What type of mood disorder do you think she has?
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness. She says for the past 2 months she has had crying episodes, difficulty sleeping, and problems with overeating. She says she used to go out with her friends from work but now she just wants to go home and be by herself. She also thinks that her work productivity has been dropping because she just is too tired to care or concentrate. She denies any feelings of guilt or any suicidal ideation. She states that she has never felt this way in the past. She denies any recent illness or injuries. Her past medical history consists of an appendectomy when she was a teenager; otherwise, she has been healthy. She is single and works as a clerk in a medical office. She denies tobacco, alcohol, or illegal drug use. Her mother has high blood pressure and her father has had a history of mental illness. On examination you see a woman appearing her stated age who seems quite sad. Her facial expression does not change while you talk to her and she makes little eye contact. She speaks so softly you cannot always understand her. Her thought processes and content seem unremarkable.
A) Dysthymic disorder
B) Manic (bipolar) disorder
C) Major depressive episode
C) Major depressive episode
Major depression occurs in a person with a previously normal state of mood. The symptoms often consist of a combination of sadness, decreased interest, sleeping problems (insomnia or hypersomnia), eating problems (decreased or increased appetite), feelings of guilt, decreased energy, decreased concentration, psychomotor changes (retardation or agitation), and a preoccupation with thoughts of death or suicide. There must be at least five symptoms for a diagnosis of major depression. This patient has six: (1) sadness, (2) trouble sleeping, (3) overeating, (4) fatigue, (5) difficulty with concentration, and (6) no interest in doing things.
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1. Assess the vein indicated and attempt to cannulate it if acceptable. 2. Initiate the IV in the indicated vein. 3. Tell the child the nurse can best choose the proper vein. 4. Thank the child for the information but make an independent choice.
The nurse is planning care for a 23-year-old client who has just been diagnosed with rheumatoid arthritis (RA). Which nursing diagnosis should the nurse identify as a priority for this patient's care?
1. Risk for aspiration 2. Disturbed body image 3. Bowel incontinence 4. Acute confusion
Which type of diagnosis is defined as physiological complications monitored by nurses to assess changes in client status?
a. risk nursing diagnosis c. collaborative problem b. wellness nursing diagnosis d. actual diagnosis
What information is conveyed by nursing diagnoses? Select all that apply
a. Medical judgments about the disorder b. Goals and outcomes for the plan of care c. Unmet patient needs currently present d. Supporting data that validate the diagnoses e. Probable causes that will be targets for nursing interventions