Indicators suggesting that outcomes are being attained for a ...

[haleyc112]

Indicators suggesting that outcomes are being attained for a client with depression with melancholic
  features include (more than one answer may be correct)
 
  A. delusions consistently absent.
  B. echopraxia consistently absent.
  C. weight stable at preillness level.
  D. sleeping 7 hours nightly.
  E. diurnal variation marked.

Question 2

The client receiving lithium should be assessed for
 
  a. alopecia, purpura, and drowsiness.
  b. pharyngitis, mydriasis, and dystonia.
  c. diaphoresis, weakness, and nausea.
  d. ascites, dyspnea, and edema.

[aburgess]

Answer to Question 1

C, D
Rationale: Melancholic features include anorexia or weight loss, diurnal variation of feeling worse
in the morning, and early morning awakening. Thus a stable weight and sleeping 7 hours nightly are
indicators that client outcomes are being met. Option A: Delusions are associated with depression
with psychotic features. Option B: Echopraxia is associated with depression with catatonic features.
Option E: Marked diurnal variation suggests an unmet outcome. Diurnal variation should be
consistently absent.

Answer to Question 2

C
The symptoms listed in option C are early signs of lithium toxicity. All other problems mentioned
are unrelated to lithium therapy.