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Question 62
Which statement concerning the use of electroconvulsive therapy in the treatment of depression is CORRECT?
Question 62 options:
It is considered a non-pharmacological and non-invasive procedure
It is utilized to allow patients to come off of their antidepressant medications
It utilizes an implanted, subcutaneous stimulator that activates the vagus nerve
It stimulates a generalized seizure and has a high effective treatment rate
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- Question 73SavedNeurotransmitters implicated in the pathogenesis of depression can be classified as excitatory or inhibitory. The excitatory or inhibitor nature of a specific neurotransmitter is MOST dependent on: Question 73 options: The neurotransmitter’s chemical structure The means by which it is removed The type of receptor it binds to The target cell it acts uponQuestion 58 A 65 year old client has been treated for major depressive disorder for most of their adult life. The client agrees to participate in a study designed to observe brain activity in individuals with this disorder and is scheduled for a PET scan. What will this scan likely reveal? Question 58 options: absence of the locus ceruleus increased volume of the lateral ventricles decreased frontal and temporal lobe activity reduced grey matter in the prefrontal lobeQuestion 16 A mother is asking which treatment will be most effective for her 15 year old daughter who is experiencing depression. The nurse explains which of the following treatments have been effective for individuals with depression. Question 16 options: Tricyclic Antidepressants and Electroconvulsive Therapy Selective Serotonin Reuptake Inhibitors and Cognitive Behavioural Therapy Monoamine Oxidase Inhibitors and Exercise Therapy Benzodiazepines and Problem Solving Therapy
- Question 69SavedA client is having electroconvulsive therapy for the first time. What potential risk exists with this type of therapy? Question 69 options: hearing impairment generalized seizure activity retrograde amnesia frontal lobe atrophyQuestion 51 The nurse is talking with a mother of a 15 year old female client who is being treated for depression and suicidal ideation. The mother says to the nurse "Now that my daughter has been in therapy for a month and is responding to the antidepressant, her suicide risk is over and we don't need to worry about her any more." Which is the best response by the nurse? Question 51 options: "We need to continue to monitor your daughter as she progresses through her therapy" "I agree with your, your daughter is responding well to the treatment and we no longer need to worry about suicide risk." "Don't forget that your daughter is very fragile, and we need to keep a close eye on her." "I agree with you. The suicidal threats were really attention seeking, and she seems to be past that now."Question 77 The nurse should prepare to administer which medication for the client experiencing respiratory depression following intravenous administration of morphine? Question 77 options: Naloxone Atropine Flumazenil Activated charcoal
- Question 59 During a depressive episode a patient may exhibit symptoms such as reduced problem-solving ability, indecisiveness, and a lack of insight. Altered functioning of what CNS structure is thought to contribute to these symptoms? Question 59 options: Hippocampus Prefrontal cortex Amygdala HypothalamusQuestion 39 An 83 year old client is being admitted to the mental health unit because of a progressively increasing depression over the past month. What clinical finding does a nurse expect during the initial assessment of the client? Question 39 options: Elated affect Physical exhaustion Diminished verbal expression Disordered thinkingQuestion 63 During a depressive episode, what changes occur in the amygdala? Question 63 options: there is a pruning of neurons in this region increased blood flow and oxygen consumption new disorganized neuronal pathways are formed it becomes much less active for several month
- Question 115 Which symptom is common with premenstrual syndrome (PMS)? Select all that apply. One, some, or all responses may be correct. Fatigue Bloating Anorexia Depression Weight loss Mood swings Confident Not SureQuestion 65SavedWhich of the following observations gives support to the ‘cytokine dysregulation’ theory of causation of depression? Question 65 options: Depression is common in infectious and autoimmune diseases Exposure of the CNS to cytokines induces depressive symptoms Some antidepressants have anti-inflammatory properties All of the above support a role for cytokines in depressionQuestion 64SavedA client is given a prescription for selective serotonin reuptake inhibitors to treat their depression. The client asks the nurse how they work. What is the nurse’s best response? Question 64 options: they increase the amount of serotonin taken back by presynaptic neurons they increase the rate of degradation of serotonin in the synaptic cleft they increase the amount of serotonin that arrives at the postsynaptic neuron they increase the amount of serotonin synthesized in the presynaptic neuron