Free Persistent Depressive Disorder MCQ Questions and Answers — Questions and Answers
Question 1: Joshaine attempted suicide and is now being treated at Nurseslabs Medical Center. Schizoid personality disorder has previously been identified in his medical history. What actions would not be normal for a person with this disorder?
- Odd ideas and mannerisms
- Actions designed to please the nurse (Correct answer)
- Reluctance to join group activities
- Limited expressions of feelings and emotions
Correct answer: Actions designed to please the nurse
Schizoid personality disorder is characterized by a pervasive pattern of detachment from social relationships and a restricted range of emotional expression. Individuals with this disorder typically show little interest in social interaction, are indifferent to praise or criticism, and lack a desire for intimacy. Therefore, actions designed to please others, like a nurse, would be inconsistent with their typical presentation.
Question 2: Mrs. Kenley, hospitalized at Nurseslabs Medical Center for depression, is being followed up by the community nurse. Unless otherwise stated, after the passing of her husband. After reviewing the client's paperwork, the nurse observes that Mrs. Kenley has a dependent personality disorder (Axis II diagnostic). Which actions would the nurse expect from this patient?
- Strange habits, speech, and mannerisms
- Decision-making challenges. insufficient confidence (Correct answer)
- Erratic emotions and impulsive actions
- Inflated thinking. interest-seeking actions
Correct answer: Decision-making challenges. insufficient confidence
Dependent Personality Disorder is characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior and fears of separation. Individuals with this disorder often have difficulty making everyday decisions without excessive reassurance from others and lack self-confidence. They tend to rely heavily on others for guidance and support.
Question 3: Mark has been diagnosed with bipolar disorder and is admitted to Nurseslabs Medical Center. only one manic episode. The nurse would anticipate evaluating which of the following behaviors?
- Elation, hyperactivity, and impaired judgment (Correct answer)
- Apathy, poor insight, and poverty of ideas
- Social isolation leads to delusional thinking, and clang associations
- Anxiety, somatic complaints, and insomnia
Correct answer: Elation, hyperactivity, and impaired judgment
Bipolar disorder, specifically during a manic episode, is characterized by an abnormally and persistently elevated, expansive, or irritable mood and increased activity or energy. Key symptoms include euphoria (elation), decreased need for sleep, racing thoughts, increased goal-directed activity (hyperactivity), and often poor judgment, leading to impulsive or risky behaviors.
Question 4: Within a day treatment center. A crazy client is causing a lot of havoc, acting in a controlling and deceptive manner. What nursing intervention is the most suitable?
- Encourage the client to receive medical treatment in a hospital
- Allow the peer group to intervene
- Tell the client that his behavior is inappropriate
- With the customer, specify acceptable conduct and establish reasonable boundaries (Correct answer)
Correct answer: With the customer, specify acceptable conduct and establish reasonable boundaries
When a client exhibits controlling and deceptive behavior, establishing clear boundaries and expectations is crucial for therapeutic management. This intervention provides structure, communicates what is acceptable and unacceptable, and helps the client understand the consequences of their actions. It promotes a safer and more predictable environment for everyone involved.
Question 5: According to the biogenic amine theory, which neurotransmitters are lacking in a person with depression?
- Cortisone and epinephrine
- Dopamine and thyroxin
- Serotonin and norepinephrine (Correct answer)
- GABA and acetylcholine
Correct answer: Serotonin and norepinephrine
The biogenic amine theory of depression posits that depression is caused by a deficiency in the levels of certain neurotransmitters in the brain, primarily serotonin and norepinephrine (and sometimes dopamine). These neurotransmitters play crucial roles in regulating mood, sleep, appetite, and energy, and their imbalance is thought to contribute to depressive symptoms.
Question 6: A client and her family are being educated on the reasons for depression by Nurse Ally. Which of the subsequent causal elements ought the nurse to highlight as being the most important?
- Social environment
- Brain structure abnormalities
- Recessive gene transmission
- Chemical imbalance (Correct answer)
Correct answer: Chemical imbalance
While depression has multifactorial causes, the 'chemical imbalance' theory, specifically involving neurotransmitters like serotonin and norepinephrine, is a widely recognized and often emphasized biological factor in patient education. This explanation helps patients understand the physiological basis of their condition and the rationale behind antidepressant medications, which aim to correct these imbalances.
Question 7: Ciara is being assessed for a high risk of suicide. Which of her revelations would be the most important?
- Feeling loss of energy and appetite
- At least two years of consistently experiencing depression
- Suicide is mentioned as the best answer to the problems identified (Correct answer)
- Divorced from spouse six (6) months ago
Correct answer: Suicide is mentioned as the best answer to the problems identified
Direct or indirect statements about suicide, especially viewing it as a solution to problems, are critical warning signs of immediate suicide risk. This indicates a clear intent and a lack of alternative coping strategies, requiring urgent assessment and intervention. Other options, while relevant to depression, do not directly signal immediate suicidal ideation.
Joshaine attempted suicide and is now being treated at Nurseslabs Medical Center.
Schizoid personality disorder has previously been identified in his medical history.
What actions would not be normal for a person with this disorder?