NR 326 Week 4 Edapt Assignments

Nursing Care of a Patient with Alterations of Mood, Affect, and Suicidal Ideation A client has been diagnosed with major depressive disorder and asks the nurse what causes depression. Which is the nurse's most accurate response? “Depression is caused by brain trauma experienced at birth.” “Depression is caused by an increase in neurotransmitters.” “If you have a family history of depression, then you will have it too.” “The exact cause of depressive disorder is unknown.” A client was brought to the mental health unit suffering from a substance-induced manic state due to alcohol use. What is the best nursing intervention? -Provide a safe environment through withdrawal -Provide cognitive behavioral therapy -Medicate the client with antidepressants -Sedate the client until sober A hospice nurse is following up with a man after the loss of his spouse. He has a history of alcohol use and his children are not in the area. What intervention should be part of his care plan? -Continue to monitor due to risk of suicide -Get referral to inpatient treatment for alcohol use -Suggest he talk to his provider about antidepressants -Have him move to an assisted living facility Tina is a 21-year-old who started experiencing multiple episodes of "high" and "low" feelings. She tells the nurse that she has a family history of depression but does not know what kind. What type of depression is she likely experiencing? -Premenstrual dysphoric disorder -Bipolar depression -Persistent depressive disorder (dysthymia) -Major depressive disorder (unipolar) A client is diagnosed with Persistent Depressive Disorder (PDD; dysthymia). What are the symptoms of this disorder? Select all that apply. -Feeling sad for a week -Excessive sleeping -Pessimistic outlook on life -Low energy level -Loss of interest in daily activities A client is admitted with a diagnosis of postpartum depression. Which statement by the client describes a symptom consistent with this diagnosis? -“I feel down most of the time and I’ve felt this way for years.” -“I shouldn’t be a mother because I cannot bond with my baby.” -“I am convinced that someone is going to steal my baby.” -“I see evil creatures that want to harm my baby.” A client was brought to the emergency room suffering from a sudden manic state. The roommate said they had been at a party earlier in the evening. The client does not have a chronic medical condition and is not on any medication. What assessments are needed to determine the diagnosis? Select all that apply. -Physical examination -X-ray -History -Mental status exam -Laboratory The nurse is assessing a client with a depressive disorder for risk of suicide. Which question should be included in the assessment? -“How does your culture feel about suicide?” -“Can you tell me your feelings about death and dying?” -“Have you thought about harming yourself in any way?” -“Where do you keep your guns?” A young client is diagnosed with disruptive mood dysregulation disorder. Which nursing diagnosis should the - nurse assign to the client to address behavioral signs of this disorder? -Social isolation