Exam 25: Depressive Disorders

A patient diagnosed with depression paces and pulls at clothing constantly. The patient cannot sit for longer than 5 minutes, even at meals. How should the nurse document this behavior?

A patient diagnosed with seasonal affective disorder asks, "Will I ever feel better?" Based on an understanding of this psychopathology, the nurse's best response is:

The plan for a depressed patient includes use of cognitive therapy. The nurse supports this therapy by:

Which topics should be included by the nurse preparing psychoeducational groups for patients with MDD and their families? Select all that apply.

A depressed patient has just responded to the nurse in an overtly angry manner. Select the nurse's best response.

A 74-year-old patient is admitted diagnosed with anhedonia, weight loss of 20 lb in 6 weeks, and pervasive guilt over issues that occurred in early adulthood. The patient is diagnosed with melancholic depression. Which intervention has the highest priority for inclusion in the care plan?

A patient is to have a dexamethasone suppression test in the morning. Which statement should be included in patient teaching?

A clinic nurse assesses a new Latino patient who repeatedly reports feeling nervous and having headaches. No organic pathology is present. The symptoms began about 3 years ago when the patient's parent died. Select the nurse's best first action.

Which adolescent would the nurse consider to have the highest priority for health promotion interventions aimed at reducing risk for depression, based on the person's history?

Which entry in the medical record best indicates that the treatment plan for a depressed patient was successful?

The nurse sees a depressed patient who has psychomotor retardation leaving the dining room. The patient's shirt is soiled from spilled food. The nurse should:

A patient who started taking a selective serotonin reuptake inhibitor (SSRI) 3 days ago says, "This medicine isn't working." The nurse's best intervention would be to:

After breakfast a depressed patient pleads with the nurse, "Please let me go to my room to lie down for a while." The nurse should:

A patient with depression paces, pulls at clothing constantly, and cannot sit for longer than 5 minutes. The patient ruminates about being a "bad" person. Select the most effective nursing intervention.

Which account of history and symptoms is most consistent with dysthymia?

The sibling of a depressed patient says, "When we were children my sister always gave up easily. Now as an adult, everyone in the family takes advantage of her." What is the most appropriate nursing intervention?

The medical record notes that a newly admitted depressed patient has delusional thoughts. Which statement by this patient is most likely?

A patient says, "The doctor said I have dysthymic disorder." What priority assessment data should the nurse obtain to confirm the diagnosis?

Which nursing diagnosis is almost universally applicable to persons with depression?

During an interview with a depressed person, it is important for the nurse to assess social interactions to determine: