Chapter 16 Depressive Disorders

Chapter 16  Depressive Disorders

Complete Chapter Questions And Answers
 

Sample Questions

____ 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

Answer Section

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