Exam 15: Mood Disorders: Depression

A priority intervention for a patient with major depression is:

During a psychiatric assessment,the nurse observes a patient's facial expressions that are without emotion.The patient says,"Life feels so hopeless to me.I've been feeling sad for several months." How should the nurse document the patient's affect and mood?

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

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

A patient with depression tells the nurse,"Bad things that happen are always my fault." To assist the patient in reframing this overgeneralization,the nurse should respond:

A patient being treated for depression has taken 300 mg amitriptyline (Elavil)daily for a year.The patient calls the case manager at the clinic and says,"I stopped taking my antidepressant 2 days ago.Now I am having cold sweats,nausea,a rapid heartbeat,and nightmares." The nurse should advise the patient:

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." How would the nurse document the complaint?

Which documentation indicates the treatment plan of a patient with major depression was effective?

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

A patient was started on escitalopram (Lexapro)5 days ago and now says,"This medicine isn't working." The nurse's best intervention would be to:

A patient with major depression says,"No one cares about me anymore.I'm not worth anything." The nurse wants to reinforce positive self-esteem.Today,the patient is wearing a new shirt and has neat,clean hair.Which remark is most appropriate?

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

Which beverage should the nurse offer to a patient with depression who refuses solid food?