When the spouse of a client diagnosed with dysthymia asks what ...

[EY67]

When the spouse of a client diagnosed with dysthymia asks what the major difference is between
  dysthymia and major depressive disorder, the nurse can point out that in major depressive disorder
 
  a. the symptoms persist for 2 or more years.
  b. evidence of an earlier hypomanic episode is present.
  c. evidence of persistent suicidal ideation is always present.
  d. the client does not give a history of feeling depressed for years.

Question 2

A client with paranoid personality disorder is noted to sit alone in a corner of the unit living room.
  When anyone approaches, the client is haughty or simply ignores the other person.
 
  When staff invite
  her to join an activity, she tells them I do not care to be with people who do not like me.. A nursing
  diagnosis that should be considered is
  a. fear.
  b. activity intolerance.
  c. powerlessness.
  d. impaired social interaction.

[blakeserpa]

Answer to Question 1

D
Dysthymia is characterized by a chronic depressive syndrome usually present for many years. The
depressive mood disturbance cannot be distinguished from the person's usual pattern of functioning.
Option A: Persistence of symptoms occurs in dysthymia. Option B: This is true of bipolar disorder.
Option C: This is not universally true for major depressive disorder.

Answer to Question 2

D
Impaired social interaction is a state in which an individual participates in an insufficient (or
excessive) quantity or quality of social exchange. A defining characteristic is dysfunctional
interaction with others. The client's suspiciousness, rigidity, and distortions of reality related to
projection are responsible.