A friend shares with a nurse that her mother has been in a very depressed mood lately and that she is concerned her mother should see a psychiatrist
To best determine whether the mother might be experiencing a major depressive disorder, the nurse should ask the friend:
1. "Does your mother cry a lot, or is she just quiet and sad most of the time?"
2. "Has her depressed mood caused significant interruption of daily routines?"
3. "How often does she attend social events outside of the home?"
4. "Has she been depressed for more than a week?"
Answer: 2
1. Asking about crying or being sad is not specific enough.
2. The episode is a change in the person's usual functioning and includes a depressed mood or loss of pleasure in life and a majority of the following symptoms: too much or too little sleep; increased or decreased activity (psychomotor agitation or psychomotor retardation); feeling tired most of the time; feeling useless or guilty; a significant change in weight (gain or loss); having difficulty with mental concentration; or frequent thoughts of death or suicide or an attempt at suicide.
3. Depression is more than not attending social events outside of the home.
4. The signs and symptoms of major depressive disorder (MDD) occur during a major depressive episode, which for most people with the disorder will recur sporadically over a lifetime.
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Which conclusion does the nurse draw from these findings? a. The tumor has metastasized to the liver and biliary tract. b. The tumor has caused an intussusception of the intestine. c. The growing tumor has caused a partial bowel obstruction. d. The client has developed toxic megacolon from the growing tumor.
Which of the following occurs as a result of fatigue, emotions, or sensitivity to some substances in the environment?
A. wheals B. hives C. itching D. redness
During a routine physical examination, the health care practitioner mentions that an adolescent girl has asymmetrical breasts. The girl is too embarrassed to ask the doctor about this, but she also notices one breast seems bigger than the other
She asks the school nurse: "Why is one of my breasts bigger than the other? What is wrong?" The best response by the nurse is which of the following? a. "You have not achieved full growth. The smaller breast will eventually grow and they will be the same size." b. "Many women have asymmetrical breasts. It is not unusual for one breast to be slightly larger." c. "Don't worry too much about this, as the health care practitioner will surely order a mammogram." d. "This condition will correct itself after you have experienced menarche."
The Institute of Medicine report titled, Health Professions Education: A Bridge to Quality (2003) identified core competencies for all clinicians. These competencies include the ability to:
a. Identify errors and hazards in care b. work in interdisciplinary teams c. use evidence-based practice d. utilize informatics e. all of the above