Exam 14: Depressive Disorders

A patient diagnosed with major depression tells the nurse,"Bad things that happen are always my fault." Which response by the nurse will best assist the patient to reframe this overgeneralization?

A patient diagnosed with major depression began taking escitalopram (Lexapro)5 days ago.The patient now says,"This medicine isn't working." The nurse's best intervention would be to:

A patient diagnosed with major depression received six electroconvulsive therapy sessions and aggressive doses of antidepressant medication.The patient owns a small business and was counseled not to make major decisions for a month.Select the correct rationale for this counseling.

A disheveled patient with severe depression and psychomotor retardation has not showered for several days.The nurse will:

A patient says to the nurse,"My life doesn't have any happiness in it anymore.I once enjoyed holidays,but now they're just another day." The nurse documents this report as an example of:

A nurse instructs a patient taking a medication that inhibits the action of monoamine oxidase (MAO)to avoid certain foods and drugs because of the risk of:

A patient became depressed after the last of the family's six children moved out of the home 4 months ago.Select the best initial outcome for the nursing diagnosis Situational low self-esteem related to feelings of abandonment.The patient will:

A patient being treated with paroxetine (Paxil)50 mg po daily for depression reports to the clinic nurse,"I took a few extra tablets earlier today and now I feel bad." Which assessments are most critical? Select all that apply.

A patient diagnosed with major depression does not interact with others except when addressed,and then only in monosyllables.The nurse wants to show nonjudgmental acceptance and support for the patient.Which communication technique will be effective?

A patient diagnosed with depression is receiving imipramine (Tofranil)200 mg qhs.Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?

A patient diagnosed with major depression says,"No one cares about me anymore.I'm not worth anything." Today the patient is wearing a new shirt and has neat,clean hair.Which remark by the nurse supports building a positive self-esteem for this patient?

Priority interventions for a patient diagnosed with major depression and feelings of worthlessness should include:

What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy treatment?