Which topics should be included by the nurse preparing psychoeducational groups for patients with MDD and their families? Select all that apply
a. Flight of ideas
b. Changes in weight and sleep
c. Feelings of importance or elation
d. Psychomotor retardation or agitation
e. Inability to concentrate or make decisions
B, D, E
Patients with MDD characteristically display weight change; anorexia produces weight loss, and excessive eating produces weight gain. Sleep disturbance is characteristically present in MDD, with many or early awakenings and hypersomnia seen. Changes in activity include psychomotor retardation and excessive motor agitation. Indecision and poor concentration are characteristic cognitive symptoms. Flight of ideas and increased energy, importance, and elated mood are seen in bipolar disorder, manic type.
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What would be the most appropriate response by the nurse? a. "That sort of food is not on your low-sodium diet." b. "You won't be healthy long with a diet like that." c. "One egg and whole wheat toast would be even healthier." d. "You should eat whole-grain cereal with fruit instead of all that fat and sodium."
A decrease in myocardial function will immediately result in:
A. ischemia. B. myocardial infarction. C. thromboembolisms. D. arteriosclerosis.
A young widow of 18 months says to the nurse, "I'm going to need a babysitter, because I'm going on a blind date at my brother and sister-in-law's house. They fixed me up, but I think it may be too soon." Which statement by the nurse would be therapeutic?
A. "Hello? You go girl! You can see it's only natural, can't you?" B. "By the end of a year, most people are able to renew their interest in other people and activities." C. "Nonsense. Your children need a new father, as your family knows. Your husband would want you to go on with life." D. "If it were me, I would be dating other men by now. After 6 months of mourning, most of society feels that it's okay."
In teaching a patient about breast self-examination, why does the nurse emphasize palpation of the axillary areas?
a. Because deep muscles in that area can mask changes b. Because some patients avoid this area because of tenderness c. Because most lymph draining from the breast flows through this area d. Because supporting ligaments in this area may present as tissue changes