A patient whose spouse has died recently reports feeling down most of each day for the past 2 months
On further questioning, the nurse learns that the patient has quit participating in church and social activities, has difficulty falling asleep, and has lost 5 pounds. The patient reports feel-ing tired and confused all the time but does not have suicidal thoughts. What does the nurse sus-pect? a. Grief and sadness
b. Hypomania
c. Major depression
d. Situational depression
C
This patient has symptoms of major depression, which include depressed mood, loss of pleasure in usual activities, insomnia, weight loss, and feelings of fatigue. For a diagnosis of major de-pression, these symptoms must be present most of the day, nearly every day, for at least 2 weeks. Grief and sadness and situational depression are common responses to the death of a loved one, but this patient's symptoms go beyond this normal response. This patient does not show signs of hypomania.
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While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows a ground glass pattern. The nurse interprets this as indicative of:
A) Respiratory distress syndrome B) Transient tachypnea of the newborn C) Asphyxia D) Persistent pulmonary hypertension
A nurse is doing her thesis work on community health nursing. In her efforts to define community, a nurse found multiple definitions by multiple authors
Which term identifies the portion of the community definition regarding communication adopted from many authors in the text? A) A group of persons B) Interacts with each other C) At a particular time D) Common interest
Progestational agents should be used with caution in clients experiencing:
a. infertility. c. endometriosis. b. migraine headaches. d. asthma.
The postpartum client, who delivered 4 hours ago, has a mediolateral episiotomy and large hemorrhoids. The client currently rates her pain at 7 on a scale of 1 to 10. She has a history of anaphylactic reaction to acetaminophen (Tylenol)
Which nursing action is most appropriate? 1. Offering 800 mg ibuprofen (Advil) orally with food 2. Providing two oxycodone with acetaminophen tablets (Percocet) by mouth 3. Encouraging use of the prescribed topical anesthetic spray 4. Running very warm water into the tub and assisting her into the bath