A nurse is caring for a client who exhibits manifestations of major depressive disorder. The provider wants to rule out any other medical conditions that may be contributing or causing the symptoms. Which diagnostic test should the nurse expect to be ordered?

Kidney function test

Thyroid panel (TSH, T3, T4)

Liver function test

Urinalysis with culture

Answer and Explanation

The Correct Answer is B

A) Incorrect. While kidney function is important for overall health, it is not the primary focus for ruling out medical conditions contributing to major depressive disorder.

B) Correct. Thyroid function can significantly impact mood and energy levels. Abnormalities in thyroid function can sometimes present with symptoms similar to depression, so a thyroid panel (including TSH, T3, and T4 levels) is an important test to consider.

C) Incorrect. While liver function is important for overall health, it is not the primary focus for ruling out medical conditions contributing to major depressive disorder.

D) Incorrect. A urinalysis with culture is not a standard test for ruling out medical conditions contributing to major depressive disorder. It is more relevant for assessing urinary tract infections or kidney function.

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Correct Answer is A

Explanation

A) Correct. Tardive dyskinesia is a side effect of long-term neuroleptic (antipsychotic) treatment. It is characterized by involuntary, repetitive movements, particularly of the face and tongue. This condition is more commonly seen in clients who have been on neuroleptics for extended periods.

B) Incorrect. Discontinuing neuroleptic treatment may lead to withdrawal symptoms or symptom recurrence, but it does not directly increase the risk of developing tardive dyskinesia.

C) Incorrect. Neuroleptic malignant syndrome (NMS) is a different side effect associated with neuroleptic medications, characterized by hyperthermia, autonomic dysregulation, altered mental status, and generalized muscle rigidity.

D) Incorrect. Monoamine oxidase inhibitors (MAOIs) are a different class of medications and are not associated with the development of tardive dyskinesia.

A. Hallucinogen B. Hypnotic C. Opioid D. Sedative

Correct Answer is A

Explanation

A) Correct. Ecstasy, also known as MDMA (3,4methylenedioxymethamphetamine), belongs to the hallucinogen class of drugs. It produces altered perceptions and sensations.

B) Incorrect. Hypnotics are drugs that promote sleep.
C) Incorrect. Opioids are a class of drugs that include substances like heroin and prescription pain medications.

D) Incorrect. Sedatives are drugs that calm or soothe and can also induce sleep.

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A nurse is caring for a client who exhibits manifestations of major depressive disorder. The provider wants to rule out any other medical conditions that may be contributing or causing the symptoms. Which diagnostic test should the nurse expect to be ordered?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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