A patient has been admitted due to severe depression. What symptoms should the nurse anticipate during the assessment?
Changes in sleep pattern, fatigue, and an elevated mood.
Depressed mood, feelings of guilt, and rapid speech.
Difficulty concentrating, feelings of helplessness, and rapid shifts in thoughts.
Feelings of hopelessness, worthlessness, and difficulty focusing.
The Correct Answer is D
Choice D rationale
Feelings of hopelessness, worthlessness, and difficulty focusing are common symptoms of severe depression. Depression is a serious mood disorder that affects how a person feels, thinks, and handles daily activities. To be diagnosed with depression, the symptoms must be present for at least 2 weeks.
Choice A rationale
Changes in sleep pattern and fatigue are symptoms of depression, but an elevated mood is not. An elevated mood is more commonly associated with bipolar disorder.
Choice B rationale
While a depressed mood and feelings of guilt are symptoms of depression, rapid speech is not. Rapid speech is more commonly associated with mania or hypomania, conditions seen in bipolar disorder.
Choice C rationale
Difficulty concentrating and feelings of helplessness are symptoms of depression, but rapid shifts in thoughts are not. Rapid shifts in thoughts are more commonly associated with conditions such as bipolar disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Walking away from the nurses’ station, heading to the hallway, and taking a tray from the meal cart is not necessarily aggressive behavior. It could be seen as a person simply going about their day or fulfilling a need such as hunger.
Choice B rationale
Expressing feelings of anger towards a primary nurse about not being able to have a second helping at lunch is not an aggressive behavior. It’s a form of assertive communication where the person is openly expressing their feelings and needs in a respectful manner.
Choice C rationale
Bursting into tears, leaving a community meeting, and sitting on a bed hugging a pillow and crying is more of an emotional response rather than an aggressive behavior. It could indicate sadness, frustration, or feeling overwhelmed, but it doesn’t involve any harm or intent to harm others.
Choice D rationale
Telling the medication nurse, “I am not going to take that, or any other, medication you try to give me” can be considered an aggressive behavior. This statement shows a refusal to cooperate and a confrontational attitude, which are characteristics of aggressive behavior.
Correct Answer is B
Explanation
Step 1 is to determine the amount of medication to administer. The order is for Haldol 2mg IM stat. The available medication is Haldol 5mg/ml. To find out how many ml’s to administer, you would divide the ordered dose by the available dose. So, 2mg ÷ 5mg/ml = 0.4 ml.
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