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NUR |/ 214 |/(Mental |/Health |/- |/Test |/3) |/Study
|/QUESTIONS |/WITH |/CORRECT |/ANSWERS
Emotions |/- |/CORRECT |/ANSWERS |/✔✔An |/individual's |/feeling |/responses |/to |/a |/wide |/variety |/of |/stimuli Mood |/- |/CORRECT |/ANSWERS |/✔✔Similar |/to |/emotions |/except |/they |/last |/longer |/and |/are |/less |/focused |/on |/an |/object |/or |/event |/and |/are |/often |/less |/intense T/F: |/A |/patient's |/mood |/produces |/observable |/physiological |/reactions |/- |/CORRECT |/ANSWERS |/✔✔FALSE **does |/NOT |/produce |/observable |/physiological |/reactions Affect |/- |/CORRECT |/ANSWERS |/✔✔An |/individual's |/automatic |/reaction |/to |/an |/event |/or |/situation |/evidenced |/by |/verbal/nonverbal |/responses |/and |/could |/involve |/a |/person's |/unconscious |/reaction |/to |/something |/good |/or |/bad T/F: |/Only |/the |/individual |/can |/describe |/their |/mood |/and |/the |/feelings |/they |/have |/- |/CORRECT |/ANSWERS |/✔✔TRUE
Mental |/health |/- |/CORRECT |/ANSWERS |/✔✔The |/state |/of |/well-being |/in |/which |/a |/person |/can |/work |/productively, |/cope |/with |/change |/and |/adversity, |/engage |/in |/meaningful |/relationships, |/and |/realize |/own |/potential Mental |/illness |/- |/CORRECT |/ANSWERS |/✔✔A |/condition |/that |/affects |/emotions, |/thinking, |/behavior, |/or |/any |/combination |/of |/the |/three |/ **Not |/typically |/confirmed |/until |/the |/person |/experiences |/serious, |/lengthy |/impairment |/in |/ability |/to |/function T/F: |/Serious |/mental |/illnesses |/increase |/possibility |/that |/the |/person |/will |/experience |/significant |/dysfunction |/related |/to |/daily |/functioning |/and |/ability |/to |/achieve |/life |/goals |/- |/CORRECT |/ANSWERS |/✔✔TRUE When |/healthcare |/professionals |/describe |/affect |/in |/terms |/of |/continuum |/this |/includes |/what? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Depression |/(Abnormal |/lowered |/mood)
- |/Euthymia |/(Stable |/mood |/- |/not |/low |/or |/high)
- |/Mania |/(Elevated |/abnormal |/mood) When |/healthcare |/professionals |/describe |/affect |/in |/terms |/of |/characteristics |/this |/may |/include: |/- |/CORRECT |/ANSWERS |/✔✔1.
Personality |/- |/CORRECT |/ANSWERS |/✔✔An |/individual's |/characteristic |/pattern |/of |/thinking, |/feeling, |/and |/acting Stress |/- |/CORRECT |/ANSWERS |/✔✔the |/process |/by |/which |/we |/perceive |/and |/respond |/to |/certain |/events, |/called |/stressors, |/that |/we |/appraise |/as |/threatening |/or |/challenging Excessive |/stress |/and/or |/maladaptive |/coping |/responses |/are |/well- known |/contributors |/to |/alterations |/in |/what? |/- |/CORRECT |/ANSWERS |/✔✔Mood |/and |/affect Chronic |/stress |/can |/lead |/to |/what |/type |/of |/imbalance |/that |/disrupts |/normal |/brain |/function? |/- |/CORRECT |/ANSWERS |/✔✔Hormonal |/imbalances Circadian |/rhythms |/- |/CORRECT |/ANSWERS |/✔✔Internally |/generated |/patterns |/of |/body |/functions, |/including |/hormonal |/signals, |/sleep, |/blood |/pressure, |/and |/temperature |/regulation, |/which |/have |/approximately |/a |/24-hour |/cycle |/and |/occur |/even |/in |/the |/absence |/of |/normal |/cues |/about |/whether |/it |/is |/day |/or |/night Most |/people |/tend |/to |/experience |/and |/follow |/what |/type |/of |/mood |/pattern |/due |/to |/circadian |/rhythms |/throughout |/the |/day? |/- |/CORRECT |/ANSWERS |/✔✔Lower |/mood |/in |/the |/morning |/--> |/become |/more |/positive |/during |/the |/day |/--> |/peaks |/in |/the |/afternoon |/--> |/declines |/in |/the |/evening
T/F: |/Research |/indicates |/that, |/as |/compared |/to |/women, |/men |/are |/more |/likely |/to |/physically |/express |/their |/emotions, |/are |/more |/comfortable |/discussing |/their |/feelings, |/and |/are |/more |/skilled |/at |/reading |/others' |/emotions |/- |/CORRECT |/ANSWERS |/✔✔FALSE **WOMEN |/are |/more |/like |/to |/to |/express |/emotion What |/age |/group |/tends |/to |/have |/a |/more |/positive |/mood |/and |/affect |/possibly |/because |/of |/better |/use |/of |/strategies |/for |/emotional |/regulation? |/- |/CORRECT |/ANSWERS |/✔✔Older |/adults T/F: |/A |/patient |/with |/low |/thyroid |/levels |/can |/have |/symptoms |/that |/mimic |/depression |/- |/CORRECT |/ANSWERS |/✔✔TRUE A |/patient |/with |/an |/elevation |/or |/decrease |/in |/mood |/and |/affect |/can |/have |/an |/impaired |/ability |/to |/cope |/with |/what? |/- |/CORRECT |/ANSWERS |/✔✔Stressors Anhedonia |/- |/CORRECT |/ANSWERS |/✔✔A |/loss |/of |/interest |/or |/inability |/to |/experience |/pleasures |/with |/previous |/activities Anxious |/distress |/- |/CORRECT |/ANSWERS |/✔✔A |/combination |/of |/symptoms |/associated |/with |/high |/anxiety |/that |/could |/include
- |/Somatization |/(phenomenon |/in |/which |/individuals |/experience |/or |/express |/psychological |/distress |/through |/physiological |/responses)
- |/Difficulties |/with |/adaptive |/functioning |/(not |/participating |/in |/demands |/of |/daily |/life) Somatization |/- |/CORRECT |/ANSWERS |/✔✔Phenomenon |/in |/which |/individuals |/experience |/or |/express |/psychological |/distress |/through |/physiological |/responses What |/are |/some |/examples |/of |/somatic |/symptoms |/frequently |/seen |/in |/individuals |/with |/mood |/alterations? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Fatigue
- |/Headache
- |/Heart |/distress
- |/Dizziness A |/patient |/with |/manic |/or |/elevated |/mood |/tend |/to |/have |/what |/type |/of |/sleep |/disturbances? |/- |/CORRECT |/ANSWERS |/✔✔Difficulty |/sleeping A |/patient |/with |/low |/or |/depressed |/moods |/tend |/to |/have |/what |/type |/of |/sleep |/disturbances? |/- |/CORRECT |/ANSWERS |/✔✔Insomnia |/or |/excessive |/sleepiness
Major |/depressive |/disorder |/(MDD |/- |/AKA: |/Unipolar |/depression) |/- |/CORRECT |/ANSWERS |/✔✔A |/form |/of |/depression |/that |/is |/diagnosed |/when |/the |/patient |/experiences |/either |/depressed |/mood |/or |/anhedonia |/most |/of |/the |/day, |/almost |/every |/day, |/during |/the |/same |/ 2 |/week |/period For |/a |/patient |/to |/be |/diagnosed |/with |/major |/depressive |/disorder |/(MDD) |/the |/patient |/must |/have |/anhedonia |/plus |/atleast |/ 4 |/other |/symptoms. |/What |/are |/the |/core |/symptoms |/of |/major |/depressive |/disorder |/(MDD)?H |/- |/CORRECT |/ANSWERS |/✔✔1. |/Sleep |/disturbances
- |/Fatigue |/or |/loss |/of |/energy |/
- |/Significant |/weight |/change |/or |/change |/in |/appetite |/
- |/Feelings |/of |/worthlessness |/or |/guilt
- |/Change |/in |/activity |/level |/
- |/Poor |/concentration
- |/Suicidal |/ideation |/or |/attempt Persistent |/depressive |/disorder |/(AKA: |/dysthymic |/disorder) |/- |/CORRECT |/ANSWERS |/✔✔A |/form |/on |/depression |/that |/is |/diagnosed |/when |/depressed |/mood |/is |/present |/for |/most |/of |/the |/day, |/more |/days |/than |/not, |/for |/atleast |/ 2 |/years |/with |/symptoms |/that |/are |/similar |/to |/those |/of |/MDD |/but |/less |/severe
|/type |/of |/light |/therapy, |/Bupropion |/or |/SSRI |/antidepressant, |/or |/fluoxetine |/therapy What |/are |/some |/common |/manifestations |/of |/seasonal |/affective |/disorder |/(SAD)? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Decreased |/energy
- |/Increased |/periods |/of |/sleep |/
- |/Increased |/appetite |/
- |/Overeating
- |/Weight |/gain It |/is |/believed |/that |/hormonal |/factors |/play |/a |/role |/in |/depression. |/Patients |/with |/depression |/tend |/to |/have |/increased |/levels |/of |/what |/hormones? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Cortisol
- |/Corticotropin-releasing |/hormones T/F: |/Some |/research |/studies |/have |/found |/that |/women |/who |/have |/lower |/levels |/of |/estrogen |/in |/their |/bodies |/tend |/to |/have |/a |/higher |/rate |/of |/depression |/- |/CORRECT |/ANSWERS |/✔✔TRUE Learned |/helplessness |/- |/CORRECT |/ANSWERS |/✔✔A |/phenomenon |/in |/which |/individuals |/reach |/the |/point |/of |/believing |/they |/have |/no |/control |/whatsoever, |/they |/no |/longer |/have |/the |/will |/or |/energy |/to |/cope |/with |/life, |/and |/a |/depressive |/state |/results
What |/is |/the |/significant |/risk |/factor |/that |/can |/lead |/to |/depression |/during |/both |/childhood |/and |/adulthood |/and |/could |/also |/lead |/to |/self- harming |/behaviors, |/posttraumatic |/stress |/disorder |/(PTSD), |/and |/even |/suicide? |/- |/CORRECT |/ANSWERS |/✔✔Childhood |/sexual |/abuse |/(CSA) T/F: |/A |/depressed |/patient |/with |/a |/history |/of |/childhood |/sexual |/abuse |/(CSA) |/should |/be |/assessed |/but |/does |/not |/have |/to |/be |/closely |/monitored |/for |/self-harming |/and |/suicidal |/behaviors |/- |/CORRECT |/ANSWERS |/✔✔FALSE **Asessess |/and |/CLOSELY |/monitor |/these |/patients Sociocultural |/theory |/- |/CORRECT |/ANSWERS |/✔✔The |/theory |/that |/emphasizes |/the |/roles |/that |/social |/stressors |/play |/in |/the |/development |/of |/depression What |/are |/some |/stressors |/that |/could |/possibly |/lead |/to |/depression |/based |/off |/the |/sociocultural |/theory? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Finances |/(loss |/of |/job)
- |/Disruptions |/in |/family |/systems |/(divorce, |/death, |/etc.) |/
- |/Threat |/(illness, |/encounter |/will |/police)
- |/Emotional |/exhaustion |/(changing |/residences, |/arguing |/with |/family/friends)
T/F: |/Appropriate |/expression |/of |/mood |/are |/largely |/culturally |/determined |/on |/expectations |/of |/ways |/to |/feel |/and |/behave |/- |/CORRECT |/ANSWERS |/✔✔TRUE It |/is |/important |/for |/the |/nurse |/while |/assessing |/a |/patient |/for |/alterations |/in |/mood |/and |/affect |/to |/make |/sure |/they |/are |/not |/stereotyping |/patients |/with |/other |/cultural |/considerations |/for |/what |/reasons? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Increases |/risk |/of |/failing |/to |/assess |/for |/important |/indicators
- |/Increases |/barriers |/to |/trust |/and |/understanding It |/is |/important |/for |/the |/nurse |/to |/ensure |/they |/do |/what |/things |/when |/performing |/a |/physical |/examination |/on |/a |/patient |/with |/a |/potential |/alteration |/in |/mood |/and |/affect? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Get |/a |/complete |/set |/of |/vital |/signs |/(including |/pain)
- |/Get |/baseline |/weight |/and |/body |/mass |/index |/(BMI)
- |/Perform |/a |/thorough |/physical |/exam |/to |/rule |/out |/medical |/or |/drug- related |/causes |/and |/to |/identify |/any |/comorbid |/medical |/illnesses What |/are |/some |/possible |/tests |/that |/may |/be |/performed |/to |/rule |/out |/underlying |/conditions |/that |/could |/mimic |/or |/cause |/symptoms |/of |/mood |/disorders? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Thyroid |/function |/tests
- |/Electrolyte |/panel
- |/Urinalysis |/
- |/Toxicology |/
- |/Liver |/function |/tests
- |/Other |/test |/bases |/on |/patients |/history
- |/Pregnancy |/test |/(woman |/of |/reproductive |/age) What |/are |/some |/ways |/the |/nurse |/can |/help |/prevent |/inpatient |/suicide |/and |/promoting |/safety |/for |/patients |/with |/alterations |/in |/mood |/and |/affect? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Evaluate |/patient's |/level |/of |/suicide |/intent |/regular |/and |/implement |/staff |/supervision
- |/Remove |/sharp |/objects, |/razors, |/breakable |/glass |/items, |/mirrors, |/matches, |/and |/straps/belts |/
- |/Monitor |/use |/of |/scissors, |/razors, |/and |/other |/potential |/weapons |/
- |/Do |/not |/leave |/patient |/at |/risk |/for |/suicide |/alone |/(possible |/one-to-one |/observation |/(be |/alert |/during |/shift |/changes)
- |/Examine |/items |/brought |/by |/visitors |/and |/monitor |/for |/safety |/(prohibit |/outside |/food)
- |/Facilitate |/the |/development |/of |/the |/therapeutic |/alliance |/and |/maintain |/a |/nonjudgemental |/attitude |/
- |/Use |/a |/calm, |/reassuring |/approach |/and |/encourage |/patient |/to |/discuss |/all |/of |/their |/feelings |/and |/ensure |/them |/their |/feelings |/are |/valid |/and |/it |/benefits |/them |/to |/express |/those |/feelings What |/are |/some |/independent |/nursing |/interventions |/that |/can |/be |/done |/while |/treating |/patients |/with |/alterations |/in |/mood |/and |/affect? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Prevent |/suicide |/and |/promote |/safety
T/F: |/Antidepressants |/do |/not |/have |/a |/black |/box |/warning |/- |/CORRECT |/ANSWERS |/✔✔FALSE **DO |/have |/a |/black |/box |/warning |/for |/increased |/risk |/of |/suicidal |/thoughts |/and |/behaviors Nurses |/working |/with |/patients |/taking |/antidepressants |/must |/be |/alert |/to |/the |/symptoms |/of |/serotonin |/syndrome. |/What |/are |/the |/symptoms |/that |/the |/nurse |/so |/be |/vigilant |/about? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Anxiety |/
- |/Agitation
- |/Disorientation |/
- |/Tremors
- |/Muscle |/rigidity |/
- |/Gastrointestinal |/(GI) |/distress
- |/Hypertension
- |/Tachypnea
- |/Tachycardia
- |/Diaphoresis
Serotonin |/syndrome |/- |/CORRECT |/ANSWERS |/✔✔Occurs |/when |/an |/individual |/is |/taking |/two |/or |/more |/medications |/that |/increase |/serotonin |/levels What |/nursing |/considerations |/should |/be |/remembered |/about |/selective |/serotonin |/reuptake |/inhibitors |/(SSRIs) |/used |/as |/an |/antidepressant? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Take |/in |/the |/morning |/with |/food |/to |/avoid |/gastrointestinal |/(GI) |/upset |/and |/insomnia
- |/Avoid |/taking |/St. |/John's |/wort |/and |/Ginkgo |/biloba |/(can |/cause |/serotonin |/syndrome)
- |/Provide |/patient |/teaching |/about |/related |/suicidal |/ideation |/and |/about |/serotonin |/syndrome |/symptoms |/
- |/Avoid |/coffee
- |/Older |/patients |/also |/taking |/diuretics |/need |/sodium |/levels |/checked What |/are |/some |/examples |/of |/selective |/serotonin |/reuptake |/inhibitors |/(SSRIs) |/drugs? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Citalopram |/
- |/Escitalopram |/
- |/Fluoxetine
- |/Paroxetine |/
- |/Sertraline |/
- |/Vilazodone
- |/Older |/than |/ 40 |/years |/old, |/patient |/must |/have |/ECG |/performed |/to |/determine |/any |/preexisting |/arrhythmias |/
- |/Contraindicated |/in |/patient |/with |/cardiovascular |/issues
- |/Lower |/seizure |/threshold |/so |/monitor |/for |/seizures |/
- |/Take |/at |/bedtime |/to |/avoid |/risk |/of |/falling |/from |/orthostatic |/hypotension |/
- |/Contraindicated |/in |/patient |/with |/urinary |/retention, |/glaucoma, |/and |/prostatic |/hypertrophy What |/are |/some |/examples |/of |/tricyclic |/antidepressant |/drugs? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Amitriptyline |/
- |/Clomipramine |/
- |/Doxepin
- |/Imipramine |/
- |/Nortriptyline What |/nursing |/considerations |/should |/be |/remembered |/about |/monoamine |/oxidase |/inhibitors |/(MAOIs)? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Should |/not |/be |/taken |/with |/any |/other |/medications
- |/There |/is |/an |/increased |/risk |/for |/high |/blood |/pressure |/crisis
- |/Avoid |/food |/containing |/tyramine |/(aged |/cheese, |/wine, |/and |/certain |/processed |/meats |/like |/sausages |/or |/hot |/dogs)
- |/Cannot |/be |/given |/to |/bipolar |/clients
- |/Potentiate |/the |/hypoglycemic |/effects |/of |/insulin |/and |/oral |/antidiabetic |/drugs
- |/Must |/be |/atleast |/a |/ 14 |/day |/interval |/between |/use |/of |/MAOI |/drug |/and |/other |/drug/food |/restrictions |/
- |/Advise |/patient |/to |/wear |/medical |/alert |/bracelet What |/are |/some |/examples |/of |/monoamine |/oxidase |/inhibitors |/(MAOI) |/drugs? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Selegiline |/
- |/Isocarboxazid |/
- |/Phenelzine |/
- |/Tranylcypromine T/F: |/Patients |/who |/are |/started |/on |/antidepressant |/medication |/should |/understand |/the |/these |/medications |/take |/several |/weeks |/to |/achieve |/full |/therapeutic |/effect |/and |/the |/risk |/for |/suicide |/increases |/as |/therapeutic |/effect |/begins |/- |/CORRECT |/ANSWERS |/✔✔TRUE Mood |/stabilizers |/- |/CORRECT |/ANSWERS |/✔✔Drugs |/used |/to |/control |/mood |/swings |/in |/patients |/with |/bipolar |/mood |/disorders |/because |/of |/their |/ability |/to |/moderate |/extreme |/shifts |/in |/emotions |/between |/mania |/and |/depression
