Edaptssss - Depressive Disorders
A nurse is providing medication education for parents of a 14-year-old who will be taking fluoxetine for the treatment of depression. Which statement made by the nurse should be included in the education?
" Adolescents who take antidepressants may have suicidal ideation."
The health care provider suspects that Greg may have major depressive disorder. What other key questions should the health care provider ask? Select all that apply.
"Are you able to concentrate and make decisions?" "Have you had thoughts about hurting yourself or others?" "Do you drink alcohol or use drugs?" "For how long have you felt this way?"
The health care provider prescribed escitalopram for Greg. After 3 days of taking the medication, the nurse called for follow-up. Greg stated that he didn't think the medication was working. What is the most appropriate response by the nurse?
"Sometimes it takes a few weeks for the medication to improve symptoms."
A client diagnosed with major depressive disorder has been prescribed a tricyclic antidepressant. How long does it usually take before the client notices a significant change in depression?
2 to 4 weeks
What should the nurse teach caregivers about depression in the elderly?
Elderly may not directly complain about their mood.
During an interaction with the nurse, a client states, "I'm no good for my family. Nothing I do is right. I feel so hopeless." Based on this information, which of the following nursing diagnoses should the nurse use when developing the client's plan of care?
Low self-esteem
After 2 months of being on medication and going to counseling, Greg is doing better. He is here at the clinic for a follow-up appointment. Greg states that he is feeling happier and able to do stuff with family again. Greg wants to stop taking his medication and stop psychotherapy. How should the nurse address this request?
Medication should be continued 6 months to a year after the symptoms resolve.
A client has severe depression with a past suicide attempt. He cannot take antidepressant medications. The nurse is discussing electroconvulsive therapy (ECT) with the client. Which client statement would indicate his understanding of a major disadvantage of ECT?
Memory impairment is common immediately after treatment.
The healthcare provider completed the Hamilton Depression Rating Scale on Greg. A physical assessment was also completed. Greg was found to have sluggish physical movements and slower than normal speech. He also complained of headaches, backaches, and fatigue. He says he feels better in the morning than he does in the evenings. How severe is Greg's depression?
Moderate
Greg has been diagnosed with major depressive disorder and a plan of care is being established. Which nursing diagnosis would be the top priority?
Risk for suicide
The health care provider reviewed treatment options with Greg and his wife. Which treatment options would be indicated for Greg? Select all that apply.
Psychotherapy Antidepressants
A nurse is assessing a client and suspects she has a major depressive disorder. Which symptoms would suggest this disorder? Select that all apply.
The client states she feels fatigue when she awakens. The client says she has difficulty sleeping at night. The client doesn't feel any pleasure going out with friends.
Greg openly admits he does not want to be at the appointment. His wife is in the room with him. How best might the nurse begin an initial therapeutic relationship with Greg?
The nurse should sit, be attentive, and allow Greg to talk about the situation.
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positive low adrenal glands fight or flight a decrease increase low rest and digest high
Reflect on what you have learned about Greg. Click on the data that are indicators of depression.
seems down and withdrawn missing work sleeps most of the day poor appetite family history of depression 40yr old
