What is the rationale for a nurse to perform a full physical ...

[Awilson837]

What is the rationale for a nurse to perform a full physical health assessment on a client admitted with a diagnosis of major depressive episode?
 
  1. The attention during the assessment is beneficial in decreasing social isolation.
  2. Depression can generate somatic symptoms that can mask actual physical disorders.
  3. Physical health complications are likely to arise from antidepressant therapy.
  4. Depressed clients avoid addressing physical health and ignore medical problems.

Question 2

A depressed client reports to a nurse a history of divorce, job loss, family estrangement, and cocaine abuse. Which theoretical principle best explains the etiology of this client's depressive symptoms?
 
  1. According to psychoanalytic theory, depression is a result of negative perceptions.
  2. According to object-loss theory, depression is a result of overprotection.
  3. According to learning theory, depression is a result of repeated failures.
  4. According to cognitive theory, depression is a result of anger turned inward.

[Jordin Calloway]

Answer to Question 1

2
Rationale: The nurse should determine that a client with a diagnosis of major depressive episode needs a full physical health assessment, because depression can generate somatic symptoms that can mask actual physical disorders.

Answer to Question 2

3
Rationale: The nurse should assess that, according to learning theory, this client's depressive symptoms may have resulted from repeated failures. The learning theory is a model of learned helplessness in which multiple life failures cause the client to abandon future attempts to succeed.

[Awilson837]

Thank you

[Jordin Calloway]

Happy to help you