Which nursing progress note would most suggest that the treatment plan of a severely depressed and withdrawn patient has been effective?
a. "Slept 6 hours straight, sang with activity group, eager to see grandchild.".
b. "Slept 8 hours, attended craft group, ate half of lunch, denies suicidal ideation.".
c. "Slept 10 hours, personal hygiene adequate with assistance, lost one pound.".
d. "Slept 7 hours on and off, reports "food has no taste", no self-harm noted.".
A
Sleeping 6 uninterrupted hours, actively participating in a group activity, and showing renewed interest in aspects of life previously important to the patient are indicators of progress. In the other choices, the patient attended activities but did not participate and maintained disinterest in food and/or impaired sleep. Patients may falsely deny suicide ideation, so self-reports are not fully reliable indicators, and "no self-harm noted", while desirable, also does not necessarily indicate that the desire to die has passed.
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