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Edapt NR507 Week 5 Alterations in Neurobiological Function

Depression

Advanced Pathophysiology-Tan > Unit 7

The nurse practitioner (NP) is discussing a client’s reason for seeking care. Which client statements should the NP recognize as being associated with depression? Select all that apply.​

“Lately, I cannot seem to remember anything without writing it down.”​

“Never in my life have I felt so worthless; I feel guilty about everything.”

“I have so much more energy these days.”​

“My partner is frustrated because I can’t make decisions about our upcoming vacation.”

“I feel so hopeless, and everyone says I look sad.”

 

The nurse practitioner (NP) prescribes a tricyclic antidepressant for a client with newly diagnosed major depressive disorder (MDD). Which statement should the NP include when providing client education?​

“Your symptoms should improve over the next 3–4 months.”​

“Most clients notice a change in their mood within 36 hours after the first dose.”​

“This medication will take 2–4 weeks to reach a therapeutic blood level.”

“Generally, 5–7 days are needed for the medication to start working.”

 

Which statement best explains how acetylcholine impacts mood?​

Acetylcholine binds to receptors on the presynaptic neuron.​

Acetylcholine regulates neural circuits in the hippocampus and prefrontal cortex.

Acetylcholine contributes to normal muscle contraction.​

Acetylcholine targets both serotonin and norepinephrine systems.​

 

The nurse practitioner (NP) should identify which risk factors for major depressive disorder (MDD)? Select all that apply.​

Family members with depression

Loss of interest for sewing

Feeling worthless

Son lives out of town

Recent death of a close friend

 

Which three (3) treatment options should the nurse practitioner (NP) consider for treating Mary Jane’s major depressive disorder (MDD)? Select 3.​

Crisis intervention​

Light therapy

Selective serotonin uptake inhibitor (SSRI)

Antipsychotic medication​

Psychotherapy

Electroconvulsive therapy (ECT)​

 

Question 5 / 6

Take Action

Which action should the nurse practitioner (NP) take first?​

Refer Greg to outpatient treatment​

Consult a psychiatrist

Educate Greg’s wife on major depressive disorder (MDD)​

Prescribe an antidepressant​

Solution: Edapt NR507 Week 5 Alterations in Neurobiological Function

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