Review Questions
1
.
What condition is considered a mood disorder? Select all that apply.
- major depressive disorder
- bipolar disorder
- schizophrenia
- dysthymia
2
.
What is the primary characteristic of persistent depressive disorder?
-
extreme mania
-
extreme depression
-
milder form of depression
-
absence of mood
3
.
What type of medication is commonly prescribed for bipolar disorder?
-
SSRIs
-
mood stabilizers
-
antipsychotics
-
benzodiazepines
4
.
What is a psychosocial treatment used for major depressive disorder?
-
antipsychotic medication
-
electroconvulsive therapy
-
cognitive behavioral therapy
-
narcotics
5
.
What factor is typically associated with the onset of depression? Select all that apply.
- genetics
- environmental stressors
- high levels of physical activity
- neurochemical imbalances
6
.
What neurotransmitter is most commonly associated with depression?
-
dopamine
-
serotonin
-
norepinephrine
-
GABA
7
.
What does anhedonia refer to?
-
excessive sleeping
-
loss of interest or pleasure in activities
-
overeating
-
agitation
8
.
What is a clinical symptom of depression? Select all that apply.
- persistent sadness
- impaired concentration
- elevated self-esteem
- feelings of worthlessness
9
.
What therapy focuses on identifying and changing negative thought patterns and behaviors?
-
psychodynamic therapy
-
cognitive behavioral therapy
-
interpersonal therapy
-
family therapy
10
.
How is self-harm often used as a coping mechanism?
-
to get back at someone
-
to cope with overwhelming emotions
-
to manipulate others
-
to enhance physical well-being
11
.
What is the first priority in nursing care for a client contemplating suicide?
-
medication administration
-
establishing a therapeutic alliance
-
physical restraints
-
safety measures
12
.
What is an approach for caring for clients who self-injure? Select all that apply.
- emotional validation
- physical restraints
- harm-reduction techniques
- cognitive behavioral therapy
13
.
What is a common warning sign of suicide? Select all that apply.
- withdrawal from social activities
- increased energy and enthusiasm
- verbalizing thoughts of death
- giving away personal belongings
14
.
What is nonsuicidal self-injury?
-
the act of deliberately harming the surface of one’s body, such as cutting or burning, with the intent of committing suicide
-
the act of deliberately harming one’s body, such as cutting or burning, to express emotional distress or cope with emotional pain and without suicidal intent
-
an act of revenge toward someone else
-
an unconscious action where the person is not aware they are causing harm to themselves
15
.
What is the primary difference between NSSI and suicidal behavior?
-
Both NSSI and suicidal behavior are carried out with the intention of ending one’s life.
-
NSSI involves harming others, while suicidal behavior involves self-harm.
-
While both NSSI and suicidal behavior involve self-inflicted harm, the key difference lies in intent.
-
There is no significant difference between NSSI and suicidal behavior; they are the same thing.
16
.
What therapeutic interventions may be beneficial for clients who engage in NSSI?
-
aromatherapy and acupuncture only
-
cognitive behavioral therapy, mindfulness-based interventions, group therapy, family therapy, and certain medications as directed by a psychiatrist
-
sedation until the client’s behavior improves
-
physical restraint as the primary treatment method
17
.
What is bipolar disorder?
-
a disorder characterized by persistent depressive episodes only
-
a disorder characterized by both depressive and manic episodes
-
a disorder characterized by persistent manic episodes only
-
a disorder characterized by fluctuating levels of anxiety
18
.
During a manic episode, what behavior is a client likely to exhibit?
-
excessive sleeping
-
elevated self-esteem
-
social withdrawal
-
anhedonia
19
.
What symptom is characteristic of a depressive episode in bipolar disorder?
-
racing thoughts
-
impaired concentration
-
grandiosity
-
increased energy
20
.
What medication class is commonly prescribed for managing manic episodes in bipolar disorder?
-
SSRIs
-
SNRIs
-
benzodiazepines
-
mood stabilizers
21
.
How should a nurse manage the potential side effects of lithium?
-
Adjust the medication dosage without consulting the health-care provider.
-
Educate clients about these potential side effects, monitor their occurrence, and work with the health-care team to manage them.
-
Discontinue the medication immediately.
-
Ignore these symptoms as they are not related to the medication.
22
.
How can a nurse support the mental well-being of a client and reduce the stigma associated with bipolar disorder?
-
by ignoring the emotional concerns of the client and focusing solely on medication management; discouraging any discussions about the disorder to avoid drawing attention
-
by suggesting that clients should keep their diagnosis a secret to avoid societal judgment, focusing solely on physical symptoms rather than emotional well-being
-
by providing emotional support, listening empathetically to clients’ concerns, and encouraging self-care activities and therapies; educating clients, families, and the public about the disorder to reduce stigma and advocating for client rights and dignity
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by providing only pharmacological interventions without addressing emotional and psychosocial needs; disregarding the importance of client advocacy and education