A nursing home resident has a diagnosis of dysthymic disorder. ...

[cmoore54]

A nursing home resident has a diagnosis of dysthymic disorder. When planning care for this client, which of the following symptoms should a nurse expect the client to exhibit? (Select all that apply.)
 
  1. Sad mood on most days
  2. Mood rating of 2 out of 10 for the past 6 months
  3. Labile mood
  4. Sad mood for the past 3 years after spouse's death
  5. Pressured speech when communicating

Question 2

A 6-year-old boy uses his father's flashlight to explore his 3-year-old sister's genitalia. According to Freud, in which stage of psychosocial development should a nurse identify this behavior as normal?
 
  1. Oral2. Anal3. Phallic4. Latency

[nothere]

Answer to Question 1

1, 4
Rationale: The nurse should anticipate that a client with a diagnosis of dysthymic disorder would experience a sad mood on most days for more than two years. The essential feature of dysthymia is a chronically depressed mood, which can have an early or late onset.

Answer to Question 2

3
Rationale: The nurse should identify this behavior as normal, because the 6-year-old client who focuses on genital organs is in the phallic stage of Freud's psychosexual stages of development. Children in the phallic stage of development focus on genital organs and develop a sense of sexual identity. Identification with the same-sex parent also occurs at this stage.