A 15-year-old has been diagnosed with major depression and admitted to the adolescent unit. Which behavior would the nurse expect to observe in this client?
1. Discussing repeated offenses with the law enforcement authorities
2. Egocentricity, manipulativeness, callousness, superficiality
3. Blaming others for causing him to be admitted to the unit
4. Reporting decreased enjoyment of school-related activities
ANS: 4
Anhedonia, absence of pleasure, is a common manifestation of depression. Options 1 and 2 are characteristic of conduct disorder. Option 3 is common to conduct disorder and opposition-al-defiant disorder.
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