Question

Which statement by a nurse indicates a correct understanding of depression among older people? Select All That Apply

Answer 1

Correct Answers:

"Older people with depression often present to their healthcare providers with somatic complaints.”
"SSRI’s are the first line of pharmacological treatment for older people with depression.”
Depressive symptoms such as psychomotor slowing and cognitive impairments may be misdiagnosed as dementia in older people."

Rationale :

✅ "Older people with depression often present to their healthcare providers with somatic complaints."

🔹 Older adults frequently report physical symptoms (somatic complaints) such as fatigue, chronic pain, gastrointestinal distress, and insomnia rather than openly expressing emotional sadness.

🔹 This tendency to emphasize physical ailments can cause depression in older adults to be overlooked or misdiagnosed.

🔹 Health professionals should thoroughly evaluate older patients presenting with vague somatic complaints to assess underlying depressive disorders.

✅ C. "SSRIs are the first line of pharmacological treatment for older people with depression."

💊 Selective serotonin reuptake inhibitors (SSRIs) are preferred antidepressants for older adults due to their favorable safety profile, fewer anticholinergic side effects, and lower risk of cardiac complications compared to older antidepressants.

💊 SSRIs are typically well-tolerated, making them suitable for older patients who may have comorbid health conditions or polypharmacy.

💊 They effectively treat depression while minimizing side effects that could compromise cognitive function or mobility in elderly clients.

✅ "Depressive symptoms such as psychomotor slowing and cognitive impairments may be misdiagnosed as dementia in older people."

🧠 Depressive symptoms in older adults, including psychomotor slowing, memory difficulties, and impaired concentration, often resemble symptoms of dementia, making diagnosis challenging.

🧠 Differentiating between depression and dementia is critical because depression is potentially reversible with appropriate treatment.

🧠 Clinicians must carefully assess cognitive changes in older adults to avoid mislabeling depression-related cognitive impairment as irreversible dementia.

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Answer 2

Correct Answers:

Explain each step of the examination process clearly
Offer prophylactic treatment for sexually transmitted diseases and pregnancy

Rationale :

✅Explain each step of the examination process clearly

🔸 Clearly explaining every step of the examination reduces anxiety and empowers the survivor by providing a sense of control during an extremely vulnerable situation.

🔸 Transparent communication helps build trust, minimizes retraumatization, and enhances cooperation, ultimately improving the quality of care and forensic evidence collection.

🔸 Providing information fosters psychological safety, respecting the survivor’s autonomy and dignity throughout the examination process.

✅Offer prophylactic treatment for sexually transmitted diseases and pregnancy

💊 Offering immediate prophylactic treatment for sexually transmitted infections (STIs) and emergency contraception to prevent pregnancy is considered best practice.

💊 Timely prophylactic interventions significantly reduce the risk of infections such as HIV, hepatitis B, chlamydia, gonorrhea, and unintended pregnancies.

💊 Administering these treatments promptly demonstrates compassionate, comprehensive care and helps address immediate health concerns, protecting the survivor’s physical health and emotional well-being.

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Answer 3

Correct Answers:

For ECT be effective, a seizure must occur during each treatment.

Rationale :

⚡ Electroconvulsive therapy (ECT) involves inducing a brief, controlled seizure, essential for therapeutic effectiveness in alleviating severe depression symptoms.

⚡ A seizure duration typically lasts 15–60 seconds, carefully monitored and managed by trained medical staff under anesthesia.

⚡ The therapeutic response from ECT is thought to be related to neurochemical changes in the brain triggered by the induced seizures.

⚡ Seizure induction is the defining feature distinguishing ECT from other psychiatric treatments and directly correlates with symptom improvement.

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Answer 4

Correct Answers:

What should someone do to prepare for snowy winter days?

Rationale :

❄️ This question effectively assesses a patient's judgment, as it evaluates their ability to make sound, practical decisions in real-life situations.

❄️ Judgment involves problem-solving skills and insight into appropriate, safe, and logical responses to common scenarios or challenges.

❄️ Good judgment is indicated by realistic, logical answers, such as preparing warm clothing, stocking supplies, or planning safe travel methods during winter weather.

❄️ The patient's response helps the nurse determine their ability to anticipate consequences, recognize risks, and plan accordingly.

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Answer 5

Correct Answers:

Patient will interpret reality correctly by stating there is no computer chip in his head.

Rationale :

🧠 This outcome directly addresses the patient's delusional belief (false fixed belief) about government surveillance, which indicates impaired reality testing.

🧠 Establishing accurate interpretation of reality is a critical therapeutic goal in treating patients with psychosis, delusions, or paranoia.

🧠 A successful intervention involves gradual reorientation to reality through medication, supportive therapy, and structured interactions, helping the patient differentiate between delusional beliefs and factual experiences.

🧠 This outcome demonstrates meaningful progress toward improved mental status, reducing paranoia and distress, and facilitating effective coping and social functioning.

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Answer 6

Correct Answers:

“Delirium is a common occurrence. The treatment team can discuss lowering his meds and getting him on a regular Seep cycle

Rationale :

🛌 Delirium frequently occurs in ICU patients, especially following surgery, due to medications, disrupted sleep patterns, sensory deprivation or overload, pain, or illness severity.

🛌 Hallucinations, confusion, and disorientation (such as seeing clowns under the bed) are typical symptoms of ICU delirium.

🛌 Interventions include minimizing sedation, adjusting medications appropriately, establishing consistent sleep-wake cycles, and reorienting the patient regularly.

🛌 Explaining delirium openly helps family members understand it as temporary and reversible, reducing their anxiety and facilitating family involvement in patient care.

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Answer 7

Correct Answers:

“I eat a food quickly and then feel uncomfortably full."

Rationale :

🍽️ This statement reflects a key feature of binge eating disorder (BED)—consuming large amounts of food rapidly, often past the point of physical comfort.

🍽️ BED involves recurrent episodes of eating significantly more food than most people would eat in a similar time frame, accompanied by a sense of loss of control.

🍽️ Unlike bulimia, BED is not followed by compensatory behaviors like purging, and it is often associated with shame, distress, and physical discomfort.

🍽️ Recognizing these patterns helps guide diagnosis and treatment, such as behavioral therapy, nutritional planning, and emotional coping strategies.

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Answer 8

Correct Answers:

“Now I can change my thinking when I start to believe that everybody hates me."

Rationale :

🧠 This reflects a core principle of Cognitive Therapy (CT): recognizing and restructuring distorted or negative thought patterns.

🧠 CT focuses on helping individuals identify automatic negative thoughts and replace them with more realistic, balanced thinking.

🧠 The adolescent’s ability to catch and challenge the belief that “everybody hates me” demonstrates cognitive reframing, a key therapeutic goal.

🧠 This indicates improved insight and active use of strategies to interrupt cognitive distortions, leading to healthier emotional and behavioral outcomes.

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Answer 9

Correct Answers:

“How would you describe your body?”

Rationale :

🔍 This question assesses body image distortion, a core diagnostic criterion of anorexia nervosa in the DSM-5.

🔍 Individuals with anorexia nervosa often have a distorted perception of their body weight or shape, seeing themselves as overweight even when underweight.

🔍 Exploring how a patient views and describes their body helps identify the severity of their preoccupation with body image, weight, and fear of gaining weight.

🔍 Accurate assessment of body image concerns is critical for diagnosis, treatment planning, and monitoring progress in therapy.

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Answer 10

Correct Answers:

“l can see that you are upset about the food. I will make a note to have someone from Nutritional Services come talk to you tomorrow.”

Rationale :

🤝 This response acknowledges the patient’s feelings without reinforcing unrealistic demands, demonstrating empathy and professionalism.

🤝 It sets appropriate boundaries by offering a reasonable plan (referral to Nutritional Services) while maintaining the therapeutic relationship.

🤝 The nurse avoids confrontation or sarcasm, which could escalate distress or damage rapport, especially in a psychiatric or emotionally vulnerable setting.

🤝 This approach shows respect for the patient's concerns while redirecting expectations appropriately, in line with best communication practices.

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NUR 3328 RN Mental Health(Summer~2025)

No.

1 :
Which statement by a nurse indicates a correct understanding of depression among older people? Select All That Apply

2 :
When caring for a survivor of sexual assault in the emergency department, which of the following interventions reflect best practices? Select All That Apply

3 :
A patient says to the nurse, “My doctor suggested ECT (electroconvulsive therapy) to treat my depression. I don't know anything about it.” The nurse shares the following correct information:

4 :
While conducting a mental status exam, the nurse must assess the patient's judgment. This is done by asking which of the following questions?

5 :
A patient admitted involuntarily to an inpatient psychiatric unit reports that the “government surgically implanted a computer chip into my brain which allows FBI agents to know where I am and what I am thinking.” In planning care, which outcome would the nurse for this patient?

6 :
The wife of a man who has been in post-surgical ICU for 3 days says to the nurse. "My husband doesn't know where he is and believes there are clowns under his bed. What is wrong With him?” What is the best response from the nurse?

7 :
The nurse is interviewing a patient with an eating disorder. What statement by the patient indicates the presence of a binge eating disorder?

8 :
Which comment by an adolescent most indicates benefit from Cognitive Therapy?

9 :
Which assessment question should be asked of a patient to best identify a DSM 5 criteria symptom of anorexia nervosa?

10 :
At midnight, a patient approaches the nurses' station and states, "Please call the CEO of this hospital and ask them to call me now. I want to complain about the food and arrange for better options to be delivered to me. I deserve better than this.” What is the nurse's best response?

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NUR 3328 RN Mental Health(Summer~2025)

No.

1 : Which statement by a nurse indicates a correct understanding of depression among older people? Select All That Apply

2 : When caring for a survivor of sexual assault in the emergency department, which of the following interventions reflect best practices? Select All That Apply

3 : A patient says to the nurse, “My doctor suggested ECT (electroconvulsive therapy) to treat my depression. I don't know anything about it.” The nurse shares the following correct information:

4 : While conducting a mental status exam, the nurse must assess the patient's judgment. This is done by asking which of the following questions?

5 : A patient admitted involuntarily to an inpatient psychiatric unit reports that the “government surgically implanted a computer chip into my brain which allows FBI agents to know where I am and what I am thinking.” In planning care, which outcome would the nurse for this patient?

6 : The wife of a man who has been in post-surgical ICU for 3 days says to the nurse. "My husband doesn't know where he is and believes there are clowns under his bed. What is wrong With him?” What is the best response from the nurse?

7 : The nurse is interviewing a patient with an eating disorder. What statement by the patient indicates the presence of a binge eating disorder?

8 : Which comment by an adolescent most indicates benefit from Cognitive Therapy?

9 : Which assessment question should be asked of a patient to best identify a DSM 5 criteria symptom of anorexia nervosa?

10 : At midnight, a patient approaches the nurses' station and states, "Please call the CEO of this hospital and ask them to call me now. I want to complain about the food and arrange for better options to be delivered to me. I deserve better than this.” What is the nurse's best response?

1 :
Which statement by a nurse indicates a correct understanding of depression among older people? Select All That Apply

2 :
When caring for a survivor of sexual assault in the emergency department, which of the following interventions reflect best practices? Select All That Apply

3 :
A patient says to the nurse, “My doctor suggested ECT (electroconvulsive therapy) to treat my depression. I don't know anything about it.” The nurse shares the following correct information:

4 :
While conducting a mental status exam, the nurse must assess the patient's judgment. This is done by asking which of the following questions?

5 :
A patient admitted involuntarily to an inpatient psychiatric unit reports that the “government surgically implanted a computer chip into my brain which allows FBI agents to know where I am and what I am thinking.” In planning care, which outcome would the nurse for this patient?

6 :
The wife of a man who has been in post-surgical ICU for 3 days says to the nurse. "My husband doesn't know where he is and believes there are clowns under his bed. What is wrong With him?” What is the best response from the nurse?

7 :
The nurse is interviewing a patient with an eating disorder. What statement by the patient indicates the presence of a binge eating disorder?

8 :
Which comment by an adolescent most indicates benefit from Cognitive Therapy?

9 :
Which assessment question should be asked of a patient to best identify a DSM 5 criteria symptom of anorexia nervosa?

10 :
At midnight, a patient approaches the nurses' station and states, "Please call the CEO of this hospital and ask them to call me now. I want to complain about the food and arrange for better options to be delivered to me. I deserve better than this.” What is the nurse's best response?