NORCET: Multiple Choice Questions,(PSY51-100)
Psychiatric Nursing MCQs: Along with Answers
51. Which of the following is a potential complication of untreated or poorly managed mood disorders?
(a) Decreased risk of substance abuse
(b) Improved interpersonal relationships
(c) Suicidal ideation and behavior
(d) Enhanced physical health
52. A patient with bipolar disorder is prescribed a mood stabilizer. What is the main goal of this prescription?
(a) To induce mania
(b) To manage depressive symptoms
(c) To stabilize mood and prevent manic or depressive episodes
(d) To promote sleep and relaxation
53. A nurse is conducting a mental status assessment on a patient with depression. What term describes a pervasive feeling of sadness and hopelessness?
(a) Hypomania
(b) Euphoria
(c) Anhedonia
(d) Dysthymia
54. When caring for a patient with a mood disorder, what is the significance of regular follow-up appointments?
(a) To ensure the patient receives unlimited access to medications
(b) To monitor the patient's progress, adjust treatment, and provide support
(c) To maintain strict control over the patient's daily activities
(d) To minimize healthcare costs
55. A patient with bipolar disorder is in the depressive phase. What is a key nursing intervention to promote safety during this phase?
(a) Encourage participation in risky behaviors
(b) Limit communication with the patient to prevent agitation
(c) Remove all sharp objects and potential sources of harm
(d) Ignore the patient's depressive symptoms to avoid conflict
56. Which neurotransmitter is often associated with mood regulation and implicated in mood disorders such as depression?
(a) Dopamine
(b) Serotonin
(c) Acetylcholine
(d) GABA (Gamma-Aminobutyric Acid)
57. A patient with bipolar disorder is prescribed medication to manage manic symptoms. What side effect should the nurse monitor for during treatment?
(a) Slurred speech
(b) Drowsiness and sedation
(c) Rapid heart rate
(d) Elevated blood pressure
58. When caring for patients with mood disorders, why is it essential for nurses to maintain professional boundaries?
(a) To avoid providing emotional support
(b) To prevent any form of communication with patients
(c) To establish trust and ensure effective care
(d) To discourage patients from seeking help
59. A patient with depression is undergoing cognitive-behavioral therapy (CBT). What is the primary focus of CBT?
(a) Exploring the patient's past traumatic experiences
(b) Providing unconditional positive regard to the patient
(c) Challenging and modifying negative thought patterns
d) Encouraging the patient to express emotions without restraint
60. Which of the following statements is true regarding the use of electroconvulsive therapy (ECT) in the treatment of mood disorders?
(a) ECT is primarily used as a first-line treatment for depression.
(b) ECT is always administered without the patient's consent.
(c) ECT may be considered when other treatments have been ineffective or when a rapid response is needed.
(d) ECT is used exclusively for the treatment of anxiety disorders.
61. What is the primary goal of psychoeducation for individuals with mood disorders?
(a) Providing medication education only
(b) Encouraging patients to self-diagnose and self-medicate
(c) Educating patients and their families about the disorder, treatment, and coping strategies
(d) Promoting complete independence from healthcare professionals
62. A patient with bipolar disorder is experiencing a manic episode and exhibits erratic behavior. What is a crucial nursing intervention?
(a) Allowing the patient to make all decisions independently
(b) Providing minimal supervision to encourage autonomy
(c) Establishing clear boundaries and maintaining safety
(d) Ignoring the patient's behavior to avoid confrontation
63. When assessing a patient with symptoms of mood disorder, what is the importance of evaluating for co-occurring substance abuse?
(a) Substance abuse is never associated with mood disorders.
(b) To determine if the patient is taking medications correctly
(c) Co-occurring substance abuse can complicate treatment and worsen the mood disorder
(d) To ensure the patient receives unlimited access to substances
64. A nurse is caring for a patient with seasonal affective disorder (SAD). What is a common treatment approach for SAD?
(a) Cognitive-behavioral therapy (CBT)
(b) Exposure to bright light therapy
(c) Electroconvulsive therapy (ECT)
(d) Mindfulness meditation
65. A patient with depression has been prescribed an SSRI medication. What should the nurse educate the patient about regarding the timing of medication effects?
(a) Immediate relief within hours of taking the first dose
(b) Improvement in symptoms within a few days
(c) Full therapeutic effects after 4-6 weeks of consistent use
(d) No impact on mood and symptoms
66. Which type of psychotherapy focuses on helping patients identify and change negative thought patterns and behaviors?
(a) Dialectical Behavioral Therapy (DBT)
(b) Interpersonal Therapy (IPT)
(c) Cognitive-Behavioral Therapy (CBT)
(d) Psychodynamic therapy
67. A patient with borderline personality disorder (BPD) is experiencing intense emotions and self-harming behaviors. What should be the nurse's priority?
(a) Ignore the patient's behavior to avoid reinforcement
(b) Enforce strict limits and boundaries
(c) Provide emotional support and safety
(d) Encourage more self-harming behaviors as a coping mechanism
68. Which of the following is NOT a typical symptom of post-traumatic stress disorder (PTSD)?
(a) Intrusive memories and flashbacks of the trauma
(b) Hypervigilance and exaggerated startle response
(c) Decreased anxiety and emotional numbness
(d) Avoidance of reminders of the traumatic event
69. A patient with a mood disorder is experiencing insomnia. What nursing intervention can promote better sleep patterns?
(a) Encourage the patient to consume caffeine before bedtime
(b) Recommend rigorous exercise right before sleep
(c) Promote a relaxing bedtime routine and a consistent sleep schedule
(d) Allow the patient to engage in stimulating activities before bedtime
70. Which mood disorder is characterized by a chronic pattern of mood disturbances lasting for at least two years but not meeting the criteria for major depression?
(a) Bipolar Disorder
(b) Seasonal Affective Disorder (SAD)
(c) Cyclothymic Disorder
(d) Generalized Anxiety Disorder (GAD)
71. A nurse is caring for a patient with a mood disorder who is experiencing rapid mood swings, irritability, and impulsivity. What disorder might the patient be exhibiting?
(a) Bipolar I Disorder
(b) Major Depressive Disorder (MDD)
(c) Cyclothymic Disorder
(d) Generalized Anxiety Disorder (GAD)
72. A patient with depression is prescribed a tricyclic antidepressant (TCA) medication. What is a potential side effect of TCAs that the nurse should monitor for?
(a) Weight loss
(b) Hypotension
(c) Rapid heart rate
(d) Euphoria
73. When assessing a patient for the risk of suicide, what is a protective factor that may reduce the likelihood of self-harm?
(a) A history of previous suicide attempts
(b) Access to lethal means
(c) Strong social support and family connections
(d) Presence of psychiatric comorbidities
74. A patient with bipolar disorder is prescribed a mood stabilizer. What should the nurse educate the patient about regarding the importance of medication compliance?
(a) Medication can be taken sporadically without affecting mood stability.
(b) Skipping doses will enhance the medication's effectiveness.
(c) Consistent medication use is crucial to prevent manic and depressive episodes.
(d) Medication is only necessary during manic phases.
75. A nurse is conducting a group therapy session for patients with mood disorders. What is a potential benefit of group therapy for these individuals?
(a) Experiencing complete isolation from others
(b) Avoiding discussions about their emotions
(c) Gaining support and sharing experiences with peers
(d) Reinforcing feelings of stigma and shame
76. A patient with depression mentions feeling overwhelmed by daily responsibilities. What nursing intervention can help the patient manage these feelings?
(a) Discourage the patient from seeking help
(b) Teach effective time management and problem-solving skills
(c) Isolate the patient to reduce stressors
(d) Ignore the patient's concerns
77. Which of the following is NOT a common symptom of anxiety disorders?
(a) Intrusive thoughts and flashbacks
(b) Excessive worry and restlessness
(c) Physical symptoms such as rapid heartbeat and sweating
(d) Apathy and lack of interest in daily activities
78. A patient with bipolar disorder is in a manic phase and exhibits reckless behavior. What should the nurse prioritize in this situation?
(a) Providing unrestricted access to financial resources
(b) Encouraging impulsive decisions
(c) Setting clear boundaries and ensuring safety
(d) Ignoring the patient's behavior
79. A patient with depression has been referred to a support group for individuals with mood disorders. What can the patient expect to gain from participating in such a group?
(a) Increased feelings of isolation and hopelessness
(b) Opportunities to share experiences, gain support, and learn coping strategies
(c) A place to avoid discussing their emotions
(d) An environment that reinforces stigma and shame
80. A nurse is caring for a patient with bipolar disorder who is prescribed lithium carbonate. What should the nurse monitor closely while the patient is on this medication?
(a) Blood glucose levels
(b) Serum creatinine levels
(c) Serum lithium levels
(d) Hemoglobin levels
81. A patient with depression is prescribed an MAOI (Monoamine Oxidase Inhibitor) medication. What dietary restrictions should the nurse educate the patient about when taking this medication?
(a) Avoiding foods high in tyramine, such as aged cheese and certain processed meats
(b) Avoiding all fruits and vegetables
(c) Reducing carbohydrate intake
(d) Consuming caffeine-rich beverages frequently
82. What is the primary purpose of a safety plan when working with individuals at risk of self-harm due to mood disorders?
(a) To encourage risky behaviors as a coping mechanism
(b) To isolate the patient from external stressors
(c) To outline steps to prevent self-harm and identify sources of support
(d) To enforce strict control over the patient's daily activities
83. A patient with bipolar disorder is experiencing a mixed episode characterized by both manic and depressive symptoms. What should be the nurse's priority in this situation?
(a) Enforce strict isolation to prevent harm
(b) Provide excessive emotional support to manage mood fluctuations
(c) Monitor for potential signs of medication side effects
(d) Ensure the patient's safety and stabilize mood
84. When working with patients with mood disorders, what is the importance of trauma-informed care for nurses?
(a) Trauma-informed care is irrelevant when dealing with mood disorders.
(b) It helps nurses understand how trauma can contribute to or exacerbate mood disorders.
(c) Nurses should avoid discussing any past traumas with patients.
(d) Trauma-informed care should replace all standard nursing practices.
85. A patient with depression has started taking an SSRI medication. What should the nurse monitor for regarding the risk of serotonin syndrome?
(a) Increased appetite
(b) Elevated blood pressure
(c) Rapid heart rate
(d) Decreased energy levels
86. Which mood disorder is characterized by recurring episodes of major depression and hypomania but does not include full-blown manic episodes?
(a) Bipolar I Disorder
(b) Bipolar II Disorder
(c) Cyclothymic Disorder
(d) Major Depressive Disorder (MDD)
87. A patient with depression is prescribed an SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) medication. What is a potential side effect of SNRIs that the nurse should monitor for?
(a) Weight loss
(b) Hypertension
(c) Constipation
(d) Decreased appetite
88. When assessing a patient with a mood disorder, why is it important to inquire about their support system and social network?
(a) To establish a sense of isolation in the patient
(b) To determine if the patient is taking medication correctly
(c) To maintain strict control over the patient's social interactions
(d) To identify potential sources of support and connection
89. A patient with depression has been referred for electroconvulsive therapy (ECT). What is the primary purpose of ECT in the treatment of mood disorders?
(a) To induce permanent memory loss
(b) To provide rapid relief from severe depression
(c) To stimulate the release of serotonin
(d) To encourage manic symptoms in bipolar disorder
90. What is the primary role of a psychiatric nurse when caring for patients with mood disorders?
(a) To minimize communication with patients to prevent distress
(b) To enforce strict control over patients' daily routines and behaviors
(c) To provide holistic care, support, education, and monitoring to promote recovery
(d) To encourage patients to rely solely on medication without any other interventions
91. A patient with bipolar disorder is prescribed antipsychotic medication during a manic episode. What is the primary goal of using antipsychotics in this situation?
(a) To induce mania
(b) To promote sleep and relaxation
(c) To manage manic symptoms and stabilize mood
(d) To treat depressive symptoms
92. A nurse is conducting a mental status assessment on a patient with bipolar disorder. What term describes a period of elevated mood, increased energy, and impulsivity?
(a) Anhedonia
(b) Hypomania
(c) Euphoria
(d) Dysthymia
93. When providing care for individuals with mood disorders, why is it crucial for nurses to promote a stigma-free environment?
(a) Stigmatizing attitudes can enhance treatment outcomes.
(b) Stigma can discourage patients from seeking help and increase feelings of shame.
(c) Stigma helps patients accept their conditions more easily.
(d) Stigma encourages patients to hide their emotions and symptoms.
94. A patient with bipolar disorder is in a depressive phase and expresses suicidal thoughts. What is the nurse's immediate priority?
(a) Encourage the patient to act on their suicidal thoughts
(b) Contact the patient's family for support
(c) Ensure the patient's safety, monitor closely, and seek immediate psychiatric intervention
(d) Ignore the patient's statements to avoid reinforcing them
95. Which mood disorder is characterized by a low-grade, chronic, and persistent sadness that lasts for at least two years in adults?
(a) Bipolar Disorder
(b) Major Depressive Disorder (MDD)
(c) Cyclothymic Disorder
(d) Persistent Depressive Disorder (Dysthymia)
96. A patient with depression mentions a sudden loss of interest in previously enjoyed activities. What term describes this symptom?
(a) Anhedonia
(b) Euphoria
(c) Hypomania
(d) Dysthymia
97. When assessing a patient with mood disorder symptoms, what is the significance of evaluating for comorbid medical conditions?
(a) Comorbid medical conditions do not impact mood disorders.
(b) To ensure the patient receives unlimited access to healthcare
(c) Comorbid medical conditions can complicate treatment and influence mood symptoms.
(d) To determine if the patient has a strong social support network
98. A patient with bipolar disorder is in the depressive phase and experiencing psychomotor retardation. What is an example of psychomotor retardation?
(a) Rapid and disorganized movements
(b) Restlessness and impulsivity
(c) Slowed movements and speech
(d) Euphoria and elevated mood
99. What is the primary goal of self-help or peer support groups for individuals with mood disorders?
(a) To replace professional therapy entirely
(b) To reinforce feelings of stigma and shame
(c) To provide opportunities for individuals to share experiences and support one another
(d) To isolate participants from external stressors
100. A nurse is conducting a mental status assessment on a patient with mood disorder symptoms. What term describes a severe form of depression marked by psychomotor agitation, delusions, and hallucinations?
(a) Bipolar Disorder
(b) Major Depressive Disorder (MDD)
(c) Bipolar I Disorder
(d) Psychotic Depression
- 51(c) Suicidal ideation and behavior
Rationale: Untreated or poorly managed mood disorders, such as depression, can lead to suicidal ideation and behavior. These conditions can cause intense emotional distress, hopelessness, and despair, which may result in thoughts of self-harm or suicide. Therefore, identifying and treating mood disorders is crucial to prevent this serious complication. - 52(c) To stabilize mood and prevent manic or depressive episodes
Rationale: The primary purpose of prescribing a mood stabilizer for a patient with bipolar disorder is to stabilize their mood and prevent the occurrence of manic (elevated mood) or depressive (low mood) episodes. Mood stabilizers help maintain a more balanced emotional state, reducing the frequency and severity of mood swings. - 53(d) Dysthymia
Rationale: Dysthymia is a term used to describe a persistent, low-grade feeling of sadness and hopelessness that characterizes depressive disorders. It represents a chronic form of depression, which may not be as severe as major depressive disorder but can last for an extended period. - 54(b) To monitor the patient's progress, adjust treatment, and provide support
Rationale: Regular follow-up appointments are essential in caring for patients with mood disorders. They allow healthcare providers to monitor the patient's progress, evaluate the effectiveness of treatment, make necessary adjustments to medications or therapies, and provide ongoing support. This helps optimize the patient's mental health care and ensures that any emerging issues are addressed promptly. - 55(c) Remove all sharp objects and potential sources of harm
Rationale: During the depressive phase of bipolar disorder, patients may experience intense sadness and may be at an increased risk of self-harm or suicide. To promote safety, it is crucial to remove all sharp objects and potential sources of harm from the patient's environment. This reduces the risk of impulsive actions that could result in injury. - 56(b) Serotonin
Rationale: Serotonin is a neurotransmitter that plays a significant role in mood regulation. Imbalances in serotonin levels have been implicated in mood disorders, particularly depression. Medications like SSRIs (Selective Serotonin Reuptake Inhibitors) work by increasing the availability of serotonin in the brain to help alleviate depressive symptoms. - 57(c) Rapid heart rate
Rationale: Some medications used to manage manic symptoms in bipolar disorder can have side effects such as rapid heart rate (tachycardia). This is important to monitor, as it can be a sign of cardiovascular issues or medication side effects that may require adjustment or discontinuation of the medication. - 58(c) To establish trust and ensure effective care
Rationale: Maintaining professional boundaries is essential in mental health care to establish trust between healthcare providers and patients. It ensures that the therapeutic relationship remains focused on the patient's well-being and avoids crossing ethical boundaries. This trust is crucial for effective care delivery and patient recovery. - 59(c) Challenging and modifying negative thought patterns
Rationale: Cognitive-behavioral therapy (CBT) is a structured therapeutic approach that focuses on helping patients identify and challenge negative thought patterns and behaviors. By doing so, CBT aims to change unhelpful thought patterns that contribute to depression and replace them with more adaptive and positive thinking. - 60(c) ECT may be considered when other treatments have been ineffective or when a rapid response is needed
Rationale: Electroconvulsive therapy (ECT) is not typically a first-line treatment for mood disorders. It is considered when other treatments have not been effective, when a rapid response is needed (such as in severe depression with a high risk of suicide), or when there are certain medical contraindications to other treatments. ECT is administered under controlled conditions by trained healthcare professionals. - 61(c) Educating patients and their families about the disorder, treatment, and coping strategies
Rationale: Psychoeducation for individuals with mood disorders aims to provide them and their families with knowledge about the nature of the disorder, available treatments, coping strategies, and ways to manage symptoms. It helps improve understanding and fosters active participation in the treatment process. - 62(c) Establishing clear boundaries and maintaining safety
Rationale: During a manic episode, patients with bipolar disorder may display erratic behavior and impaired judgment. It is essential for nurses to establish clear boundaries to ensure the patient's safety and the safety of others. This includes setting limits on impulsive actions and promoting a safe environment. - 63(c) Co-occurring substance abuse can complicate treatment and worsen the mood disorder
Rationale: Co-occurring substance abuse is common among individuals with mood disorders. Substance abuse can exacerbate mood disorder symptoms, complicate treatment, and reduce treatment effectiveness. It is essential to address both issues concurrently to achieve the best outcomes. - 64(b) Exposure to bright light therapy
Rationale: Exposure to bright light therapy, also known as light therapy or phototherapy, is a common treatment approach for seasonal affective disorder (SAD). It involves exposure to artificial light that mimics natural sunlight and has been shown to help alleviate the depressive symptoms associated with SAD, particularly during the winter months when daylight is limited. - 65(c) Full therapeutic effects after 4-6 weeks of consistent use
Rationale: SSRI medications often require several weeks of consistent use before patients experience the full therapeutic effects. It's essential for patients to understand that they may not feel immediate relief and that adherence to the prescribed regimen is crucial for optimal outcomes. - 66(c) Cognitive-Behavioral Therapy (CBT)
Rationale: Cognitive-behavioral therapy (CBT) is a type of psychotherapy that focuses on helping patients identify and change negative thought patterns and behaviors. It aims to challenge and modify unhelpful cognitions and behaviors that contribute to psychological distress. - 67(c) Provide emotional support and safety
Rationale: When a patient with borderline personality disorder is experiencing intense emotions and self-harming behaviors, the nurse's priority is to provide emotional support and ensure the patient's safety. This includes actively listening, offering empathy, and creating a safe environment to prevent self-harm. - 68(c) Decreased anxiety and emotional numbness
Rationale: Decreased anxiety and emotional numbness are not typical symptoms of post-traumatic stress disorder (PTSD). In contrast, PTSD often involves symptoms such as hypervigilance, exaggerated startle response, intrusive memories, and heightened emotional reactivity. - 69(c) Promote a relaxing bedtime routine and a consistent sleep schedule
Rationale: Promoting a relaxing bedtime routine and encouraging a consistent sleep schedule can help patients with mood disorders who are experiencing insomnia. These practices can improve sleep hygiene and contribute to better sleep patterns. - 70(c) Cyclothymic Disorder
Rationale: Cyclothymic Disorder is characterized by chronic mood disturbances that do not meet the criteria for major depression or full-blown manic episodes seen in bipolar disorders. It involves cycles of hypomania and depressive symptoms lasting for at least two years. - 71(c) Cyclothymic Disorder
Rationale: The symptoms of rapid mood swings, irritability, and impulsivity in a patient with mood disturbances suggest the possibility of cyclothymic disorder. This disorder involves chronic mood instability with hypomanic and depressive symptoms but does not meet the criteria for bipolar I or II disorders. - 72(b) Hypotension
Rationale: Tricyclic antidepressants (TCAs) can cause hypotension (low blood pressure) as a side effect. Monitoring blood pressure is important because severe hypotension can lead to dizziness, fainting, and other complications. - 73(c) Strong social support and family connections
Rationale: Strong social support and family connections are protective factors that can reduce the likelihood of self-harm or suicide. Having a supportive network of friends and family members can provide emotional support and a sense of belonging, which can be crucial in times of crisis. - 74(c) Consistent medication use is crucial to prevent manic and depressive episodes
Rationale: Patients with bipolar disorder must understand the importance of consistent medication use to prevent manic and depressive episodes. Mood stabilizers help maintain mood stability, and discontinuing them can lead to relapses and mood swings. - 75(b) Opportunities to share experiences, gain support, and learn coping strategies
Rationale: Group therapy for patients with mood disorders provides opportunities to share experiences, gain support from peers facing similar challenges, and learn coping strategies from one another. Group members can offer valuable insights and emotional support, promoting recovery. - 76(b) Teach effective time management and problem-solving skills
Rationale: To help a patient with depression manage feelings of being overwhelmed due to daily responsibilities, teaching effective time management and problem-solving skills can be beneficial. These skills can empower the patient to better organize their tasks and address challenges more efficiently. - 77(d) Apathy and lack of interest in daily activities
Rationale: Apathy and lack of interest in daily activities are not common symptoms of anxiety disorders. Anxiety disorders typically involve symptoms such as excessive worry, restlessness, rapid heartbeat, and intrusive thoughts. - 78(c) Setting clear boundaries and ensuring safety
Rationale: In a manic phase, patients with bipolar disorder may engage in reckless and impulsive behaviors. The nurse's priority is to set clear boundaries to ensure the patient's safety and prevent harm to themselves or others. - 79(b) Opportunities to share experiences, gain support, and learn coping strategies
Rationale: Participation in a support group for individuals with mood disorders can provide opportunities to share experiences, gain emotional support from peers, and learn effective coping strategies. Support groups offer a sense of community and understanding. - 80(c) Serum lithium levels
Rationale: Lithium carbonate is a mood stabilizer commonly used in the treatment of bipolar disorder. Monitoring serum lithium levels is crucial because maintaining the right therapeutic range is essential for its effectiveness and to prevent toxic levels that can lead to serious side effects. - 81(a) Avoiding foods high in tyramine, such as aged cheese and certain processed meats
Rationale: Patients taking MAOIs need to avoid foods high in tyramine, as consuming these foods can lead to a hypertensive crisis. Tyramine-rich foods include aged cheeses, certain processed meats, and fermented or pickled foods. - 82(c) To outline steps to prevent self-harm and identify sources of support
Rationale: Creating a safety plan with a patient who has a history of self-harm aims to outline specific steps to prevent self-harm, cope with distressing emotions, and identify sources of support during times of crisis. It is a crucial tool to enhance the patient's safety. - 83(d) Ensure the patient's safety and stabilize mood
Rationale: In a severe depressive episode, ensuring the patient's safety and stabilizing their mood take immediate priority. This may involve hospitalization, medication adjustments, and close monitoring to prevent self-harm or suicide. - 84(b) It helps nurses understand how trauma can contribute to or exacerbate mood disorders
Rationale: Understanding trauma-informed care is essential for nurses because trauma can contribute to or exacerbate mood disorders. Trauma-informed care emphasizes sensitivity to past traumas and the potential impact on mental health, helping nurses provide more empathetic and effective care. - 85(c) Rapid heart rate
Rationale: During a manic episode, patients with bipolar disorder may experience physical symptoms, including a rapid heart rate (tachycardia). This heightened physiological response is often associated with the increased energy and agitation seen in mania. - 86(b) Bipolar II Disorder
Rationale: Bipolar II Disorder is characterized by recurrent depressive episodes and at least one hypomanic episode but not a full-blown manic episode. It is considered a milder form of bipolar disorder than Bipolar I Disorder. - 87(b) Hypertension
Rationale: Medications that can increase blood pressure may pose a risk of hypertension. The nurse should closely monitor the patient's blood pressure and assess for signs of elevated blood pressure, as hypertension can have serious health implications. - 88(d) To identify potential sources of support and connection
Rationale: Identifying potential sources of support and connection is crucial when assessing a patient with mood disorder symptoms. These sources can include friends, family, support groups, or community resources. Knowing where the patient can turn for help and support is essential for their overall well-being. - 89(c) To provide rapid relief from severe depression
Rationale: One of the primary purposes of electroconvulsive therapy (ECT) in the treatment of severe depression is to provide rapid relief from severe depressive symptoms. ECT is considered when other treatments have been ineffective, and it can result in significant improvement in mood relatively quickly. - 90(c) To provide holistic care, support, education, and monitoring to promote recovery
Rationale: A holistic approach to the care of patients with mood disorders aims to address all aspects of the individual's well-being. This includes providing comprehensive care, emotional support, education about the disorder, and ongoing monitoring to promote recovery and overall wellness. - 91(c) To manage manic symptoms and stabilize mood
Rationale: When caring for a patient with bipolar disorder who is in a manic phase, the main objectives of treatment are to manage the manic symptoms and stabilize the mood. Interventions are needed to lessen mania-related agitation, impulsivity, and dangerous conduct. - 92(b) Hypomania
Rationale: Elevated mood and higher energy are two characteristics of hypomania, a lesser version of mania. The severe intensity and impairment linked to a full-blown manic episode are not present. - 93(b) Stigma can discourage patients from seeking help and increase feelings of shame
Rationale: The stigma associated with mental illnesses can deter people from getting aid and treatment. It could cause them to feel ashamed, alone, and reluctant to talk about their illness in public. It's crucial to lessen stigma in order to motivate people to get the care they require. - 94(c) Ensure the patient's safety, monitor closely, and seek immediate psychiatric intervention
Rationale: The nurse's main concern is to make sure the patient is safe when they are in urgent danger of self-harm or suicide due to signs of a mental disorder. This entails keeping a careful eye on the patient and contacting a psychiatrist right away to address the crisis and stop harm. - 95(d) Persistent Depressive Disorder (Dysthymia)
Rationale: Dysthymia, also known as persistent depressive disorder, is defined by persistent depression symptoms that endure for at least two years. It is characterized by a protracted low mood and occasionally more severe depression. - 96(a) Anhedonia
Rationale: The inability to feel pleasure or interest in activities that were once delightful is known as anhedonia. It is a common indicator of depression. - 97(c) Comorbid medical conditions can complicate treatment and influence mood symptoms
Rationale: Coexisting medical illnesses might affect mood symptoms and make treating mood disorders more difficult. A thorough assessment is required to ensure the right care is provided because some medical illnesses or drugs may worsen mood symptoms or interact with mental medications. - 98(c) Slowed movements and speech
Rationale: Slow motion and speech are frequent catatonic symptoms in mood disorders. Patients may be completely immobile or extremely resistant to being moved. - 99(c) To provide opportunities for individuals to share experiences and support one another
Rationale: The main objective of a support group for people with mood disorders is to offer a secure and encouraging setting where members may open up about their experiences, receive emotional support, and pick up coping techniques from one another. - 100(d) Psychotic Depression
Rationale: A person who suffers from depression and has hallucinations and delusions may have psychotic depression. In addition to depressed symptoms, psychotic symptoms such as hallucinations and delusions are present in psychotic depression, which is a severe form of depression.