A patient whose symptoms of mild depression have been managed ...

[Hungry!]

A patient whose symptoms of mild depression have been managed with antidepressants is concerned about the affect of accepting a promotion that will require working the night shift.
 
  What will be the basis of the response the nurse gives to address the patient's concern?
  a. The connection between a new job and possible depression does exist.
  b. The medication can be adjusted to manage any increase in depression.
  c. The interruption in normal wake-sleep patterns can influence mood disorders.
  d. The change in sleep routine can be managed with a healthy sleep hygiene routine.

Question 2

What assessment data would reinforce the diagnosis of temporal lobe injury in patient who experienced head trauma? Select all that apply.
 
  a. Inability to balance a checkbook
  b. Uncharacteristicall y aggressive
  c. Affect fluctuates dramatically
  d. Increased interest in sexual behaviors
  e. Difficulty remembering the names of family members

[LVPMS]

Answer to Question 1

ANS: C
Many psychiatric and medical disorders occur more frequently or are exacerbated when sleep patterns and biologic rhythms are disrupted. While the remaining options contain true infor-mation regarding the management of depression that is a result of sleep disruption, they do not effectively address the patient's concern.

Answer to Question 2

ANS: C, D, E
The temporal lobe is involved with memory as well as increased sexual focus and altered emotional responses. Personality and intellectual function is not centered in the temporal lobe.