Persistent Depressive Disorder

FREE Persistent Depressive Disorder Questions and Answers

Following a failed suicide attempt, a patient with serious depression was admitted to the psychiatric unit. The nurse would also check for feelings of sadness and hopelessness.

Meticulous attention to grooming and hygiene

Guilt, indecisiveness, poor self-concept

Anxiety, unconscious anger, and hostility

Psychomotor retardation or agitation

Correct! Wrong!

Explanation:
The appropriate response is agitation or psychomotor retardation. Fatigue, psychomotor slowness or agitation, persistent localized or widespread pain, disturbed sleep, abnormalities in appetite, gastrointestinal issues, and reduced libido are some somatic or physiological signs of depression.

The nurse is reviewing a depressed client's prior admission history. Anhedonia has been documented, and it is mentioned. The nurse is aware that this condition is related to

Reports of difficulty falling and staying asleep

Expression of persistent suicidal thoughts

Reduced senses of taste and smell

Lack of enjoyment in usual pleasures

Correct! Wrong!

Explanation:
Anhedonia is the inability to enjoy pleasurable things like exercise, hobbies, singing, sexual acts, or interpersonal relationships. Recent models have emphasized the need to take into account different aspects of enjoyable behavior, such as motivation or desire to engage in activities (motivational anhedonia), as opposed to the level of enjoyment of the activity itself ("consummatory anhedonia"). Earlier definitions of anhedonia emphasized pleasurable experiences.

What therapeutic communication technique is most likely to assist a sad client in expressing their feelings?

Silence, active listening

Direct confrontation

Reality orientation

Projective identification

Correct! Wrong!

Explanation:
The use of therapeutic communication techniques like active listening and quiet promotes the expression of feelings.

A patient who denies having suicidal thoughts arrives at the emergency room complaining of mood swings, anorexia, insomnia, and irritation. Which therapy would the nurse start with?

Request a psychiatric consultation

Eliminate any dangerous substances from the environment

Complete a complete physical examination with lab work

Place the client on a one-to-one observation

Correct! Wrong!

Explanation:
Numerous medical disorders, such as irritability, anorexia, and low mood, might contribute to insomnia symptoms. Before concluding that the symptoms are psychological, the nurse must rule out these medical issues. The nurse can accomplish this by performing a comprehensive physical examination, which may include lab tests.

A patient whose appointment includes electro-convulsive therapy queries the nurse about how the treatment helps with her depression. The nurse's response is predicated on her knowledge of how ECT:

Increases sensitivity to outside stimuli

Removes the acetylcholine neurotransmitter

Causes a seizure that briefly changes the brain's chemical balance

Lowers cortisol production from the adrenal cortex

Correct! Wrong!

Explanation:
Serotonin, dopamine, and norepinephrine are momentarily elevated during a tonic-clonic seizure brought on by electroconvulsive therapy. Alternatives are inaccurate because they are false statements.

A customer arranges and executes the wake and burial of a youngster killed in a car accident. According to Engel's model, at which stage of typical sorrow would this client experience grief?

Resolution of the loss

Restitution

Developing awareness

Recovery

Correct! Wrong!

Explanation:
According to Engel's approach, there are five stages of grief: shock and disbelief, awakening consciousness, atonement, letting go of the loss and recovery. The customer in question is displaying behaviors consistent with Engel's reparation stage. The third step of Engel's model of the typical grief reaction is called restitution. The many cultural rituals connected to loss are carried out throughout this phase. Funerals, wakes, special clothing, a get-together of friends and relatives, and religious rituals are specific to the bereaved's spiritual beliefs are a few examples.

Prince is a customer who exhibits an anxious and scared disposition and finds it challenging to complete tasks due to his fear of failing. Due to his frequent absences from work and signs of an alcohol problem, he has been referred to the employee assistance program.

Which nursing diagnostic is most suitable?

Disturbed thought process

Decisional conflict

Ineffective coping

Risk for self-directed violence

Correct! Wrong!

Explanation:
The client satisfies the diagnostic criteria for ineffective coping since she struggles with alcohol use disorders and occupational functioning.

FREE Persistent Depressive Disorder Questions and Answers

Following a failed suicide attempt, a patient with serious depression was admitted to the psychiatric unit. The nurse would also check for feelings of sadness and hopelessness.

The nurse is reviewing a depressed client's prior admission history. Anhedonia has been documented, and it is mentioned. The nurse is aware that this condition is related to

What therapeutic communication technique is most likely to assist a sad client in expressing their feelings?

A patient who denies having suicidal thoughts arrives at the emergency room complaining of mood swings, anorexia, insomnia, and irritation. Which therapy would the nurse start with?

A patient whose appointment includes electro-convulsive therapy queries the nurse about how the treatment helps with her depression. The nurse's response is predicated on her knowledge of how ECT:

A customer arranges and executes the wake and burial of a youngster killed in a car accident. According to Engel's model, at which stage of typical sorrow would this client experience grief?

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