A patient says, "The doctor said I have dysthymic disorder." What priority assessment data should the nurse obtain to confirm the diagnosis?
a. Changes in appetite and weight
b. Presence of suicidal ideation
c. How long symptoms have persisted
d. Presence of delusions or hallucinations
C
The major distinguishing factor between major depressive disorder (MDD) and dysthymic disorder is that dysthymic disorder has persisted for 2 years or more, with low mood occurring more than 50% of the time. It is a disease of chronicity, whereas MDD is a disease of severity. Suicidal ideation can be present in any type of depression. Delusions and hallucinations are noted primarily in psychotic depression.
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After a nurse addresses an agitated client by setting limits in a calm, direct manner, the client begins pacing, exhibiting a clenched jaw and fists. The nurse would evaluate the approach as ineffective because:
1. The nurse lacks rapport with the client. 2. The nurse lacks adequate de-escalation and limit setting skills. 3. Some clients have limited control, so verbal interventions may not work, but this is not reflective of the nurse's skill. 4. In some cases verbal de-escalation and limit setting will not work and the nurse should start with a more restrictive measure.
The nurse preparing a care plan for a patient who has sustained a deep partial-thickness burn injury will give the highest priority to which of the following nursing diagnoses?
A) Activity intolerance B) Anxiety C) Impaired nutrition: less than body requirements D) Acute pain
The ethical principle of nonmaleficience requires
1. Doing no harm 2. There be fair distribution of benefits 3. Individuals being permitted to choose actions and goals to fit their life plan 4. Dignity and worth of all members of society
A criticism of situational approach is
a. It is unclear how followers move along the developmental continuum b. The research does not support a universal leadership style c. Research does not clearly support the theoretical framework d. Flexibility and adaptability are unreasonable behavioral expectations