An elderly client tells the nurse about rarely going outdoors in the winter because of a lack of energy or desire. The nurse realizes this client might be experiencing:
1. Anxiety.
2. Side effect of medication.
3. Seasonal affective disorder.
4. Situational depression.
3. Seasonal affective disorder.
Rationale:
A decreased exposure to sunlight will reduce the production of serotonin in the brain, and that can cause a type of depression termed seasonal affective disorder. Elderly persons are prone to isolation during the winter so this is a likely explanation for the client's feelings. The nurse does not have enough information to determine if the client is experiencing a side effect of medication or anxiety. Situational depression is a depressive episode that occurs after an identifiable life event.
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