A 15-year-old has been diagnosed with major depression and ...

[LCritchfi]

A 15-year-old has been diagnosed with major depression and admitted to the adolescent unit. Which behavior would the nurse expect to observe in this client?
 
  1. Discussing repeated offenses with the law enforcement authorities
  2. Egocentricity, manipulativeness, callousness, superficiality
  3. Blaming others for causing him to be admitted to the unit
  4. Reporting decreased enjoyment of school-related activities

Question 2

A16-year-old girl has been on the adolescent unit for 7 days, having been admitted for attempted suicide by overdosing on an undetermined number and mixture of over-the-counter medications.
 
  Which statement by the client would warrant additional investigation before she is released from the unit?
  1. I have learned a lot about myself and realize how foolish I was to try to hurt myself.
  2. Sometimes I wonder whether my friends would have attended my funeral had I died.
  3. I feel secure now that I know who to call should I become desperate again.
  4. What a beautiful day I'm glad I can enjoy it.

[Kimmy]

Answer to Question 1

ANS: 4
Anhedonia, absence of pleasure, is a common manifestation of depression. Options 1 and 2 are characteristic of conduct disorder. Option 3 is common to conduct disorder and opposition-al-defiant disorder.

Answer to Question 2

ANS: 2
From this statement, the nurse can hypothesize that the client may be interested in gaining atten-tion from peers and might try to harm herself again. Option 1 reflects an understanding of her behavior and its consequences. Option 3 is a positive statement indicating awareness of how to seek help. Option 4 is a positive statement suggesting she is feeling less depressed.

[LCritchfi]

Correct answers!

[Kimmy]

Great! Please up vote