A client is being assessed for the presence of major depressive disorder (MDD). The nurse would analyze which client statements as supporting that diagnosis?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "My depression always lasts eight or nine days before I start feeling better."
2. "Sometimes I can't control how much I eat because it makes me feel better."
3. "I don't know why my family puts up with me. I'm not good for anything."
4. "I've lost three jobs in the last year."
5. "All I want to do is sleep."
2,3,4,5
Rationale 1: One of the diagnostic criteria for MDD is period of at least two weeks in which there is depressed mood or a loss of interest in nearly all events of daily life.
Rationale 2: Changes in appetite can be a symptom of MDD.
Rationale 3: Feelings of worthlessness can be a symptom of MDD.
Rationale 4: MDD can result in severe impairment in occupational function that may be evidenced in multiple job losses.
Rationale 5: Hypersomnia can be a symptom of MDD.
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