Nokea
The nurse suspects that a client is experiencing major depression based on assessment of which of the following?
- A. Feelings of hopelessness
- B. Minimal changes in weight
- C. Focused concentration
- D. Loss of energy
- E. Excessive guilt
Correct Answer: A,D,E
Rationale: Major depression is characterized by hopelessness, loss of energy, and excessive guilt, which are core diagnostic symptoms.
You may also like to solve these questions
A nurse is caring for a client with suicidal tendencies. Which of the following would be most important for the nurse to do after administering the drug orally?
- A. Inspect the oral cavity to ensure that the drug is swallowed
- B. Monitor body temperature for changes
- C. Monitor blood pressure for unusual changes
- D. Inspect pulse rate for unusual changes
Correct Answer: A
Rationale: Ensuring the drug is swallowed is critical in clients with suicidal tendencies to confirm medication adherence and prevent hoarding.
A nurse determines the need to administer a prescribed antidepressant in the morning because of the increased likelihood of insomnia. Which drug would this most likely be?
- A. Amitriptyline
- B. Bupropion
- C. Citalopram
- D. Paroxetine
- E. Sertraline
Correct Answer: C,D,E
Rationale: SSRIs like citalopram, paroxetine, and sertraline are more likely to cause insomnia, making morning administration preferable.
A nurse understands that duloxetine may be used to treat which of the following?
- A. Obsessive-compulsive disorder
- B. Depression
- C. Fibromyalgia
- D. Diabetic neuropathy
- E. Stress incontinence
Correct Answer: B,C,D,E
Rationale: Duloxetine, an SNRI, is indicated for depression, fibromyalgia, diabetic neuropathy, and stress incontinence due to its effects on serotonin and norepinephrine.
After teaching a group of nursing students about possible adverse reactions associated with trazodone, the instructor determines that the teaching was successful when the students identify which of the following?
- A. Sexual dysfunction
- B. Insomnia
- C. Priapism
- D. Diarrhea
- E. Dry mouth
Correct Answer: C,E
Rationale: Trazodone is associated with priapism and dry mouth as notable adverse reactions due to its pharmacological profile.
When describing the action of antidepressants, the nursing instructor would include the belief that they exert their effect by causing slow adaptive changes to which of the following receptor systems?
- A. Beta-adrenergic
- B. Baroreceptors
- C. Norepinephrine
- D. Serotonin
- E. Nicotinic
Correct Answer: C,D
Rationale: Antidepressants, particularly those affecting monoamine systems, induce adaptive changes in norepinephrine and serotonin receptor systems, enhancing neurotransmission over time.