A client is diagnosed with major depressive disorder. Which ...

[nelaaney]

A client is diagnosed with major depressive disorder. Which nursing diagnosis should a nurse assign to this client to address a behavioral symptom of this disorder?
 
  A. Altered communication R/T feelings of worthlessness AEB anhedonia
  B. Social isolation R/T poor self-esteem AEB secluding self in room
  C. Altered thought processes R/T hopelessness AEB persecutory delusions
  D. Altered nutrition: less than body requirements R/T high anxiety AEB anorexia

Question 2

A nurse assesses a client suspected of having major depressive disorder. Which client symptom would eliminate this diagnosis?
 
  A. The client is disheveled and malodorous.
  B. The client refuses to interact with others.
  C. The client is unable to feel any pleasure.
  D. The client has maxed-out charge cards and exhibits promiscuous behaviors.

[diana chang]

Answer to Question 1

ANS: B
A nursing diagnosis of social isolation R/T poor self-esteem AEB secluding self in room addresses a behavioral symptom of major depressive disorder. Other behavioral symptoms include psychomotor retardation, virtually nonexistent communication, maintaining a fetal position, and no personal hygiene and/or grooming.

Answer to Question 2

ANS: D
The nurse should assess that a client who has maxed-out credit cards and exhibits promiscuous behavior would be exhibiting manic symptoms. According to the DSM-5, these symptoms would rule out the diagnosis of major depressive disorder.