Therapeutic Communications For Health Care 3rd Ed By Tamparo -Test Bank

Therapeutic Communications For Health Care 3rd Ed By Tamparo -Test Bank

Chapter 7: The Therapeutic Response to Depressed and/or Suicidal Clients

MODIFIED TRUE/FALSE

1. Minor depression is known as dysthymia. _________________________

ANS: T PTS: 1

2. There are threemajor tests used to diagnosis depression. _________________________

ANS: F, no tests

PTS: 1

3. Men are nearly twice as likely to experience depression as women. _________________________

ANS: F, Women, men

PTS: 1

4. Depression is among the leading cause of disability worldwide. _________________________

ANS: T PTS: 1

5. The elderly are more successful in suicide attempts than are younger people. _________________________

ANS: T PTS: 1

6. Preschoolers are the fastest growing market for antidepressants. _________________________

ANS: T PTS: 1

7. About half of the adults who are depressed believe their depression is a personal weakness and they are too embarrassed to seek help. _________________________

ANS: T PTS: 1

8. Most suicides occur without warning. _________________________

ANS: F, with

PTS: 1

MULTIPLE CHOICE

1. Major depression

a.

indicates persons have just enough energy to do activities of daily living

b.

is disabling

c.

often means persons’ thoughts are centered around/related to self-esteem

d.

often occurs for no apparent reason

ANS: B PTS: 1

2. What do researchers believe about depression?

a.

After treatment of depression, the brain chemistry returns to normal.

b.

Treatment of depression rarely requires psychotherapy.

c.

All depression involves some changes in brain chemistry.

d.

a and c only

e.

a, b, and c

ANS: D PTS: 1

3. According to one of the diagnostic manuals that sets the diagnosis and classes of depression, major depression must have an episode(s) that

a.

causes some impairment in a person’s social or occupational functioning

b.

represents a change from previous functioning

c.

lasts at least two weeks

d.

a, b, and c

ANS: D PTS: 1

4. Subtypes of major depression include the following type(s).

a.

endogenous

d.

a and b only

b.

postpartum

e.

a, b, and c

c.

suicidal

ANS: D PTS: 1

5. What type of depression leads to anger with temper outbursts, excessive crying, decreased sexual desire, and chronic fatigue?

a.

dysthymic disorder

c.

seasonal affective disorder

b.

involutional depression

d.

postpartum depression

ANS: A PTS: 1

6. Which of the following statements is true about seasonal affective disorder?

a.

SAD occurs more often in men than women.

b.

The treatment of choice is light therapy or phototherapy.

c.

SAD is rarely if ever found in children.

d.

A symptom of SAD is undereating, especially protein.

ANS: B PTS: 1

7. Which of the following statements is true about postpartum depression (PPD)?

a.

PPD lasts about two years.

b.

PPD is usually the first time individuals experience depression.

c.

Stress seems to be one of the contributing factors of PPD.

d.

Drug therapy is the preferred method of treating PPD.

ANS: C PTS: 1

8. Suicide statistics include

a.

It is the eighth leading cause of death in the United States.

b.

Of the percentage that attempt suicide, one third will succeed.

c.

One half of all male suicides involve firearms.

d.

Over one half of suicide victims communicate their plan to someone before they follow through with it.

e.

a, c, and d only

ANS: E PTS: 1

MATCHING

Match each item with the correct statement below.

a.

Involutional depression

e.

Dysthymic disorder

b.

Endogenous depression

f.

Unipolar

c.

Clinical depression

g.

Bipolar depression

d.

Major depression

h.

Seasonal affective disorder

1. Also known as manic-depression, manic-depressive illness.

2. Depression is severe enough to require treatment.

3. Also known as melancholia.

4. A person has had episodes of depression only.

5. Depression caused by decreased sunlight.

6. Comes from within and has no discernable cause.

7. Chronic, low-level depression that may continue for years.

1. ANS: G PTS: 1

2. ANS: C PTS: 1

3. ANS: A PTS: 1

4. ANS: F PTS: 1

5. ANS: H PTS: 1

6. ANS: B PTS: 1

7. ANS: E PTS: 1

Match each item with the correct statement below.

a.

Stage #1 of suicide

d.

Stage #4 of suicide

b.

Stage #2 of suicide

e.

Stage #5 of suicide

c.

Stage #3 of suicide

8. Individuals begin a plan to carry out the suicide

9. Individuals experience frustration, anger that turns inward, hostility

10. Individuals communicate their helplessness to someone else

11. Individuals’ stress levels become unbearable and they panic

8. ANS: D PTS: 1

9. ANS: A PTS: 1

10. ANS: C PTS: 1

11. ANS: B PTS: 1

SHORT ANSWER

1. Describe the feelings a person with depression might experience.

ANS:

Answers may vary and include:

feelings of despair, gloom, or emptiness

a sense of foreboding

numbness

hopelessness

agony

negative sense of self-worth

PTS: 1

2. Name the two books, internationally recognized sets of diagnostic criteria for depression, that have led to a greater uniformity in diagnosis and classification of depressive illnesses.

ANS:

1. Diagnostic and Statistical Manual (DSM) and

2. International Classification of Disease (ICD)

PTS: 1

3. List symptoms that occur in the syndrome of major depression.

ANS:

Answers may vary and include the following:

Cry for no apparent reason

Are quiet with very little to say

Experience disrupted eating and sleeping patterns that cause additional fatigue and restlessness

PTS: 1

4. What is bipolar depression?

ANS:

Answers may vary but should include:

Alternates between extreme highs of mania and severe lows of depression.

May include the following:

Each individual with BPD has a unique pattern of mood cycles that are predictable once the pattern is identified.

Strong genetic influence.

Typically begins in adolescence or early adulthood and continues through life.

PTS: 1

5. Describe substance-induced mood disorder.

ANS:

A mood disorder caused by:

Individuals taking prescription drugs that have the side affect of causing depression. Such drugs include cardiac drugs, hypertensives, sedatives, steroids, stimulants, antibiotics, and analgesics.

People often self-medicate their depression with alcohol and drugs or a combination of the two, which will induce depression—the very thing they are trying to treat.

PTS: 1

6. Explain why adolescents are at great risk for depressive disorders.

ANS:

Because of the many physical and emotional changes they are going through.

Their family structure and peer pressure may add to the stress.

PTS: 1

7. Describe the therapeutic role of health professionals in working with clients who have depression.

ANS:

Answers may vary and include the following:

Provide nonthreatening and secure environment. Assist clients to manipulate their environment so they can effect positive change.

Reinforce clients’ ability to make personal decisions and problem-solve.

Work with clients to develop experiences that will give them positive feedback.

Encourage clients to seek professional help and provide community resources.

PTS: 1

8. Describe risk factors for individuals who attempt suicide.

ANS:

Previous attempts of suicide

They already have some form of depression

Death of a loved one, recent loss of employment, and/or divorce

Exposure to suicide or suicidal behavior by others

Ready accessibility of firearm

PTS: 1

9. Specifically relate how health professionals therapeutically communicate with suicidal clients.

ANS:

Pull up chair, sit close, and listen.

Let the persons know you really care about them and will not desert them.

Sometimes just sit in silence.

Communicate through a person’s strong learning channel.

Avoid arguments and power struggles.

Let yourself feel some of the person’s sufferings. Cry with them, if appropriate.

PTS: 1