Exam 28: Mood and Effect

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Which assessment findings indicate that a client is at increased risk for suicide? Select all that apply.

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A, D

A client tells the nurse about rarely going outdoors in the winter because of a lack of energy or desire. Based on this data, which does the nurse suspect the client is experiencing?

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A

The home care nurse hears the spouse of a client say "With you being so sick lately, I can't maintain this home by myself, so I never invite family over anymore. I can't stand to have them see our house in this rundown state." The client engages in an argument with the spouse, and the spouse begins to cry. Which does the home care nurse identify as occurring with this couple?

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C

A client who is breastfeeding has been diagnosed with postpartum depression after delivering her first child. Which medications does the nurse anticipate being prescribed for this client? Select all that apply.

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Which client observation indicates that interventions provided to a client in the manic phase of bipolar disorder have improved self-care activities?

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A client in the manic phase of bipolar disorder is prescribed lithium and has a current lithium blood level of 0.4 mEq/L. Which clinical manifestation does the nurse anticipate when assessing this client?

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What is the greatest risk for a woman diagnosed with postpartum psychosis?

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The nurse is caring for a client recovering from a suicide attempt. Which client statement indicates to the nurse that the risk of suicide has diminished?

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The nurse is providing care for a client who is experiencing situational depression after the death of her mother. During the assessment, the nurse learns that the client has returned to work, is caring for her family, and spends quiet time reflecting on her life and future. Which conclusion by the nurse is most appropriate?

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Which condition is associated with the highest rate of comorbidity with depression?

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Which nursing intervention would the nurse anticipate carrying out to meet the needs of the family of a client experiencing postpartum depression?

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The nurse is caring for a client with bipolar disorder who has expressed the desire to harm self. What is the priority nursing diagnosis for this client?

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A client in the manic phase of bipolar disorder is unable to sleep during the night. Which interventions could be helpful to this client? Select all that apply.

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An adolescent client hospitalized with asphyxiation following a suicide attempt tells the nurse, "I know other kids have the same problems I do, but I just wanted to make it stop." Which action by the nurse is the most appropriate?

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Which molecule has been implicated in the pathophysiology of depression?

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A client who has attempted to commit suicide in the past tells the nurse about feeling better since being prescribed an antidepressant medication. Which conclusion by the nurse is appropriate based on the assessment data?

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The nurse is instructing a new mother on the strategies to prevent the development of postpartum depression. Which instructions will the nurse include in the teaching session with the client? Select all that apply.

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The nurse is performing an assessment on an 8-year-old child who the mother is concerned has depression. Which symptoms of depression are consistent with a child of this age?

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A nurse at a psychiatrist's office is reviewing the medication prescribed to several new clients for mood disorders. Which order would the nurse question?

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A client with a 2-month-old child is experiencing insomnia, mood swings, and crying. Which interventions does the nurse anticipate being incorporated into a collaborative plan of care for the client experiencing postpartum depression? Select all that apply.

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