A nurse is caring for a client in the emergency department (ED).

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

B. Individuals experiencing depression may have negative thoughts about themselves, feelings of worthlessness, and a diminished sense of self-esteem. These negative self-perceptions can contribute to feelings of hopelessness and despair.

C. Insomnia is a common sleep disturbance associated with depression. Sleep disturbances are prevalent among individuals with depression and can exacerbate other symptoms such as fatigue, irritability, and difficulty concentrating.

D. Individuals with depression may experience irritability, mood swings, and a low tolerance for frustration. Irritability can be a manifestation of the emotional distress and dysregulation often experienced in depression.

A. While some individuals with depression may experience physical symptoms such as headaches and digestive disturbances, these symptoms are not specific to depression

E Euphoria is not a typical finding in depression. Instead, euphoria is more commonly associated with mood disorders such as bipolar disorder

C. Tardive dyskinesia is a movement disorder characterized by repetitive, involuntary movements of the face, tongue, and sometimes other parts of the body. These movements can include lip smacking, tongue protrusion, grimacing, and rapid eye blinking. Tardive dyskinesia is a well-known adverse effect associated with long-term use of antipsychotic medications, particularly first- generation antipsychotics such as chlorpromazine.
A. Neuroleptic Malignant Syndrome is a rare but serious adverse reaction to antipsychotic medications, characterized by symptoms such as severe muscle rigidity, high fever, altered mental status (e.g., confusion), autonomic instability (e.g., fluctuations in blood pressure, heart rate), and elevated creatine phosphokinase (CPK) levels.
B. Dysthymia is a chronic mood disorder characterized by persistent feelings of sadness, hopelessness, and low self-esteem. Dysthymia is not directly related to the involuntary movements described in the scenario and is unlikely to be the cause of the client's symptoms.
D. Akathisia is a movement disorder characterized by inner restlessness and the inability to sit still. Akathisia is a common side effect of antipsychotic medications and can be distressing for affected individuals. However, the symptoms described in the scenario, specifically involuntary movements of the tongue and face, are more indicative of tardive dyskinesia rather than akathisia.