fruit and cottage cheese plate. Show Fruit and cottage cheese do not contain tyramine. Avocados, fermented food such as sauerkraut, processed meat, and organ meat, contain tyramine. Monoamine oxidase inhibitors inhibit the breakdown of tyramine, which can lead to high blood pressure, a hypertensive crisis, and eventually a cerebrovascular accident. This information makes the other options incorrect.REF: Page 262; Table 14-7 Recommended textbook solutions Social Psychology10th EditionElliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson 525 solutions
Essentials of Psychiatric Mental Health Nursing4th EditionElizabeth Varcarolis 210 solutions
Essentials of Abnormal Psychology8th EditionDavid Barlow, Stefan Hofmann, V Durand 433 solutions Understanding Psychology15th EditionRobert S Feldman 563 solutions
Terms in this set (29)Assessment of the thought processes of a client diagnosed with depression is most likely to reveal what characteristic? Good memory and concentration Self-deprecatory ideation Depressed clients never feel good about themselves. They have a negative, self-deprecating view of the world. This characteristic is not associated with any of the other options What statement about the comorbidity of depression is accurate? Depression most often exists in an individual as a single entity. Depression is commonly seen in individuals with medical disorders. Substance abuse and depression are seldom seen as comorbid disorders. Depression may coexist with other disorders but is rarely seen with schizophrenia. Depression is commonly seen in individuals with medical disorders. Depression commonly accompanies medical disorders. The other options are false statements A depressed client is noted to pace most of the time, pull at her clothes, and wring her hands. These behaviors are consistent with which term? Senile dementia Psychomotor agitation These behaviors describe the psychomotor agitation sometimes seen in clients with the agitated type of depression. None of the other options are associated so directly with these behaviors When the clinician mentions that a client has anhedonia, the nurse can expect that the client will demonstrate what behavior? Poor
retention of recent events No pleasure from previously enjoyed activities Anhedonia is the only term that suggests the lack of ability to experience pleasure Beck's cognitive theory suggests that the etiology of depression is related to what factor? Sleep
abnormalities Negative processing of information Beck is a cognitive theorist who developed the theory of the cognitive triad of three automatic thoughts responsible for people becoming depressed: (1) a negative, self-deprecating view of oneself; (2) a pessimistic view of the world; and (3) the belief that negative reinforcement will continue. None of the other options are related to this theory. Dysthymia cannot be diagnosed unless it has existed for what period of time? At least 3 months At least 2 years Dysthymia is a chronic condition that by definition has to have existed for longer than 2 years. None of the other options present a sufficient time period. A client prescribed a monamine oxidase inhibitor (MOA) has a pass to go out to lunch. Given a choice of the following entrees, the client can safely eat avocado salad plate. fruit and cottage cheese plate. Fruit and cottage cheese do not contain tyramine. Avocados, fermented food such as sauerkraut, processed meat, and organ meat, contain tyramine. Monoamine oxidase inhibitors inhibit the breakdown of tyramine, which can lead to high blood pressure, a hypertensive crisis, and eventually a cerebrovascular accident. This information makes the other options incorrect Which statement would best show acceptance of a depressed, mute client? "I will be spending time with you each day to try to improve your mood." "I would like to sit with you for 15 minutes now and again this afternoon." "Each day we will spend time together to talk about things that are bothering you." "It is important for you to share your thoughts with someone who can help you evaluate your thinking." "I would like to sit with you for 15 minutes now and again this afternoon." Spending time with the client without making demands is a good way to show acceptance. While not inappropriate, the other options are less accepting A depressed, socially withdrawn client tells the nurse, "There is no sense in trying. I am never able to do anything right!" The nurse can best address this cognitive distortion with which response? "Let's look at what you just said, that you can 'never do anything right.'" "Tell me what things you think you are not able to do correctly." "Is this part of the reason you think no one likes you?" "That is the most unrealistic thing I have ever heard." "Let's look at what you just said, that you can 'never do anything right.'" Cognitive distortions can be refuted by examining them, but to examine them the nurse must gain the client's willingness to participate. None of the other options examines the underlying cause of the feeling A client prescribed a selective serotonin reuptake inhibitor mentions taking the medication along with the St. John's wort daily. The nurse should provide the client with what information regarding this practice? Agreeing that this will help the client to remember the medications. Caution the client to drink several glasses of water daily. Suggest that the client also use a sun lamp daily. Explain the high possibility of an adverse reaction. Explain the high possibility of an adverse reaction. Serotonin malignant syndrome is a possibility if St. John's wort is taken with other antidepressants. None of the other options are relevant to the situation A depressed client tells the nurse, "There is no sense in trying. I am never able to do anything right!" The nurse should identify this cognitive distortion as what response? Self-blame Learned helplessness Learned helplessness results in depression when the client feels no control over the outcome of a situation. None of the other options demonstrate these feelings When the nurse remarks to a depressed client, "I see you are trying not to cry. Tell me what is happening." The nurse should be prepared to implement which intervention? Waiting quietly for the client to reply Prompting the client if the reply is slow Repeating the question if the client does not answer promptly Reviewing the client's medical record to support the client's response Waiting quietly for the client to reply Depressed clients think slowly and take long periods to formulate answers and respond. The nurse must be prepared to wait for a reply. A new psychiatric technician mentions to the nurse, "Depression seems to be a disease of old people. All the depressed clients on the unit are older than 60 years." How should the nurse respond to this statement? "That is a good observation. Depression does mostly strike people older than 50 years." "Depression is seen in people of all ages, from childhood to old age." "Depression is most often seen among the middle adult age group." "The age of onset for most depressive episodes is given as 18 years." "Depression is seen in people of all ages, from childhood to old age." Depression can occur at any age. Children, adolescents, adults, and the elderly may all experience depression Which statement about antidepressant medications, in general, can serve as a basis for client and family teaching? Onset of action is from 1 to 3 weeks or longer. Onset of action is from 1 to 3 weeks or longer. A drawback of antidepressant drugs is that improvement in mood may take 1 to 3 weeks or longer. None of the other options provide correct information regarding antidepressant medications What is the major reason for the hospitalization of a depressed patient? Inability to go to work Suicidal ideation Suicidal thoughts are a major reason for hospitalization for patients with major depression. It is imperative to intervene with such patients to keep them safe from self-harm. The other options describe symptoms of major depression but aren't by themselves the major reason for hospitalization A client admitted with major depression and suicidal ideation with a plan to overdose is preparing for discharge and asks you, "Why did I get a prescription for only 7 days of amitriptyline?" The nurse's response is based on what fact? Amitriptyline is very expensive, so the patient may have to buy fewer at a time. The goal is to see how the client responds to the first week of medication to evaluate its effectiveness. The health care provider wants to see whether any side effects occur within the first week of administration. Amitriptyline is lethal in overdose Amitriptyline is lethal in overdose. Amitriptyline is a tricyclic antidepressant (TCA); these drugs are known to be lethal in smaller doses than other antidepressants. Because the patient had a plan of overdose, the best course of action is to give a small prescription requiring her to visit her provider's office more often for monitoring of suicidal ideation and plan. Tricyclics are not known to be expensive. Antidepressant therapy usually takes several weeks to produce full results, so the patient would not be evaluated after only 1 week. Side effects are always a consideration but not the most important consideration with TCAs When the nurse asks whether a client is having any thoughts of suicide, the client becomes angry and defensive, shouting, "I'm sick of you people! Are you ever do is ask me the same question over and over. Get out of here!" The nurse's response is based on what fact concerning hostility? The client is getting better and is able to be assertive. The client may be at high risk for self-harm. The client is probably experiencing transference. The client may be angry at someone else and projecting that anger to staff. The client may be at high risk for self-harm. Overt hostility is highly correlated with suicide; therefore the patient may be considered high risk, and appropriate precautions should be taken. The other responses are incorrect with no evidence to support them A client prescribed fluoxetine demonstrates an understanding of the medication teaching when making which statement? "I will make sure to get plenty of sunshine and not use sunscreen to avoid a skin reaction." "I will not take any over-the-counter medication while on the fluoxetine." "I will report any symptoms of high fever, fast heartbeat, or abdominal pain to my provider right away." "I will report increased thirst and urination to my provider." "I will report any symptoms of high fever, fast heartbeat, or abdominal pain to my provider right away." This describes symptoms of serotonin syndrome, a life-threatening complication of SRRI medication. The other options are incorrect because the patient should be wearing sunscreen to avoid sunburn, may take over-the-counter medications if sanctioned by the provider, and would not have been educated to report increased thirst and urination as a side effect of fluoxetine A 38-year-old patient is admitted with major depression. Which statement made by the patient alerts the nurse to a common accompaniment to depression? "I still pray and read my Bible every day." "My mother wants to move in with me, but I want to independent." "I still feel bad about my sister dying of cancer. I should have done more for her!" "I've heard others say that depression is a sign of weakness." "I still feel bad about my sister dying of cancer. I should have done more for her!" Guilt is a common accompaniment to depression. A person may ruminate over present or past failings. Praying and reading the Bible describes a coping mechanism; the other responses do not describe a common accompaniment to depression Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder? "I'm so restless. I can't seem to sit still" "I spend most of my time studying. I have to get into a good college" "I'm not trying to diet, but I've lost 5 pounds in the past 5 months" "I go to sleep around 11 p.m. but I'm always up by 3 a.m. and can't go back to sleep" "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 "do rules apply to you" "what do you do to manage anxiety" "do you have a history of disordered eating" "do you think that you drink too much" "have you ever been arrested for committing a crime" "what do you do to manage anxiety" "do you have a history of disordered eating" "do you think that you drink too much" Which nursing assessment focuses on managing a common characteristic of major depressive disorder associated with the older population? conducting routine suicide screenings at a senior center identifying depression as a natural, but treatable result of aging identifying males as being at a greater risk for developing depression stressing that most individuals experience just a single episode of major depression in a lifetime 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 female 7 years old Which chronic medical condition is a common trigger for major depressive disorder? pain 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? fluoxetine (Prozac) 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? Tricyclic antidepressants monoamine oxidase inhibitor When a nurse uses therapeutic communication with a withdrawn patient who has major depression , an effective method of managing the silence is to: meditate in the quiet environment ask simple questions even if the patient will not answer use the technique of making observations simply sit quietly and leave when the patient falls asleep 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 be underactive in depression is: transcranial magnetic stimulation deep brain stumulation Two months ago, Natasha's husband died suddenly and she has been overwhelmed with grief. When Natasha is subsequently diagnosed with major depressive disorder, her daughter, nadia, makes which true statement? "Depression often begins after a major loss. Losing dad was a major loss" "Bereavement and depression are the same problem" "Mourning is pathological and not normal behavior" "Antidepressant medications will not help this type of depression" "Depression often begins after a major loss. Losing dad was a major loss" Students also viewedVarcarolis 14: Depressive Disorders49 terms sarah_brashear3 Chapter 1425 terms smstrait Varcarolis' Chapter 14 Depressive Disorders (From…19 terms henrjami CH. 15 EAQs: Depression11 terms tinahundley Sets found in the same folderMH CH 18 SQ58 terms Daze96Plus Varcarolis Ch. 12 Terms36 terms
Daze96Plus Varcarolis Ch. 278 terms Daze96Plus Personality Disorders34 terms candice_w_densmore Other sets by this creatorAWHONN Neonatal Modules323 terms Daze96Plus ICU Prophecy - CV25 terms Daze96Plus Yellow Book604 terms Daze96Plus Blue Book2,000 terms Daze96Plus Verified questions
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question Underline the word in parentheses that correctly completes the sentence. **Example 1.** Both dogs and cats make wonderful family pets, but I prefer the (later, $\underline{\text{latter}}$). Just as Karen was finishing, her mechanical pencil ran out of (lead, led). Verified answer
question Identify the degree of comparison that each word shows. On the line provided, write $P$ for *positive*, $C$ for *comparative*, or $S$ for *superlative*. more Verified answer vocabulary A good leader cannot afford to be___ in a time of crisis. (cohesive; fickle) Verified answer Recommended textbook solutions
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What is thought to cause a major depressive disorder?Biologically, we think about genetics or a family history of depression, health conditions such as diabetes, heart disease or thyroid disorders, and even hormonal changes that happen over the lifespan, such as pregnancy and menopause.
What are 3 strategies you can use to cope with depression?Try these coping strategies if you're feeling depressed.. Stay in touch. Don't withdraw from life. ... . Be more active. Take up some form of exercise. ... . Face your fears. Don't avoid the things you find difficult. ... . Don't drink too much alcohol. For some people, alcohol can become a problem. ... . Try to eat a healthy diet. ... . Have a routine.. Which symptom is expected when caring for a client with the diagnosis of major depression?Its most prevalent symptom includes persistent sadness or irritability. Sadness is a natural part of the human experience.
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Which thought process is likely to present in a patient diagnosed with depression quizlet
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