Cheryl is a 46-year-old woman who thinks she might be suffering from depression. Which of the following must be present for a diagnosis of major depressive disorder to be made?
A) A lack of energy, impaired sleep, and social withdrawal
B) Disregard for personal hygiene including cleanliness and appearance
C) A loss of interest or inability to derive pleasure from previously enjoyed activities
D) A stooped posture and nonverbal signs of a depressed mood
Ans: C
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Clients with major depressive disorder must have either a depressed mood or a loss of interest or inability to derive pleasure from previously enjoyed activities.
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Shaken baby syndrome refers to:
A. The increasing rate of epilepsy and other seizure disorders in infants born to mothers with a history of psychiatric disorders. B. A form of child abuse in which a baby is shaken hard enough to cause trauma and death. C. The physical and developmental problems faced by infants of drug-addicted mothers. D. The psychological trauma that children experience from perceived threats to their safety.
A patient telephones a crisis intervention hotline. The nurse assigned to this center assesses that the patient is experiencing a crisis. What is the most appropriate action for the nurse to take?
a. Take control of the situation and tell the patient what needs to be done. b. Define the problem at hand and ensure that the patient is safe. c. Ask the patient how he would like to han-dle the crisis and follow through. d. Ask the patient to list all of his problems and prioritize which to deal with first.
The psychiatric-mental health nurse uses an eclectic clinical approach with newly admitted patients who are diagnosed with schizophrenia. Which statement most accurately reflects the therapeutic value of an eclectic approach?
1. Nurses do not need a philosophy of care to direct their practice. 2. It is difficult to determine a final plan of care for new patients with psychotic disorders. 3. There is limited scientific evidence about treatment for schizophrenia, so a variety of medications and interventions must be tried over time. 4. Strategies from one or a combination of psychiatric theories and therapies are used to determine interventions and evaluation criteria for working with each patient.
The nurse and patient are discussing the patient's perceptions and feelings related to the patient's illness. The patient is emotional and tearful and expresses feelings of hopelessness
During which phase of the nurse-patient relationship does this typically occur? a. Preorientation b. Orientation c. Working d. Termination