A nurse is assessing a client who has a new diagnosis of major depressive disorder.
Which of the following client statements should the nurse expect?
"I feel like my mood has been all over the place."
"I recently started hearing voices in my head."
“I cannot trust you enough to tell you how I feel."
"just don't feel like doing things I usually enjoy."
"just don't feel like doing things I usually enjoy."
The Correct Answer is D
Choice A rationale:
Rapid mood swings are not a defining characteristic of major depressive disorder.
Choice B rationale:
Hearing voices is a symptom more commonly associated with conditions like schizophrenia.
Choice C rationale:
Expressing mistrust of the nurse is not a specific symptom of major depressive disorder.
Choice D rationale:
A hallmark symptom of major depressive disorder is anhedonia, which is the diminished ability to experience pleasure or interest in previously enjoyed activities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Magical thinking is a positive symptom of schizophrenia, involving unrealistic beliefs or perceptions.
Choice B rationale:
A flat affect is a negative symptom of schizophrenia characterized by reduced emotional expression. Negative symptoms involve a decrease or loss of normal functioning, and a flat affect is one of the most common negative symptoms seen in schizophrenia.
Choice C rationale:
Ideas of reference are also a positive symptom, involving the belief that neutral or unrelated events have special significance related to oneself.
Choice D rationale:
Clang association is another positive symptom, involving the association of words based on similar sounds rather than meaningful connections
Correct Answer is C
Explanation
Choice A rationale:
Survivors of sexual assault can exhibit a wide range of psychological symptoms, and their experiences may vary significantly. There is no universal pattern of symptoms that applies to all survivors.
Choice B rationale:
Psychotherapy, such as trauma-focused cognitive-behavioral therapy, has been shown to be effective in helping survivors of sexual assault cope with and heal from their experiences.
Choice C rationale:
Rationale:
It is important to emphasize that sexual assault survivors often know the perpetrator, as this information dispels the myth that most assaults are committed by strangers.
Education should provide accurate and evidence-based information to address misconceptions.
Choice D rationale:
Survivors of sexual assault come from diverse backgrounds and living situations, and their marital status or residence in metropolitan areas is not universally applicable.
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