The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders?
- A. 10% to 15%
- B. 20% to 30%
- C. 35% to 50%
- D. 60% to 80%
Correct Answer: D
Rationale: Research indicates that hereditary factors account for 60% to 80% of mood disorders.
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When a patient is experiencing a panic attack, how should the nurse best assist the patient?
- A. Assist with reality orientation.
- B. Aid in decision making.
- C. Assist with rational thought.
- D. Coach in deep breathing.
Correct Answer: D
Rationale: Coaching in relaxation techniques such as deep breathing is an effective intervention for a patient who is experiencing a panic attack.
The nurse explains that an alternative therapy that uses essential oils and scented candles to help a patient relax and focuses on the atmosphere of the moment is
Correct Answer: aromatherapy
Rationale: Aromatherapy uses essential oils and scented candles to soothe the senses and make people aware of the here and now of the pleasant environment.
The nurse alters the care plan for a patient with depression to include what type of activity?
- A. Domino game with three other patients
- B. Ping-Pong game with one other patient
- C. Group outing to view wildflowers
- D. Magazine to read alone
Correct Answer: C
Rationale: The quiet, noncompetitive trip to view wildflowers would be the best option. Depressed people should not be put in situations where they must concentrate or compete.
A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?
- A. Examine her skin closely for eruptions.
- B. Take her blood pressure twice a day to check for hypertension.
- C. Have her drug blood level checked every month.
- D. Avoid aged cheese and red wine.
Correct Answer: C
Rationale: Lithium has a very narrow therapeutic window. The drug blood levels should be closely monitored.
What is the typical schedule for electroconvulsive therapy (ECT)?
- A. 3 treatments over 2 weeks
- B. 6 treatments over 2 months
- C. 8 treatments over several weeks
- D. 10 treatments over several weeks
Correct Answer: D
Rationale: ECT is done as a treatment for depression, mania, and schizoaffective disorders that have not responded to other treatments. The usual protocol is 10 treatments over several weeks.
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