Free Persistent Depressive Disorder Questions and Answers

Question 1

A patient who denies having suicidal thoughts arrives at the emergency room complaining of mood swings, anorexia, insomnia, and irritation. Which therapy would the nurse start with?

Accepted Answer

Complete a complete physical examination with lab work

Answer

Before diagnosing and treating a psychiatric condition, it is crucial to rule out any underlying medical causes that could be mimicking or contributing to the patient's symptoms. A complete physical examination with lab work can identify physiological issues, such as thyroid dysfunction, electrolyte imbalances, or substance use, which can present with mood swings, anorexia, and insomnia. Addressing these medical issues first ensures appropriate and effective care.

Question 2

A customer arranges and executes the wake and burial of a youngster killed in a car accident. According to Engel's model, at which stage of typical sorrow would this client experience grief?

Accepted Answer

Restitution

Answer

According to Engel's model of grief, the 'restitution' stage involves the work of mourning, where individuals engage in cultural and religious rituals associated with loss. Arranging and executing a wake and burial are examples of these restorative actions, which help the bereaved begin to adapt to the reality of the loss and integrate it into their lives. This stage provides a structured way to express grief and seek support.

Question 3

Following a failed suicide attempt, a patient with serious depression was admitted to the psychiatric unit. The nurse would also check for feelings of sadness and hopelessness.

Accepted Answer

Psychomotor retardation or agitation

Answer

In addition to sadness and hopelessness, psychomotor changes are hallmark symptoms of severe depression. Patients may exhibit psychomotor retardation, characterized by slowed movements, speech, and thought processes, or psychomotor agitation, involving restlessness and an inability to sit still. Assessing for these physical manifestations provides a more complete picture of the client's depressive state and guides appropriate interventions.

Question 4

What therapeutic communication technique is most likely to assist a sad client in expressing their feelings?

Accepted Answer

Silence, active listening

Answer

Silence and active listening are powerful therapeutic communication techniques that create a supportive environment for a sad client to express their feelings. Silence allows the client time to process thoughts and formulate responses without feeling rushed, while active listening conveys empathy and validates their experiences. This approach fosters trust and encourages deeper emotional sharing, which is crucial for healing.

Question 5

A patient whose appointment includes electro-convulsive therapy queries the nurse about how the treatment helps with her depression. The nurse's response is predicated on her knowledge of how ECT:

Accepted Answer

Causes a seizure that briefly changes the brain's chemical balance

Answer

Electroconvulsive therapy (ECT) works by inducing a controlled seizure in the brain, which is believed to rapidly alter brain chemistry and neurotransmitter levels. This neurochemical reset helps alleviate severe symptoms of depression, particularly when other treatments have been ineffective. The seizure activity is thought to normalize brain function and improve mood regulation.

Persistent Depressive Disorder Practice Test

Persistent Depressive Disorder Practice Test

Free Persistent Depressive Disorder Questions and Answers