Author Question: A 20-year-old female has a diagnosis of premenstrual dysphoric disorder. Which of the following ... (Read 78 times)

ishan · **on:** Jul 19, 2018

A 20-year-old female has a diagnosis of premenstrual dysphoric disorder. Which of the following should a nurse identify as consistent with this diagnosis? Select all that apply.

A. Symptoms are causing significant interference with work, school, and social relationships.
B. Patient-rated mood is 2/10 for the past 6 months
C. Mood swings occur the week before onset of menses
D. Patient reports subjective difficulty concentrating
E. Patient manifests pressured speech when communicating

Question 2

A client admitted to the psychiatric unit following a suicide attempt is diagnosed with major depressive disorder. Which behavioral symptoms should the nurse expect to assess?

A. Anxiety and unconscious anger
B. Lack of attention to grooming and hygiene
C. Guilt and indecisiveness
D. Low self-esteem

meganlapinski · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A, C, D
Diagnostic criteria for a premenstrual dysphoric disorder include that symptoms must be associated with significant distress, occur in the week before onset of menses, and improve or disappear in the week post-menses

Answer to Question 2

ANS: B
Lack of attention to grooming and hygiene is the only behavioral symptom presented. Lack of energy, low self-esteem, and feelings of helplessness and hopelessness (all common symptoms of depression) contribute to lack of attention to activities of daily living, including grooming and hygiene.