A nurse is assisting in the care of a client who has persistent depressive disorder. When reinforcing education to the client about their illness, which of the following statements should the nurse make?

"Persistent depressive disorder is a mild chronic form of depression."

"Persistent depressive disorder is characterized by delusions and hallucinations."

"Persistent depressive occurs shortly after taking or withdrawing from a substance."

"Persistent depressive is characterized by both manic and depressive episodes."

Answer and Explanation

The Correct Answer is A

A. "Persistent depressive disorder is a mild chronic form of depression." PDD, previously known as dysthymia, is a long-lasting depressive condition with persistent low mood for at least two years. Symptoms are less severe than major depressive disorder but are continuous and can significantly impact daily life. While not as acute as major depression, PDD requires management through therapy, medication, and lifestyle modifications.
B. "Persistent depressive disorder is characterized by delusions and hallucinations." Psychotic features such as delusions and hallucinations are not typical of persistent depressive disorder (PDD). These symptoms are more commonly associated with major depressive disorder with psychotic features or schizophrenia. PDD primarily involves chronic low-grade depression rather than severe psychotic symptoms.
C. "Persistent depressive occurs shortly after taking or withdrawing from a substance." Substance-induced depressive disorder is a distinct diagnosis that results from drug use or withdrawal. Persistent depressive disorder is not caused by substance use but is a long-term mood disorder that lasts for at least two years. The symptoms are chronic and not directly linked to substance intake or withdrawal.
D. "Persistent depressive is characterized by both manic and depressive episodes." Bipolar disorder, not persistent depressive disorder, is characterized by alternating manic and depressive episodes. PDD involves a chronic, low-level depressive state without manic symptoms. Individuals with PDD may experience periods of worsening depression, but they do not exhibit the high-energy or euphoric states seen in bipolar disorder.

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Correct Answer is A

Explanation

A. Suspiciousness of others: Paranoid personality disorder is characterized by pervasive distrust and suspicion of others, leading to difficulty forming relationships. Clients may misinterpret benign actions as malicious and hold long-standing grudges.
B. Requiring frequent reassurance from others: This is more characteristic of dependent personality disorder, where individuals struggle with self-confidence and rely on others for decision-making and emotional support.
C. Inflated sense of self: This is commonly seen in narcissistic personality disorder, where individuals display grandiosity, a need for admiration, and a lack of empathy for others.
D. Lack of feelings of remorse: This trait is associated with antisocial personality disorder, where individuals exhibit disregard for the rights of others, manipulative behavior, and a lack of guilt or remorse for their actions.

A. "Lately, I feel like I am more alert than usual and can focus better." B. "I can't sit still. I feel like I need to be doing things around the house." C. "When I went to my provider, they told me I have high blood pressure." D. "I can't get my mind to stop racing at night. I'm only sleeping a couple of hours."

Correct Answer is D

Explanation

A. "Lately, I feel like I am more alert than usual and can focus better.": Depression is commonly associated with difficulties in concentration, memory impairment, and slowed cognitive function rather than increased alertness or improved focus. Clients with depression often report feeling mentally sluggish or experiencing brain fog.
B. "I can't sit still. I feel like I need to be doing things around the house.": While some individuals with depression experience psychomotor agitation, it is more common for depression to present with fatigue, low energy, and decreased motivation. Restlessness may also be seen in anxiety disorders, but it is not a primary symptom of depression.
C. "When I went to my provider, they told me I have high blood pressure.": Hypertension is a medical condition that may have various causes, but it is not a direct manifestation of depression. However, chronic stress and depression can contribute to cardiovascular issues over time, though depression itself is primarily characterized by emotional and cognitive symptoms.
D. "I can't get my mind to stop racing at night. I'm only sleeping a couple of hours.": Insomnia and difficulty falling or staying asleep are hallmark symptoms of depression. Clients often experience ruminative thoughts, early-morning awakenings, or non-restorative sleep, which can contribute to worsened mood, fatigue, and impaired daily functioning.

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A nurse is assisting in the care of a client who has persistent depressive disorder. When reinforcing education to the client about their illness, which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse at a primary care clinic is collecting data on a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

Correct Answer is D

Explanation

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