The spouse of an older male patient is concerned because since retiring the patient sits around the house, avoids eating, naps, and refuses to participate in sporting activities
Which disorder should the nurse recognize as being associated with these manifestations?
a. Depression
b. Bipolar disorder
c. Conversion disorder
d. Post-traumatic stress disorder (PTSD)
ANS: A
According to the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V), symptoms of major depression include either a depressed mood or anhedonia which is the loss of pleasure in things that are usually pleasurable along with additional symptoms such as change in appetite and sleep patterns. B. Bipolar disorder is also characterized by periods of mania as well as depression. C. Conversion disorder involves the conversion of a mental health problem into physical symptoms. D. PTSD occurs after a major trauma.
You might also like to view...
A patient of Japanese heritage avoids asking for narcotics for pain relief. The nurse writes a nursing diagnosis of "Pain related to reluctance to take medication secondary to cultural beliefs."
If the cultural archetype is true for this particular patient, this probably means that the patient views pain as: 1) A punishment for immoral behavior. 2) A part of life. 3) Best treated with herbal teas and prayer. 4) A virtue and a matter of family honor.
A patient was admitted to the critical care unit after having a CVA and MI
The patient has poor activity tolerance, falls in and out of consciousness, and has poor verbal skills. The patient has been resuscitated four times in the past 6 hours. The patient does not have advance directives. Family members are at the bedside. Who should the physician approach to discuss decisions of care and possible DNR status? a. The patient b. The family c. The hospital legal system d. The hospital ethics committee
A young man feels something in his scrotum and comes to you for clarification. On your examination, you note what feels like a “bag of worms” in the left scrotum, superior to the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord B) Varicocele C) Testicular carcinoma D) A normal vas deferens
A patient in your medical unit is experiencing dyspnea. You also sense that the patient is anxious. As the nurse caring for this patient, you:
A) Ignore the anxiety, because it will probably go away when the patient is breathing better B) Notify the doctor C) Reassure the patient that this is only temporary D) Remain with the patient and be supportive of the situation