A client is diagnosed with persistent depressive (dysthymia) disorder. Which should a nurse classify as an affective symptom of this disorder?
A. Social isolation with a focus on self
B. Low energy level
C. Difficulty concentrating
D. Gloomy and pessimistic outlook on life
ANS: D
The nurse should classify a gloomy and pessimistic outlook on life as an affective symptom of dysthymia. Symptoms of depression can be described as alterations in four areas of human functions: affective, behavioral, cognitive, and physiological. Affective symptoms are those that relate to the mood.
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A patient has been prescribed a topical glucocorticoid for contact dermatitis. The nurse should instruct the patient to:
a. apply the drug every 2 hours while awake. b. apply a thin film and gently rub it in. c. cover the applied area with an occlusive dressing. d. apply only to the mucous membranes.
A parent asks the nurse about the "characteristics of a nightmare." What response should the nurse give to the parent? (Select all that apply.)
a. Nightmares are scary dreams. b. The child can describe the nightmare. c. The child is reassured by your presence. d. Nightmares occur usually 1 to 4 hours after falling asleep. e. Nightmares take place during non–rapid eye movement sleep
If a patient with depression takes a selective serotonin reuptake inhibitor (SSRI), the nurse may want to ask them about use of herbal products because of potential interactions if they are using
a. ginseng. b. ginkgo biloba. c. St. John's wort. d. evening primrose oil.
The nurse establishes the nursing diagnosis of ineffective health maintenance related to lack of knowledge regarding long-term management of rheumatic fever when a 30-year-old recovering from rheumatic fever without carditis says which of the following?
a. "I will need prophylactic antibiotic therapy for 5 years." b. "I will need to take aspirin or ibuprofen (Motrin) to relieve my joint pain." c. "I will call the doctor if I develop excessive fatigue or difficulty breathing." d. "I will be immune to further episodes of rheumatic fever after this infection."