ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 23 : Depression:Management of Depressive Moods and Suicidal Behavior Questions
Question 1 of 5
The nurse is preparing a client for treatment with repetitive transcranial magnetic stimulation. When teaching the client about this procedure, which of the following would the nurse include? Select all that apply.
Correct Answer: B,C
Rationale: Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive procedure where the client remains awake and alert (
B) and can resume normal activities immediately (
C). Anesthesia (
A) is not used, scalp shaving (
D) is unnecessary, and stinging (E) is minimal, not moderate.
Question 2 of 5
When assessing a client with depression, the client states, I just feel so sad and hopeless. I just don?t care anymore. I don?t even enjoy doing the crossword puzzles like I used to. The nurse documents this finding as indicative of which of the following?
Correct Answer: B
Rationale: Anhedonia (
B) is the loss of interest or pleasure in previously enjoyed activities, such as crossword puzzles, a core symptom of depression. Dysthymic disorder (
A) is a diagnosis, not a symptom, and delusions (
C) or psychosis (
D) involve distorted reality, not indicated here.
Question 3 of 5
The plan of care for a client diagnosed with depression includes cognitive interventions. The nurse would expect to assist with which of the following?
Correct Answer: C
Rationale: Cognitive interventions in depression, such as thought stopping (
C), help clients interrupt negative thought patterns. Social skills training (
A) and interpersonal therapy (
D) address interpersonal issues, while activity scheduling (
B) is behavioral, not cognitive.
Question 4 of 5
A nurse is preparing a presentation for family members of clients who have been diagnosed with depression. When describing the family response to depression, which of the following would the nurse include?
Correct Answer: B
Rationale: Depression in one family member (
B) impacts the entire family, causing stress, role changes, and emotional strain. Understanding disability (
A) is often limited, abuse (
C) is not necessarily rare, and problems are not exclusive to families of women over 55 (
D).
Question 5 of 5
The nurse is reviewing the medical record of a client diagnosed with depression and notes that the client has been prescribed mirtazapine. The nurse interprets this information, identifying this agent as which type?
Correct Answer: D
Rationale: Mirtazapine (
D) is an alpha-2 antagonist, enhancing norepinephrine and serotonin release. It is not an SSRI (
A), cyclic antidepressant (
B), or norepinephrine dopamine reuptake inhibitor (
C), distinguishing it by its mechanism.