MOOD DISORDER QUIZ

1. The nurse is assessing the client who is suicidal. disorder is an upward swing of mood that requires
Which of the following is the priority nursing mood stabilizers for treatment.”
intervention?
a. Ask the client, “Do you have a plan to kill 5. During an admission interview, which of the
yourself?” following clinical manifestations should the nurse
b. Get the client to the hospital for further report as indicative of hypomania?
evaluation Select all that apply:
c. Assess the client for suicidal risk, method, and a. Decreased delusions of grandeur
ability to carry the plan out b. Decreased self-esteem
d. Assess for past suicide attempts c. Pressured speech
d. Talkativeness
2. The nurse should instruct a client that of the e. Decreased motivation
following, which would be an expected clinical f. Flight of ideas
manifestation for up to 2 months following an
electroconvulsive therapy treatment? 6. A female client expresses that she has had
a. Dizziness difficulties with irritability, depressed mood, and
b. Heartburn decreased interest during the last week of luteal
c. Nausea and vomiting phase during most of her menstrual cycles in the
d. Short-term memory loss past year. Which of the following nursing
interventions is most appropriate when planning
3. When assessing a client for a bipolar disorder the nursing care for this client with premenstrual
nurse should include which of the following in the dysphoric disorder?
mental status exam to make a positive diagnosis of a. Instruct the client to avoid focusing on mood,
a bipolar disorder? Assessment of sleep, and appetite during the month
a. gait. b. Administer vitamin B6 100 mg per day for 2
b. mood. weeks prior to the menstrual cycle
c. emotional developmental level. c. Encourage intake of water and juice
d. nutritional status. d. Instruct the client to consume caffeinecontaining
beverages and chocolate
4. The parents of a client diagnosed with major
depression and who attempted suicide ask the nurse 7.The nurse is planning the care of a client with
what the difference is between major depression cyclothymia. Currently, the client has a hypomanic
and a bipolar disorder. The most appropriate mood episode. Which of the following nursing
response by the nurse is which of the following? interventions would be a priority when caring for
a. “Major depression and bipolar disorder are two this client?
different mood disorders, but the treatment is the a. Set limits with the client if the client is getting
same.” into the personal space of others
b. “Bipolar disorder is an upswing of mood, b. Increase stimuli in the environment to prevent the
whereas major depression is a downward mood client from becoming depressed
swing. They require very similar treatment c. Ask the client about issues related to selfesteem
modalities.” d. Encourage the client to decrease physical activity
c. “Major depression is a downward swing of mood
with treatment, including mood stabilizers, whereas 8. The nurse is preparing to care for a client with
bipolar depression is an upward swing of mood with major depression. The priority nursing intervention
antidepressants given to bring the mood down.” is to assess the client’s
d. “Major depression is a depressed mood state that a. response to medication administration.
requires antidepressant medication, whereas bipolar b. current mood and activity level.
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c. appetite and weight. c. Avoid discussion of depressing topics
d. risk of suicide. d. Encourage the client to verbalize feelings

9. A client has been making derogatory remarks

about herself and states, “I’m not able to get a 13. While assessing a client in the emergency room
boyfriend because I am worthless.” Which of the after an attempted suicide, the priority question the
following cognitive nursing interventions would be nurse should ask the client is which of the
most appropriate at this time? following?
a. Encourage the client to explore feelings of a. “What is happening in your life that would cause
worthlessness you to attempt to kill yourself?”
b. Instruct the client not to feel that way b. “How are you feeling since you have awakened
c. Encourage the client to explore positive thoughts after your overdose?”
about self c. “Where is the pill bottle of the medications that
d. I nstruct the client to take an antidepressant drug you had taken?”
as prescribed d. “What can be done to make your life better?”

10. A client scheduled to receive phototherapy asks 14. The priority intervention for an outpatient nurse
the nurse what phototherapy is. The nurse should to perform for a client who is depressed and has told
respond with which of the following statements? the nurse that “I am worthless and there is nothing
a. “It is a camera that takes pictures of your brain to to live for” would be
see why you are becoming depressed.” a. immediately seek a psychiatric hospitalization for
b. “It is a bright white light that is used to help treat the client.
depression in the winter months.” b. explore feelings of worthlessness and
c. “It assists in decreasing stress and will help you hopelessness.
function better at work in the winter months.” c. encourage the client to identify selfdeprecating
d. “It is used to treat depression that is resistant to thoughts.
electroconvulsive therapy.” d. remove all potentially dangerous objects from the
immediate area.
11. The client asks the nurse how long phototherapy
should be used each day. Which of the following is 15. The nurse who is caring for a client who is
the appropriate response by the nurse? manic and exhibiting psychomotor agitation
a. “If you get a headache, then you have sat in front implements which of the following interventions as
of the light for too long.” the priority?
b. “Each individual is different. Sit in front of the a. Explore alternative behaviors with the client for
light just long enough so that you do not get a use when feeling anxious or hyperactive
headache.” b. Provide limits for the client while allowing the
c. “Sit in front of the light while reading, preferably client space
in the evening.” c. Explore stressors that precipitate manic behavior
d. “You may sit in front of the light as long as you d. Assist the client in identifying negative
are comfortable doing so.” consequences of behaviour

12. Which of the following is the priority 16. When completing an admissions assessment of a
intervention to encourage a client who is depressed client with schizoaffective disorder, the nurse
to discuss any suicidal thoughts, plan, or intent? should assess for the presence of which of the
a. Instruct the client about the consequences of following clinical manifestations?
hidden anger Select all that apply:
b. Focus on the need to keep the client safe a. Increased use of substances
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b. Decreased libido d. H allucinations
c. Hallucinations e. Depressed mood
d. Feelings of entitlement f. Increased libido
e. Decreased energy
f. Anhedonia 21. Which of the following interventions should the
nurse implement when treating delusional thinking
17. A client diagnosed with a bipolar disorder and in a schizoaffective disorder? Select all that apply:
who has a superimposed seasonal affective a. Instruct the client on socialization techniques
depression is using phototherapy as a treatment to b.Identify difficult experiences and assist to
lift the depression. The client calls the nurse at the decrease anxiety
outpatient mental health clinic, reporting, “My c. Provide reality testing
mood, libido, and interest in shopping have d. Develop a regular schedule with the client
improved dramatically.” Based on this information, e. Set realistic goals
which of the following is the priority to assess first? f. Encourage exercise
a. Explore energy level and level of appetite
b. A certain how much money the client is spending 22. The nurse assesses which of the following to be
c. Identify the time of day the client is utilizing the negative clinical manifestations in a client with a
phototherapy treatment schizoaffective disorder? Select all that apply:
d. Encourage the client to explore thoughts of a. Auditory hallucinations
improved self-worth b. Anhedonia
c. Difficulty making decisions
18. Discharge plans are being made for a client d. Delusional thinking
hospitalized for depression. Which of the following e. Decreased ability in carrying on a conversation
is the priority outcome for a diagnosis of f. Tactile hallucinations
depression?
a. Share more realistic expectations of the client and 23. T he nurse is caring for a client who is in the
the situation manic state of a bipolar disorder. Which of the
b. Identify negative, unrealistic thoughts about following should the nurse prioritize as the most
oneself and ways to counteract those thoughts appropriate nursing outcome?
c. Discuss reasons why the client has turned the a. The client will be free of agitation, hyperactivity,
anger inward and restless behavior
d. Openly express thoughts and feelings of b. The client will appropriately verbalize feelings of
depression anger
c. The client will be free of aggression and
19. The nurse evaluates a client who stays at home threatened behavior toward others
with the assistance of significant others and friends d. The client will demonstrate lessened buying
and is undergoing outpatient treatment to have how sprees and grandiosity
many points on the Sad Persons Suicide Assessment
Scale? ___________________ 24. T he nurse is caring for a client with a mood
disorder caused by a medical condition. Which
20. The nurse receives a report on a client with of the following are most important for the nurse to
dysthymia. It would be most important for the nurse assess?
to make which of the following assessments? a. Serum drug screen
Select all that apply: b. Electrocardiogram (ECG)
a. Chronic feelings of low self-esteem c. Bowel sounds
b. Poor concentration d. Dental hygiene
c. Flight of ideas
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25. Which of the following clinical manifestations
of schizoaffective disorder should the nurse assess
the client for? Select all that apply:
a. Flat affect
b. Hallucinations
c. Decreased energy
d. Delusional thinking
e. Anhedonia
f. Anorexia

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