(Chapter 14 Review) Depressive Disorders

Which response made by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder?

a. “I’m so restless. I can’t seem to sit still.”

b. “I spend most of my time studying. I have to get into a good college.”

c. “I’m obsessed with counting telephone poles as I drive by them.”

d. “I go to sleep around 11 p.m. but I’m always up by 3 a.m. and can’t go back to sleep.” 

d. “I go to sleep around 11 p.m. but I’m always up by 3 a.m. and can’t go back to sleep.” 

Which assessment question asked by the nurse demonstrates an understanding of comorbid mental health conditions associated with major depressive disorder? Select all that apply

a. “Do rules apply to you?”

b. “What do you do to manage anxiety?”

c. Do you think you drink too much?”

d. “Have you ever been arrested for committing a crime?”

b. “What do you do to manage anxiety?”

c. Do you think you drink too much?”

d. “Have you ever been arrested for committing a crime?”

Which nursing intervention focuses on managing a common characteristics of major depressive disorder associated with the older population? 

a. Conducting routine suicide screenings at a senior center

b. Identifying depression as a natural, but treatable result of aging

c. Identifying males as being at a greater risk for developing depression 

d. Stressing that most individuals experience just a single episode of major depressive disorder in a lifetime 

a. Conducting routine suicide screenings at a senior center

Which characteristic identified during an assessment serves to support a diagnosis of disruptive mood dysregulation disorder? Select all that apply

a. Female

b. 7 years old

c. Comorbid autism diagnosis 

d. Outbursts occur at least once a week

e. Temper tantrums occur at home and in school

b. 7 years old

c. Comorbid autism diagnosis 

e. Temper tantrums occur at home and in school

Which chronic medical condition is common trigger for major depressive disorder? 

a. Pain

b. Hypertension 

c. Hypothyroidism

d. Crohn disease

a. Pain

Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider? 

a. Fluoxetine (Prozac)

b. Isocarboxazid (Marplan)

c. Amitriptyline

d. Duloxetine (Cymbalta) 

a. Fluoxetine (Prozac)

Cabot has multiple symptoms of depression, including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication? 

a. Tricyclic antidepressants 

b. Selective serotonin reuptake inhibitors

c. Serotonin and norepinephrine reuptake inhibitors 

d. Monoamine oxidase inhibitor 

d. Monoamine oxidase inhibitor 

When a nurse uses therapeutic communication with a withdrawn patient who has major depressive disorder, an effective method of managing the silence is to…

a. Mediate in the quiet environment 

b. Ask simple questions even if patient will not answer

c. Use the technique of making observations 

d. Simply sit quietly and leave when patient falls asleep 

c. Use the technique of making observations 

The biological approach to treating depression with electrodes surgically implanted into specific areas of the brain to stimulate the regions identified to by underactive in depression is …

a. Transcranial magnetic stimulation

b. Deep brain stimulation 

c. Vagus nerve stimulation

d. Electroconvulsive therapy 

b. Deep brain stimulation 

Two months ago, Natasha’s husband dies suddenly, and she has been overwhelmed with grief. When Natasha is subsequently diagnosed with major depressive disorder, her daughter, Nadia, makes which true statement?

a. “Depression often begins after a major loss. Losing dad was a major loss.”

b. “Bereavement and depression are the same problem.”

c. “Mourning is pathological and not normal behavior.”

d. “Antidepressant medications will not help thus type of depression.”

a. “Depression often begins after a major loss. Losing dad was a major loss.”