The admitting note describes a client with depression as having ...

[kaid0807]

The admitting note describes a client with depression as having anergia and anhedonia. The nurse
  should plan measures to (more than one answer may be correct)
 
  A. channel excessive energy.
  B. reduce guilty ruminations.
  C. accommodate psychomotor retardation.
  D. instill a sense of hopefulness.

Question 2

A client with bipolar disorder tells the nurse I am so ashamed of being bipolar. When I'm manic my
  behavior is so bizarre that it embarrasses my family.
 
  Even when I take my medication every day, it's
  no guarantee that I will not have a relapse. I am like a stone around my wife's neck, dragging the
  family down.. These statements support the nursing diagnoses of
  a. defensive coping and ineffective denial.
  b. chronic low self-esteem and powerlessness.
  c. impaired social interaction and social isolation.
  d. impaired adjustment and parental role conflict.

[lcapri7]

Answer to Question 1

C, D
Rationale: Anergia refers to a lack of energy. Anhedonia refers to the inability to find pleasure or
meaning in life; thus planning should include measures to accommodate psychomotor retardation
and instill hopefulness. Option A: Anergia is lack of energy, not excessive energy. Option B:
Anhedonia does not necessarily imply the presence of guilty ruminations.

Answer to Question 2

B
Chronic low self-esteem and powerlessness are interwoven in the client's statements. No data
support the other diagnoses.

[kaid0807]

Excellent

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TYSM