A nurse working on a psychiatric unit is caring for a client who has been diagnosed with major depressive disorder (MDD). Upon assessment of the client, which clinical manifestations does the nurse anticipate?
A) Depressed mood or loss of interest occasionally for at least 1 week
B) A depressed mood sporadically for at least 2 years
C) Restlessness, fatigue, suicidal ideation, feelings of guilt
D) Anxiety, change in appetite, grief, altered nutrition
Answer: C
MDD is diagnosed when the client experiences either depressed mood or loss of interest most of the day, almost every day, for at least 2 weeks. The depression must be accompanied by at least four symptoms, including: sleep disturbance, fatigue, feelings of guilt or worthlessness, restlessness or psychomotor agitation, and suicidal ideation or attempt.
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