Mr. Cruz visits the physician’s office to seek treatment for depression, feelings of hopelessness, poor appetite, insomnia, fatigue, low self-esteem, poor concentration, and difficulty making decisions. The client states that these symptoms began at least 2 years ago. Based on this report, the nurse Tiffany suspects: A. Cyclothymic disorder. B. Atypical affective disorder.… Read More »
Katrina, a newly admitted is extremely hostile toward a staff member she has just met, without apparent reason. According to Freudian theory, the nurse should suspect that the client is experiencing which of the following phenomena? A. Intellectualization B. Transference C. Triangulation D. Splitting Correct Answer: B.… Read More »
Malou is diagnosed with major depression and spends the majority of the day lying in bed with the sheet pulled over his head. Which of the following approaches by the nurse would be the most therapeutic? A. Question the client until he responds. B. Initiate contact with the client frequently. C. Sit outside the… Read More »
After taking an overdose of phenobarbital (Barbita), Mario is admitted to the emergency department. Dr. Trinidad prescribes activated charcoal (Charcocaps) to be administered by mouth immediately. Before administering the dose, the nurse verifies the dosage ordered. What is the usual minimum dose of activated charcoal? A. 5 g mixed in 250 ml of water… Read More »
An 83-year-old male client is in extended care facility is anxious most of the time and frequently complains of a number of vague symptoms that interfere with his ability to eat. These symptoms indicate which of the following disorders? A. Conversion disorder B. Hypochondriasis C. Severe anxiety D. Sublimation … Read More »
Joe who is very depressed exhibits psychomotor retardation, a flat affect, and apathy. The nurse in charge observes Joe to be in need of grooming and hygiene. Which of the following nursing actions would be most appropriate? A. Waiting until the client’s family can participate in the client’s care. B. Asking the client… Read More »
What herbal medication for depression, widely used in Europe, is now being prescribed in the United States? A. Ginkgo biloba B. Echinacea C. St. John’s wort D. Ephedra Correct Answer: C. St. John’s wort St. John’s wort has been found to have serotonin-elevating properties, similar to prescription… Read More »
Charina, a college student who frequently visited the health center during the past year with multiple vague complaints of GI symptoms before course examinations. Although physical causes have been eliminated, the student continues to express her belief that she has a serious illness. These symptoms are typically of which of the following disorders? A.… Read More »
When teaching Mario with a typical depression about foods to avoid while taking phenelzine(Nardil), which of the following would the nurse in charge include? A. Roasted chicken B. Fresh fish C. Salami D. Hamburger Correct Answer: C. Salami Foods high in tyramine, those that are fermented, pickled,… Read More »
Cely with manic episodes is taking lithium. Which electrolyte level should the nurse check before administering this medication? A. Calcium B. Sodium C. Chloride D. Potassium Correct Answer: B. Sodium Lithium is chemically similar to sodium. If sodium levels are reduced, such as from sweating or diuresis,… Read More »