N5 - Test - Depression and Suicide Ideation

Answers in the comments
http://www.nursingcenter.com/prodev/ce_article.asp?tid=542904

1.
Symptoms of depression
a. are found in approximately half of all hospitalized patients.
b. emerge in up to 30% of patients hospitalized for nonpsychiatric reasons.
c. tend to be limited to hospitalized patients with a previous psychiatric history.
d. are found in up to 10% of all hospitalized patients.

2.
Currently, screening for depression and suicide ideation is
a. a routine part of most hospital admissions.
b. left to the discretion of individual nurses.
c. not a routine part of the nursing admission process in most hospitals.
d. recommended for all patients 18 years or older.

3.
The decision to implement routine screening for depression at one Magnet hospital
a. can be attributed mainly to the efforts of staff nurses.
b. was based solely on original research indicating an evidence-based need for a change in practice.
c. was implemented by hospital management con- cerned with patient safety.
d. was a collaborative decision by the Nursing Shared Governance Councils based on JCAHO Sentinel Event statistics and research indicating the need for a change in practice.

4.
Depression is a
a. normal, expected response to a stressful situation.
b. medical illness.
c. psychological disorder that may have a medical component.
d. normal part of the aging process.

5.
In developing a comprehensive screening for depression, nurses recognized the need for
a. age-specific tools to screen all patients.
b. a single tool that would identify depression in all patients.
c. a single tool that could be used with children be- tween the ages of 5 and adolescence.
d. a more refined tool to replace all other existing assessment tools.

6.
As common signs of depression, the authors cite all of the following except
a. difficulty making decisions.
b. weight gain or loss.
c. a change in sleep habits.
d. short-term memory loss.

7.
In order to elicit information about episodes that may trigger depression, nurses ask patients about
a. recent traumas or losses.
b. financial status.
c. relationships with family and friends.
d. hopes for the future.

8.
Nurses screen for suicidal ideation and initiate an appropriate care plan for
a. patients who report 5 or more signs of depression.
b. those patients who have a history of suicidal attempts.
c. all patients reporting even one sign of depression.
d. all patients for whom an antidepressant has been prescribed.

9.
In children and adolescents, depression
a. is relatively uncommon.
b. is difficult to screen.
c. does occur and may lead to suicide.
d. can often be attributed to normal mood swings.

10.
With respect to young children, parents
a. are often the best historians of the child's behavior.
b. often fail to recognize symptoms of depression.
c. often underestimate the significance of depression.
d. often overestimate the significance of depression.

11.
In screening adolescents for depression, nurses recognize
a. that parents are often highly sensitive to changes in an adolescent's behavior.
b. the need to involve parents in the assessment process.
c. the importance of questioning adolescents directly in order to honor their need for independence and personal participation in care.
d. that screening tools designed for older adults can easily be adapted for use with adolescents.

12.
A nurse institutes 1:1 suicide precautions and calls the primary care provider
a. when the patient reveals a plan.
b. once an actual suicide attempt has been made.
c. when a patient reports 3 or more signs of depression.
d. when a patient reports 5 or more signs of depression.

13.
To a nurse conducting a depression screening, which of the following patients would probably present the greatest challenge?
a. a 5-year-old child.
b. a patient admitted for end-of-life care
c. an adolescent
d. a patient who is 65 years of age or older

14.
Which of the following actions fall within the scope of nursing?
a. diagnosis of clinical depression
b. screening for symptoms of depression
c. treating depression
d. assessing a patient for depression using criteria in the Diagnostic and Statistical Manual of Mental Disorders DSM-IV.

15.
Depression screening can best be described as
a. quick, noninvasive, and diagnostic.
b. quick, noninvasive, and nondiagnostic.
c. time-consuming but comprehensive.
d. detailed, time-consuming, and diagnostic.