Planned interventions for a newly admitted severely depressed ...

[nenivikky]

Planned interventions for a newly admitted severely depressed patient should include:
 
  a. allowing the patient to be alone if he or she prefers.
  b. encouraging the patient to sleep to regain energy.
  c. careful, unobtrusive observation around the clock.
  d. chances to enact a leadership role in the therapeutic milieu.

Question 2

Questions that would be nonjudgmental when obtaining information about patient use of herbal remedies include: Select all that apply.
 
  a. You don't regularly take herbal remedies, do you?
  b. What herbal medicines have you used to relieve your symptoms?
  c. What over-the-counter medicines and nutritional supplements do you use?
  d. Have you experienced toxic effects from mixing herbals and prescription drugs?
  e. What differences in your symptoms do you notice when you take herbal supplements?

[Tonny]

Answer to Question 1

C
Approximately two-thirds of depressed people contemplate suicide. A suicide attempt requires only a short period of unobserved activity. Traditional every-fifteen-minute checks allow sufficient time to enact a suicide and are inadequate. Therefore, ongoing direct (but unobtrusive) observation of the depressed patient, at least until such time as his risk for self-harm has been fully assessed, minimizes the chance of self-harm while on the unit. Allowing excessive alone time facilitates withdrawal. Rest is important, and while it is not unusual for depressed patients to have a sleep deficit, excessive sleeping is a form of withdrawal, and sleeping at atypical times can further disrupt the patient's circadian rhythm, interfering with sleep in the long run. Impaired cognition, concentration, and self-esteem would make assuming a leadership role unrealistic and frustrating for the patient.

Answer to Question 2

B, C, D, E
The correct responses are neutral in tone and do not express bias for or against the use of herbal medicines. The distracter, worded in a negative way, makes the nurse's bias plain.

[nenivikky]

Excellent

[jomama]

TYSM