A nurse is caring for an adolescent who is experiencing depression. Which of the following findings should the nurse expect? (Select all that apply.)
Chronic pain
Low self-esteem
Euphoria
Irritability
Insomnia
Correct Answer : A,B,D,E
A. Chronic pain: Depression can manifest as physical symptoms, including chronic pain, in adolescents.
B. Low self-esteem: This is a common feature of depression, where individuals may feel worthless or inadequate.
C. Euphoria: Euphoria is more associated with manic episodes, not depression.
D. Irritability: Depression in adolescents often presents with irritability rather than sadness.
E. Insomnia: Sleep disturbances, including insomnia, are common symptoms of depression.
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Related Questions
Correct Answer is A
Explanation
A. The pharmacological action of Ritalin causes a decrease in appetite. Methylphenidate (Ritalin) is a stimulant medication commonly prescribed for ADHD. One of its well-documented side effects is appetite suppression, which can lead to weight loss. This is the most accurate and direct explanation for the weight loss observed in the adolescent client.
B. Side effects of Ritalin cause nausea; therefore, caloric intake is decreased. While nausea can occur with methylphenidate, it is not the primary reason for weight loss. The main mechanism is appetite suppression rather than a direct reduction in caloric intake due to nausea. This response is less accurate than option A.
C. Increased ability to concentrate allows the client to focus on activities rather than food: While methylphenidate can improve concentration, this explanation does not directly address the physiological cause of weight loss. It is the decrease in appetite due to the drug's effects on neurotransmitters that leads to weight loss, not the increased focus on activities .
D. Hyperactivity seen in ADHD causes increased caloric expenditure: Hyperactivity itself can lead to higher caloric expenditure, but this is not directly related to the weight loss caused by methylphenidate. The primary reason for the weight loss in this case is the appetite suppression due to the medication, not increased activity .
Correct Answer is ["A","B","D","E"]
Explanation
A. Chronic pain: Depression can manifest as physical symptoms, including chronic pain, in adolescents.
B. Low self-esteem: This is a common feature of depression, where individuals may feel worthless or inadequate.
C. Euphoria: Euphoria is more associated with manic episodes, not depression.
D. Irritability: Depression in adolescents often presents with irritability rather than sadness.
E. Insomnia: Sleep disturbances, including insomnia, are common symptoms of depression.
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