A client is admitted with a diagnosis of persistent depressive ...

[chads108]

A client is admitted with a diagnosis of persistent depressive disorder. Which client statement would describe a symptom consistent with this diagnosis?
 
  A. I am sad most of the time and I've felt this way for the last several years.
  B. I find myself preoccupied with death.
  C. Sometimes I hear voices telling me to kill myself.
  D. I'm afraid to leave the house.

Question 2

A 75-year-old client with a long history of depression is currently on doxepin (Sinequan), 100 mg daily. The client takes a daily diuretic for hypertension and is recovering from the flu.
 
  Which nursing diagnosis should the nurse assign highest priority? A. Risk for ineffective thermoregulation R/T anhidrosis
  B. Risk for constipation R/T excessive fluid loss
  C. Risk for injury R/T orthostatic hypotension
  D. Risk for infection R/T suppressed white blood cell count

[mcinincha279]

Answer to Question 1

A
Persistent depressive disorder is characterized by depressed mood for most of day, for more days than not, for at least 2 years. Thoughts of death would be more consistent with major depressive disorder; hearing voices is more consistent with a psychotic disorder; and fear of leaving the house is more consistent with a phobia.

Answer to Question 2

C
A side effect of Sinequan is orthostatic hypotension. Dehydration due to fluid loss from a combination of diuretic medication and flu symptoms can also contribute to this problem, putting this client at risk for injury R/T orthostatic hypotension.

[chads108]

Excellent

[Sarahjh]

TYSM