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Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Wanda Mohr PhD RN FAAN

Chapter 27

Depressive Disorders - all with Video Answers

Educators


Chapter Questions

Problem 1

A 35-year-old client with depression lost his job and most of his investments because of unethical business practices. He states his family would be better off without him because of the shame he has brought to them. Which response by the nurse would be most therapeutic?
a. "Tell me more about the shame you feel."
b. "Has your wife told you she wants a divorce?"
c. "Are you thinking of killing yourself?"
d. "You appear depressed."

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02:53

Problem 2

A 30-year-old client with a history of depression returns to the mental health clinic for follow-up care. She takes $100 \mathrm{mg}$ of sertraline daily. In addition, she states she tries to stay mentally and physically well by taking yoga classes, walking regularly, and taking vitamins and St. John's wort. She also relates that she is a lacto-ovo-vegetarian and gets most of her protein from cheese. Given this information, what should the nurse tell the client?
a. "Avoid cheese. In conjunction with your medication, it can precipitate a severe hypertensive reaction.”
b. "You're doing a great job taking care of yourself. You've made several healthy lifestyle choices.”
c. "Stop taking St. John's wort. In conjunction with your medication, it can precipitate a serious reaction called serotonin syndrome.”
d. "You're doing a great job with your lifestyle choices. Do more intensive aerobic exercise, which has been shown to stabilize mood."

Joshua Argo
Joshua Argo
Numerade Educator

Problem 3

A 25-year-old client has been in inpatient treatment for severe depression for 3 weeks. He will be discharged soon, and the nurse is evaluating the effectiveness of the plan of care. Which outcome is the most appropriate indicator that the client's depression is resolving sufficiently for safe discharge?
a. The client has resumed caring for his physical appearance.
b. The client denies wanting to commit suicide.
c. The client expresses a willingness to begin tapering his medication.
d. The client sits in the public areas and speaks when addressed.

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Problem 4

Which of the following variables would the nurse identify as exerting the greatest effects on relapse prevention for clients with depressive disorders?
a. Strong social support.
b. High socioeconomic status.
c. Stress management skills.
d. Medication adherence.

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