACTICE QUIZ

uestion 1 See full question

A physician orders electroconvulsive therapy (ECT) for a

severely depressed client who fails to respond to drug

therapy. When teaching the client and family about his

treatment, the nurse should include which point about

ECT?

You Selected:

• ECT will induce a seizure.

Correct response:

• ECT will induce a seizure.

Explanation:

Remediation:

Question 2 See full question

A nurse is working on a unit with individuals who have

eating disorders. She is interviewing a new female client.

The client has lost a significant amount of weight over the

past months and complains of being "sick to my stomach"

when around food. The client reports that she hasn't

menstruated in 3 months. What is the priority nursing

intervention?

You Selected:

• Requesting an order for a pregnancey test

Correct response:

• Requesting an order for a pregnancey test

Explanation:

Remediation:

Question 3 See full question

A physician orders a tricyclic antidepressant for a client

who has suffered an acute myocardial infarction (MI)

within the previous 6 months. Which action should the