(Select All That Apply): A nurse is providing care for a client with suspected major depressive disorder (MDD). Which of the following are risk factors for developing MDD? Select all that apply.
Positive family history of mood disorders.
Optimistic personality traits.
Young age.
High socioeconomic status.
Chronic medical conditions.
Correct Answer : A,C,E
Choice A rationale:
The correct answer. A positive family history of mood disorders is a well-established risk factor for developing major depressive disorder (MDD). Genetic factors play a significant role in predisposing individuals to MDD, making it more likely to develop if there's a family history of mood disorders.
Choice B rationale:
Optimistic personality traits are not considered risk factors for developing major depressive disorder (MDD). In fact, having an optimistic personality might serve as a protective factor against developing MDD.
Choice C rationale:
The correct answer. Young age is a risk factor for developing MDD. Adolescents and young adults are particularly susceptible to the onset of depressive disorders due to hormonal changes, emotional challenges, and life transitions during this developmental stage.
Choice D rationale:
High socioeconomic status is not a consistent risk factor for developing major depressive disorder (MDD). While individuals from various socioeconomic backgrounds can develop MDD, the factors contributing to its development are more complex and not solely dependent on socioeconomic status.
Choice E rationale:
The correct answer. Chronic medical conditions are risk factors for developing major depressive disorder (MDD). The stress, emotional toll, and physiological effects of living with a chronic illness can contribute to the onset or exacerbation of depressive symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Patient Health naire (PHQ-9). The PHQ-9 is a commonly used depression assessment tool that evaluates a patient's mood and depressive symptoms. It consists of nine questions that correspond to the nine criteria for diagnosing major depressive disorder (MDD) according to the DSM-5. The tool assesses various aspects of depression, such as mood, sleep disturbances, appetite changes, and more. It's a self-report questionnaire that helps clinicians assess the severity of a patient's depression and track their progress over time.
Choice B rationale:
Hamilton Depression Rating Scale (HAM-D). The Hamilton Depression Rating Scale (HAM-D) is another widely used tool for assessing the severity of depressive symptoms in patients with mood disorders. It contains multiple items that evaluate various aspects of depression, such as mood, feelings of guilt, suicidal ideation, and more. Unlike the PHQ-9, the HAM-D is typically administered by a trained clinician and is more extensive, making it suitable for clinical research and diagnosis but potentially less practical for routine screening.
Choice C rationale:
Beck Depression Inventory (BDI). The Beck Depression Inventory (BDI) is a self-report questionnaire designed to assess the presence and severity of depressive symptoms in individuals. It consists of 21 multiple-choice questions that cover various emotional, cognitive, and physical symptoms of depression. The BDI is useful for assessing the intensity of depression and changes in symptom severity over time. While a valuable tool, it's not the assessment tool most likely used in this scenario.
Choice D rationale:
Mini-Mental State Examination (MMSE). The Mini-Mental State Examination (MMSE) is not an appropriate tool for assessing depression. Instead, it's a brief cognitive screening test used to assess cognitive impairment and cognitive decline in individuals, especially in older adults. It evaluates aspects such as orientation, memory, attention, language, and visuospatial skills. It is not designed to assess mood, anxiety, or other emotional aspects related to depression.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
Social support refers to the network of family, friends, and community that provide emotional and practical assistance. Depression can be influenced by inadequate social support, as having a strong support system can buffer against the development and exacerbation of depressive symptoms.
Choice B rationale:
Personalization involves attributing external events to oneself, often in a negative manner. While this cognitive distortion is relevant to depression, it is not mentioned in the question stem and does not directly relate to cognitive processes influenced by depression.
Choice C rationale:
Cognitive distortions are irrational and negative thought patterns that are common in depression. These distortions contribute to the maintenance of depressive symptoms. Examples include all-or-nothing thinking, overgeneralization, and catastrophizing.
Choice D rationale:
Catastrophizing involves magnifying the negative significance of events. While it can contribute to depressive thought patterns, it is not as central to cognitive processes influenced by depression as cognitive distortions are.
Choice E rationale:
Interpersonal relationships are affected by depression and can also contribute to its development. The question does not focus on the effects of depression on relationships, but rather on the factors that can influence or be influenced by depression.
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