Indicators suggesting that outcomes are being attained for a client with depression with melancholic
features include (more than one answer may be correct)
A. delusions consistently absent.
B. echopraxia consistently absent.
C. weight stable at preillness level.
D. sleeping 7 hours nightly.
E. diurnal variation marked.
C, D
Rationale: Melancholic features include anorexia or weight loss, diurnal variation of feeling worse
in the morning, and early morning awakening. Thus a stable weight and sleeping 7 hours nightly are
indicators that client outcomes are being met. Option A: Delusions are associated with depression
with psychotic features. Option B: Echopraxia is associated with depression with catatonic features.
Option E: Marked diurnal variation suggests an unmet outcome. Diurnal variation should be
consistently absent.
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