The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?
Fear
Compulsions
Euphoria
Extreme sadness
The Correct Answer is D
Choice A reason: Fear is a common emotion but is not a defining symptom of major depression.
Choice B reason: Compulsions are more characteristic of obsessive-compulsive disorder, not major depression.
Choice C reason: Euphoria is typically not associated with major depression, which is characterized by a persistent feeling of sadness or loss of interest.
Choice D reason: Extreme sadness is a hallmark symptom of major depression, often accompanied by a loss of interest in activities that were once enjoyed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Affirming the patient's statement without addressing the potential for grandiosity may not be therapeutic.
Choice B reason: Telling a manic patient that no one can be great at everything may be confrontational and could escalate the situation.
Choice C reason: Encouraging the patient to "keep it up" may reinforce potentially harmful manic behavior.
Choice D reason: Asking the patient to recall a time when things didn't go as planned can help ground their thoughts and is a therapeutic communication technique used to address potential grandiosity in mania.
Correct Answer is C
Explanation
Choice A reason: While attaching leads for a 12-lead ECG is important, it is not the most immediate action required for a client showing signs of distress and potential hypoxia.
Choice B reason: Obtaining a blood sample is necessary for diagnosing the cause of chest pain but is not the first priority in an emergency situation.
Choice C reason: Initiating oxygen therapy is the first and most critical step in managing a client with severe chest pain, shortness of breath, and cyanosis to ensure adequate oxygenation.
Choice D reason: Inserting an IV catheter is important for administering medications and fluids but comes after ensuring the client is receiving sufficient oxygen.
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