The nurse is assessing a client diagnosed with major depressive disorder (MDD). Which assessment findings will the nurse anticipate? Select all that apply.
A) Mood swings
B) Significant weight loss
C) Diminished ability to think or concentrate
D) Difficulty making decisions
E) Increased or decreased appetite
B) Significant weight loss
C) Diminished ability to think or concentrate
Explanation: A) Mood swings are a characteristic of premenstrual dysphoric disorder.
B) Major depressive disorder is characterized by having at least five symptoms present from this list every day during the same 2-week period: depressed mood, markedly diminished interest or pleasure in usual activities, significant weight loss, insomnia or hypersomnia, psychomotor changes (increased or decreased), fatigue, feelings of worthlessness or guilt, diminished ability to think or concentrate, and recurrent thoughts of death or suicide.
C) Major depressive disorder is characterized by having at least five symptoms present from this list every day during the same 2-week period: depressed mood, markedly diminished interest or pleasure in usual activities, significant weight loss, insomnia or hypersomnia, psychomotor changes (increased or decreased), fatigue, feelings of worthlessness or guilt, diminished ability to think or concentrate, and recurrent thoughts of death or suicide.
D) Difficulty making decisions and increased or decreased appetite are characteristic of persistent depressive disorder or dysthymia.
E) Increased or decreased appetite are characteristic of persistent depressive disorder or dysthymia.
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The clinic nurse provides teaching for a patient prescribed pyrimethamine (Daraprim) to prevent malaria and instructs on the need to notify the prescriber immediately if what signs and symptoms occur?
A) Diarrhea, fatigue, weight loss, and anemia B) Irritation, rash, or inflammation C) Headache, nausea, or constipation D) Anorexia, nausea, or vomiting
Which patient statement indicates that the nurse's teaching about prevention of COPD has been effective?
A) "Only cigarette smoking can cause COPD." B) "Secondhand smoke does not lead to COPD." C) "Use of a water pipe does not lead to COPD." D) "Pipe smoking can cause COPD."
The nurse is performing an otoscopic examination of a 3-year-old child. As the nurse prepares to examine the client's tympanic membrane with the ototscope, the nurse would correctly choose which of the following techniques?
1. Pull the tragus up and back while inserting the otoscope. 2. Pull the ear lobe up and back while inserting the otoscope. 3. Pull the ear lobe down and back while inserting the otoscope. 4. Pull the tragus down and back while inserting the otoscope.
When teaching the parent(s) of a toddler, nurses discuss the dangers of aspiration that may be caused by small toys and other objects in the home. Toddlers are at risk for swallowing small objects because
A) They learn by experiencing objects orally B) They know they will get attention if they put things in their mouths C) They are purposely frightening their parent(s) D) They are bored