The nurse assesses a client who complains of insomnia, fatigue, ...

[Mollykgkg]

The nurse assesses a client who complains of insomnia, fatigue, and depression every day. It has been like this since I was a child, said the client.
 
  The nurse suspects the client has dysthymic mood disorder, because to be diagnosed with dysthymic mood disorder, a person must experience which of the following symptoms? a. insomnia for several years--more days having problems sleeping than not having problems sleeping
  b. the triad of insomnia, fatigue, and depression over several continuous years
  c. depressed mood for at least 2 years, more days depressed than not depressed
  d. episodes of depression over time with no evidence of suicidal ideation

Question 2

Minor depressive disorder has been:
 
  a. proposed for the DSM-IV, but not validated
  b. a diagnosis in the DSM-IV since 1982
  c. found to have severe symptoms
  d. identified in 18 of clinic visits

[jasonq]

Answer to Question 1

C
To be diagnosed with a dysthymic mood disorder, a person must experience a depressed mood for at least 2 years. The individual feels depressed nearly all of the time. The depressed mood is experienced most of the day, for more days than not. A person with dysthymic disorder must also have at least two of the following symptoms: appetite disturbance, sleep disturbance, fatigue, low self-esteem, poor concentration or difficulty making decisions, and feelings of hopelessness.

Answer to Question 2

A
Minor depressive disorder has been proposed for clients who suffer from less severe symptoms of depression that may interfere with their functioning but may not qualify for a diagnosis of major depressive disorder. However, this diagnosis has yet to be validated for formal inclusion in DSM. Minor depression can be brief or associated with fewer than the five symptoms required for a diagnosis of major depressive disorder.