When using the SAD FACES depression screen, it is important to assess:
1. Anhedonia.
2. Suicidal ideations.
3. Sleep patterns.
4. All of the above
4
Feedback
1. Lack of pleasure can indicate depression.
2. Suicidal ideations can indicate depression.
3. Too much sleep and fatigue can indicate depressive moods.
4. Lack of pleasure, ideations, and sleep patterns can indicate a depressive state in teens.
You might also like to view...
Which of the following would be the most appropriate bowel program for an older person with constipation who is recovering from a stroke?
a. daily soap suds enema b. increase fiber, fluids, and activity c. Colace four times per day d. digital stimulation every morning after a suppository
The nurse is assigned to care for a client with dementia. A review of the medical record reveals a long history of osteoarthritis. The nurse voices concern about determining the presence of pain in the client
Which of the following behaviors noted in the client may indicate the presence of pain and require additional action? Select all that apply. A) Frowning B) Sleeping more than normal C) Increased confusion D) Irritable with other unit residents
A postpartum mother is concerned that her newborn has not had a stool since birth. The newborn is 18 hours old. The nurse's best response is:
1. "I will call your pediatrician immediately." 2. "Passage of the first stool within 48 hours is normal." 3. "Your newborn might not have a stool until the third day." 4. "Your newborn must be dehydrated."
The nurse is caring for a client who is extremely dependent on the approval of others, causing them to discount their own needs. The nurse recognizes that the client is demonstrating
a. self-differentiation. b. emotional cutoff. c. poor self-differentiation. d. rigid boundaries.