Author Question: A client is admitted with a diagnosis of persistent depressive disorder. Which client statement ... (Read 92 times)

chads108 · **on:** Jul 19, 2018

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 · **Reply #1 on:** Jul 19, 2018

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.