A nurse is assessing a client who has a new diagnosis of major depressive disorder.
Which of the following client statements should the nurse expect?
"I feel like my mood has been all over the place."
"I recently started hearing voices in my head."
“I cannot trust you enough to tell you how I feel."
"just don't feel like doing things I usually enjoy."
"just don't feel like doing things I usually enjoy."
The Correct Answer is D
Choice A rationale:
Rapid mood swings are not a defining characteristic of major depressive disorder.
Choice B rationale:
Hearing voices is a symptom more commonly associated with conditions like schizophrenia.
Choice C rationale:
Expressing mistrust of the nurse is not a specific symptom of major depressive disorder.
Choice D rationale:
A hallmark symptom of major depressive disorder is anhedonia, which is the diminished ability to experience pleasure or interest in previously enjoyed activities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Assessing for the client's immediate safety is the first priority in crisis intervention.
Choice B rationale:
Identifying social support is important but not the primary action in this situation.
Choice C rationale:
Instructing the client about coping skills is important, but immediate safety takes precedence.
Choice D rationale:
Exploring the client's perception of the event is valuable, but assessing for suicidality is more urgent.
Correct Answer is A
Explanation
Choice A rationale:
Electroconvulsive therapy (ECT) is typically administered as a series of treatments, often ranging from 6 to 12 sessions, to achieve optimal therapeutic effects.
Choice B rationale:
ECT can provide relief from severe depressive symptoms, but it is not necessarily considered a "cure" for depression.
Choice C rationale:
ECT is not usually accompanied by antianxiety medication during the treatments.
Choice D rationale:
Recovery from ECT typically occurs within minutes after the treatment, not after 2 hours.
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