During intake assessment, the nurse is most likely to hear a client with major depressive disorder say which of the following statements about depression? (SELECT ALL THAT APPLY)
I’d rather be dead than living like this. I do not want to be alive.
If I can just keep ignoring feelings.
I deserve to be this way. I’ve not accomplished anything important in my life.
This is a bad episode, but I will be well soon.
I am determined to fight this episode and get through it.
Correct Answer : A,C,D
Choice A Reason:
“I’d rather be dead than living like this. I do not want to be alive.”
This statement reflects a common symptom of major depressive disorder, which is suicidal ideation. Individuals with major depressive disorder often experience feelings of hopelessness and worthlessness, leading them to believe that life is not worth living. This statement is a clear indication of the severity of the individual’s depressive symptoms and the need for immediate intervention to ensure their safety.
Choice B Reason:
“If I can just keep ignoring feelings.”
This statement is less likely to be heard from a client with major depressive disorder. Ignoring feelings is a coping mechanism that some individuals might use, but it does not directly reflect the core symptoms of major depressive disorder, which include persistent sadness, loss of interest in activities, and significant impairment in daily functioning. Therefore, this choice is not as indicative of major depressive disorder as the other statements.
Choice C Reason:
“I deserve to be this way. I’ve not accomplished anything important in my life.”
This statement reflects feelings of guilt and worthlessness, which are common symptoms of major depressive disorder. Individuals with this disorder often have a negative self-view and believe that they are failures or that they deserve to suffer. This statement highlights the individual’s low self-esteem and the pervasive negative thoughts that characterize major depressive disorder.
Choice D Reason:
“This is a bad episode, but I will be well soon.”
This statement reflects a more optimistic outlook, which is less common in individuals with major depressive disorder. However, it can still be heard from some clients who experience episodic depression and have hope for recovery. This statement indicates that the individual recognizes their current state as temporary and believes in the possibility of improvement, which can be a positive sign in the context of treatment.
Choice E Reason:
“I am determined to fight this episode and get through it.”
This statement reflects a proactive and positive attitude towards managing depression, which is less characteristic of major depressive disorder. While determination and resilience are important for recovery, individuals with major depressive disorder often struggle with motivation and energy, making it difficult for them to adopt such a mindset. Therefore, this choice is less likely to be heard from a client with major depressive disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10.5"]
Explanation
Step 1: Determine the concentration of insulin in the IV bag. 100 units of insulin are added to 150 mL of normal saline.
100 units ÷ 150 mL = (100 ÷ 150) = 0.6667 units per mL Result: 0.6667 units per mL
Step 2: Calculate the rate in mL per hour needed to deliver 7 units per hour. 7 units per hour ÷ 0.6667 units per mL = (7 ÷ 0.6667) = 10.5 mL per hour Result: 10.5 mL per hour
The correct rate for the nurse to set the IV pump is 10.5 mL per hour.
Correct Answer is D
Explanation
Choice A Reason:
Sedated, heightened senses, withdrawn. This statement is incorrect. While PCP can cause a range of sensory and psychological effects, sedation and withdrawal are not typical primary symptoms. PCP is more likely to cause agitation and aggressive behavior rather than sedation.
Choice B Reason:
Heightened sensory perceptions, nystagmus, hypotension. This statement is partially correct. PCP can cause heightened sensory perceptions and nystagmus (rapid, involuntary eye movements), but hypotension is not a common symptom. Instead, PCP often leads to hypertension (high blood pressure) due to its stimulant effects.
Choice C Reason:
Grandiose delusions, hypotension, quiet. This statement is incorrect. While PCP can cause grandiose delusions, it is more likely to result in agitation and aggressive behavior rather than a quiet demeanor. Hypotension is also not a typical symptom of PCP intoxication.
Choice D Reason:
Violence, psychomotor agitation, hypertension. This statement is correct. PCP intoxication is commonly associated with violent behavior, psychomotor agitation, and hypertension. These symptoms are due to the drug’s stimulant and dissociative effects, which can lead to severe agitation and aggressive behavior.
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