A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)

Irritability

Euphoria

Decreased energy

Isolation from peers

Grandiosity

loneliness

Answer and Explanation

Correct Answer : A,C,D,F

A. Irritability is a common symptom of depression in adolescents. They may become easily annoyed, frustrated, or angered, often over minor issues.

B. Euphoria, which refers to an exaggerated feeling of happiness or excitement, is not typically associated with depression. Instead, it may indicate a different mood disorder, such as bipolar disorder.

C. Adolescents with depression often experience decreased energy levels or fatigue. They may feel physically drained and lack motivation to engage in usual activities.

D. Social withdrawal and isolation from peers is a significant behavioral indicator of depression. Adolescents may avoid social activities, stop participating in hobbies, or spend more time alone.

E. Grandiosity refers to an exaggerated sense of one's importance, abilities, or achievements. This symptom is more characteristic of certain mood disorders like bipolar disorder or narcissistic personality disorder rather than depression.

F. Feelings of loneliness and social isolation are common in adolescents with depression. They may feel disconnected from others, even if they are physically present in social settings.

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Correct Answer is D

Explanation

D. This goal addresses the immediate safety and well-being of the client. Depression, especially severe depression, can increase the risk of suicidal ideation and behaviors. It is crucial to ensure the client's safety and have measures in place for her to reach out for help if she feels overwhelmed or unsafe.

A. While this is an important goal for improving self-esteem and mood, it may not be the highest priority when the client's safety is at risk.

B. This goal focuses on future planning and motivation, which is important for recovery but may not be as urgent as ensuring immediate safety.

C. Understanding one's grief process is important for emotional healing, but it is not typically as critical as ensuring safety in the immediate term.

A. Denial B. Anger C. Grief D. Dependency

Correct Answer is ["A","B"]

Explanation

A. Denial is a common initial reaction where individuals refuse to accept the reality of their illness. They may minimize symptoms, avoid medical advice, or believe that the diagnosis is incorrect. Denial can serve as a defense mechanism to protect individuals from the shock and emotional distress of a diagnosis.

B. Anger is another stage where individuals may experience frustration, resentment, or hostility towards themselves, others, or the situation. They might feel angry about their diagnosis, the impact it has on their life, or towards healthcare providers and caregivers.

C. Grief is a natural response to loss and can be experienced when individuals face the changes, limitations, or potential outcomes associated with their illness. Grief involves feelings of sadness, despair, and mourning for the life they had before the illness, as well as for potential losses in the future. However, it is not a typical stage of the illness experience.

D. Dependency refers to a stage where individuals may rely on others for physical, emotional, or practical support due to the challenges posed by their illness. This stage can involve seeking assistance with daily activities, relying on healthcare providers for treatment, or leaning on family and friends for emotional support. However, it is not a typical stage of the illness experience.

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A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has severe depression following the loss of her spouse. When identifying client goals, which of the following goals should the nurse identify as the highest priority?

Correct Answer is D

Explanation

Which of the following is a stage of the illness experience?

Correct Answer is ["A","B"]

Explanation

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