A 74-year-old patient is admitted diagnosed with anhedonia, weight loss of 20 lb in 6 weeks, and pervasive guilt over issues that occurred in early adulthood
The patient is diagnosed with melancholic depression. Which intervention has the highest priority for inclusion in the care plan?
a. Assess history of seasonal variations of mood.
b. Observe for increased sensitivity to rejection.
c. Monitor and document sleep patterns.
d. Assess for echolalia and posturing.
C
Individuals with the depressive variant of melancholia often display anhedonia, depression worse in the morning, early-morning awakening, anorexia and/or weight loss, and inappropriate guilt. It is appropriate to monitor sleep patterns to ascertain if sleep disturbance is present. Homeostasis is contingent on adequate sleep. The distracters are seen in depression with catatonic features, atypical depression, and seasonal affective disorder.
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