Chapter 21 Mood Disorders

Chapter 21  Mood Disorders

Complete Chapter Questions And Answers
 

Sample Questions

When teaching a client with newly diagnosed bipolar I disorder, the nurse states that the difference between bipolar I disorder and bipolar II disorder is what?
A)
Bipolar I disorder is often more disruptive than bipolar II disorder.
B)
Bipolar I disorder more often affects women.
C)
Bipolar I disorder is characterized by hypomanic episodes.
D)
Bipolar I disorder involves altered moods of anger and paranoia.
Ans:
A

Feedback:

Bipolar I disorder is often more severe, thus symptoms tend to create more disruption in functioning compared to bipolar II disorder. Bipolar I disorder is characterized by one or more manic or mixed episodes in which the individual experiences rapidly alternating moods accompanied by symptoms of a manic mood and a major depressive episode.

2.
A client was admitted to the psychiatric unit with major depression after a suicide attempt. In addition to the client’s feelings of sadness and hopelessness, the nurse assessed which of the following somatic or physiologic symptoms of depression?
A)
Anxiety, unconscious anger, and hostility
B)
Guilt, indecisiveness, and poor self-concept
C)
Psychomotor retardation and agitation
D)
Meticulous attention to grooming and hygiene
Ans:
C

Feedback:

Psychomotor retardation, or agitation, often accompanies depression. The incorrect answers are not physiologic or somatic but psychological or functional symptoms of depression. Usually in depressive illness, grooming and hygiene are not tended to.

3.
You are working with a 50-year-old woman admitted for major depressive episode. The client has remained isolated and withdrawn since her admission and is reluctant to speak. Which of the following therapeutic communication skills is most likely to encourage the client to vent her feelings?
A)
Direct confrontation
B)
Reality orientation
C)
Projective identification
D)
Silence and active listening
Ans:
D

Feedback:

Silence and active listening are powerful tools for use with a client who is depressed and withdrawn. Direct confrontation can lead to feelings of shame or embarrassment. The client who is not psychotic does not need reality orientation, and projective identification is a primitive subconscious ego defense mechanism.

4.
A client was admitted to the psychiatric unit after being picked up by police officers who found her frantically running back and forth across the freeway. Her husband related that she stayed up all night, ate very little, and talked incessantly. Additional assessment findings that indicate a manic episode include what?
A)
Psychomotor retardation, fatigue, and apathy
B)
Pressured speech, combative behavior, and impaired judgment
C)
Catatonic excitement, loose associations, and recurrent illusions
D)
Self-destructive behavior, overidealization, and devaluation
Ans:
B

Feedback:

A manic episode would be characterized by pressured speech, potentially combative behavior, and impaired judgment. Neither psychomotor retardation is present nor are recurrent illusions. Self-destructive behavior is not a classic symptom of mania; more often, clients may have accidents caused by their lack of judgment and psychomotor agitation.

5.
When completing discharge medication education for the client, he asks how long it will take before the effects of his prescribed SSRI could be felt. The nurse states that it will likely take?
A)
1 to 2 days
B)
5 to 7 days
C)
2 to 3 weeks
D)
3 to 4 weeks
Ans:
C

Feedback:

Most antidepressant medications do not become effective or reach a therapeutic level for at least 2 or 3 weeks.