Depression NCLEX Questions 1-10

Accomplish this 5-item Depression NCLEX Questions and do good in your NCLEX!

1. The home health nurse visits a client at home and determines that the client is dependent on drugs. During the assessment, which action should the nurse take to plan appropriate nursing care?

a) Ask the client why he started taking illegal drugs.
b) Ask the client about the amount of drug use and its effect.
c) Ask the client how long he thought that he could take drugs without someone finding out.
d) Not ask any questions for fear that the client is in denial and will throw the nurse out of the home. 

2. Depression NCLEX Questions about which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all that apply.

a) Monitor vital signs.
b) Maintain NPO status.
c) Provide a safe environment.
d) Address hallucinations therapeutically.
e) Provide stimulation in the environment.
f) Provide reality orientation as appropriate.

3. The nurse determines that the wife of an alcoholic client is benefiting from attending an Al-Anon group if the nurse hears the wife make which statement?

a) “I no longer feel that I deserve the beatings my husband inflicts on me.”
b) “My attendance at the meetings has helped me to see that I provoke my husband’s violence.”
c) “I enjoy attending the meetings because they get me out of the house and away from my husband.” d) “I can tolerate my husband’s destructive behaviors now that I know they are common with alcoholics.”

4. Depression NCLEX Questions about a hospitalized client with a history of alcohol abuse tells the nurse, “I am leaving now. I have to go. I don’t want any more treatment. I have things that I have to do right away.” The client has not been discharged and is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client’s concerns with the client, the client dresses and begins to walk out of the hospital room. What action should the nurse take?

a) Call the nursing supervisor.
b) Call security to block all exit areas.
c) Restrain the client until the health care provider (HCP) can be reached.
d) Tell the client that the client cannot return to this hospital again if the client leaves now.

5. The nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa. Which assessment findings does the nurse expect to note? Select all that apply.

a) Dental decay
b) Moist oily skin
c) Loss of tooth enamel
d) Electrolyte imbalances
e) Body weight well below ideal range

6. Depression NCLEX Questions about which behavior observed by the nurse indicates a suspicion that a depressed adolescent client may be suicidal?

a) The adolescent gives away a DVD and a cherished autographed picture of a performer.
b) The adolescent runs out of the therapy group, swearing at the group leader, and runs to her room.
c) The adolescent becomes angry while speaking on the telephone and slams down the receiver.
d) The adolescent gets angry with her roommate when the roommate borrows the client’s clothes without asking.

7. The police arrive at the emergency department with a client who has lacerated both wrists. What is the initial nursing action?

a) Administer an antianxiety agent.
b) Examine and treat the wound sites.
c) Secure and record a detailed history.
d) Encourage and assist the client to ventilate feelings.

8. Depression NCLEX Questions about a moderately depressed client who was hospitalized 2 days ago suddenly begins smiling and reporting that the crisis is over. The client says to the nurse, “I’m finally cured.” How should the nurse interpret this behavior as a cue to modify the treatment plan?

a) Suggesting a reduction of medication
b) Allowing increased “in-room” activities
c) Increasing the level of suicide precautions
d) Allowing the client off-unit privileges as needed

9. Low doses of central nervous system (CNS) depressants produce an initial excitatory response. This reaction is caused by:

a) a stimulating effect on the CNS
b) the depression of acetylcholine
c) the stimulation of dopamine by depressant drugs
d) inhibitory synapses in the brain being depressed before excitatory synapses.

10. A client with borderline personality disorder dramatically expresses feelings about each nurse on the staff, stating that only one nurse is understanding and trustworthy - namely, the nurse the client is talking to at the time. This client is demonstrating which behavior?

a) confidentially
b) splitting
c) empathy
d) gnawing

Depression NCLEX Questions
Answers and Rationale

1) B
- Rationale: Whenever the nurse carries out an assessment for a client who is dependent on drugs, it is best for the nurse to attempt to elicit information by being nonjudgmental and direct. Option A is incorrect because it is judgmental and off-focus, and reflects the nurse’s bias. Option C is incorrect because it is judgmental, insensitive, and aggressive, which is nontherapeutic. Option D is incorrect because it indicates passivity on the nurse’s part and uses rationalization to avoid the therapeutic nursing intervention.

- Depression NCLEX Questions Test-Taking Strategy: Focus on the subject, providing appropriate nursing care. Use of therapeutic communication techniques will assist in directing you to the correct option. 

2) A, C, D, F
- Depression NCLEX Questions Rationale: When the client is experiencing withdrawal from alcohol, the priority for care is to prevent the client from harming self or others. The nurse would provide a low-stimulation environment to maintain the client in as calm a state as possible. The nurse would monitor the vital signs closely and report abnormal findings. The nurse would reorient the client to reality frequently and would address hallucinations therapeutically. Adequate nutritional and fluid intake need to be maintained.

- Test-Taking Strategy: Note the strategic words most appropriate. Use therapeutic communication techniques to assist in selecting the correct interventions. Also, recalling the characteristics associated with alcohol withdrawal will assist in answering correctly.

3) A
- Rationale: Al-Anon support groups are a protected, supportive opportunity for spouses and significant others to learn what to expect and to obtain excellent pointers about successful behavioral changes. The correct option is the healthiest response because it exemplifies an understanding that the alcoholic partner is responsible for his behavior and cannot be allowed to blame family members for loss of control. Option B is incorrect because the nonalcoholic partner should not feel responsible when the spouse loses control. Option C indicates that the group is viewed as an escape, not as a place to work on issues. Option D indicates that the wife remains codependent.

- Depression NCLEX Questions Test-Taking Strategy: Focus on the subject, the therapeutic effect of attending an Al-Anon group. Noting the words benefiting from attending an Al-Anon group will direct you to the correct option.

4) A
- Rationale: Most health care facilities have documents that the client is asked to sign relating to the client’s responsibilities when the client leaves against medical advice. The client should be asked to wait to speak to the HCP before leaving and to sign the “against medical advice” document before leaving. If the client refuses to do so, the nurse cannot hold the client against the client’s will. Therefore, in this situation, the nurse should call the nursing supervisor. The nurse can be charged with false imprisonment if a client is made to believe wrongfully that he or she cannot leave the hospital. Restraining the client and calling security to block exits constitutes false imprisonment. All clients have a right to health care and cannot be told otherwise.

- Test-Taking Strategy: Keeping the concept of false imprisonment in mind, eliminate options B and C because they are comparable or alike. Eliminate option D, knowing that all clients have a right to health care. From the options presented, the best action is presented in the correct option.

5) A, C, D
- Depression NCLEX Questions Rationale: Clients with bulimia nervosa initially may not appear to be physically or emotionally ill. They are often at or slightly below ideal body weight. On further inspection, a client exhibits dental decay and loss of tooth enamel if the client has been inducing vomiting. Electrolyte imbalances are present. Dry, scaly skin (rather than moist, oily skin) is present.

- Test-Taking Strategy: Focus on the subject, assessment findings in bulimia nervosa. It is necessary to recall that in anorexia nervosa the body weight is normally well below ideal body weight and that clients with bulimia nervosa are often at or slightly below ideal body weight. Also, remember that skin texture will be dry and scaly.

6) A
- Rationale: A depressed suicidal client often gives away that which is of value as a way of saying goodbye and wanting to be remembered. Options B, C, and D deal with anger and acting-out behaviors that are often typical of any adolescent.

- Test-Taking Strategy: Eliminate options B, C, and D because they are comparable or alike. The correct option is different and is an action that could indicate that the client may be “saying goodbye.”

7) B
- Rationale: The initial nursing action is to assess and treat the self-inflicted injuries. Injuries from lacerated wrists can lead to a life-threatening situation. Other interventions, such as options A, C, and D, may follow after the client has been treated medically.

- Test-Taking Strategy: Note the strategic word initial. Use Maslow’s Hierarchy of Needs theory to prioritize. Physiological needs come first. The correct option addresses the physiological need.

8) C
- Rationale: A client who is moderately depressed and has only been in the hospital 2 days is unlikely to have such a dramatic cure. When a depression suddenly lifts, it is likely that the client may have made the decision to harm himself or herself. Suicide precautions are necessary to keep the client safe. The remaining options are therefore incorrect interpretations.

Depression NCLEX Questions Test-Taking Strategy: Focus on the subject, suicide precautions. Options A and D support the client’s notion that a cure has occurred. Option B allows the client to increase self-isolation self-isolation and would present a threat to the client’s safety. Knowing that safety is of the utmost importance will direct you to the correct option.

9) D
- Excitation can occur when inhibitory synapses are depressed. The other options are incorrect because depressants don't stimulate the CNS or dopamine and don't depress acetylcholine.

10) B
- In splitting, or primitive dissociation, the client categorizes people as good or bad and tries to keep the bad from contaminating the good. Such a client may view a staff member is ideal and then devalue that person. Confidentially is the protection of client information. Empathy is the nurse's attempt to understand and respond to a client's needs and feelings. Gnawing isn't a term used in psychiatric nursing.

Proceed to the next set of questions:

Depression NCLEX Questions 11-20