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•Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder? a.“I’m so restless. I can’t seem to sit still.” b.“I spend most of my time studying. I have to get into a good college.” c.“I’m not trying to diet, but I’ve lost about 5 pounds in the past 5 months.” d.“I go to sleep around 11 p.m. but I’m always up by 3 a.m. and can’t go back to sleep.” •Which assessment question asked by the nurse demonstrates an understanding of comorbid mental health conditions associated with major depressive disorder? Select all that apply. a.“Do rules apply to you?” b.“What do you do to manage anxiety?” c.“Do you have a history of disordered eating?” d.“Do you think that you drink too much?” e.“Have you ever been arrested for committing a crime?” •Which nursing intervention focuses on managing a common characteristic of major depressive disorder associated with the older population? a. Conducting routine suicide screenings at a senior center. b. Identifying depression as a natural, but treatable result of aging. c. Identifying males as being at a greater risk for developing depression. d. Stressing that most individuals experience just a single episode of major depression in a lifetime. •Which characteristic identified during an assessment serves to support a diagnosis of disruptive mood dysregulation disorder? Select all that apply. a. Female b. 7 years old c. Comorbid autism diagnosis d. Outbursts occur at least once a week e. Temper tantrums occur at home and in school •Which chronic medical condition is a common trigger for major depressive disorder? a.Pain b. Hypertension c. Hypothyroidism d. Crohn’s disease •Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider? a. Fluoxetine (Prozac)
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2024 HESI RN EXIT MED SURGE EXAM V1 V7, Latest Questions and Answers with Explanations. A+ GRADE A+ 42.During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process? A.Assist the client in developing alternative coping skills. B.Remain calm and use a matter of fact approach. C.Ask the client why she is so anxious D.Administer a PRN sedative to help relieve her anxiety. 41.A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The client’s plan of care should include what priority problem? A.Acute confusion. B.Ineffective community coping C.Disturbed sensory perception. D.Self-care deficit. 39.The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe this. What should I do?” Which response is best for the RN to provide in this crisis? A.Tell me what you think should happen. B.How serious was the collision? C.What do you think you should do? D.Call for transportation to the hospital. 40.A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is the priority nursing problem for admission to the psychiatric unit? A.Ineffective sexual patterns. B.Impaired environmental interpretation. C.Disturbed sensory perception. D.Compromised family coping. 46.The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client’s dressing?
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