The admission note indicates a patient diagnosed with major ...

[naturalchemist]

The admission note indicates a patient diagnosed with major depression has anergia and anhedonia. For which measures should the nurse plan? Select all that apply.
 
  a. Channeling excessive energy
  b. Reducing guilty ruminations
  c. Instilling a sense of hopefulness
  d. Assisting with self-care activities
  e. Accommodating psychomotor retardation

Question 2

A patient diagnosed with major depression shows vegetative signs of depression. Which nursing actions should be implemented? Select all that apply.
 
  a. Offer laxatives if needed.
  b. Monitor food and fluid intake.
  c. Provide a quiet sleep environment.
  d. Eliminate all daily caffeine intake.
  e. Restrict intake of processed foods.

[Expo]

Answer to Question 1

ANS: C, D, E
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, assist with activities of daily living, and instill hopefulness. Anergia is lack of energy, not excessive energy. Anhedonia does not necessarily imply the presence of guilty ruminations.

Answer to Question 2

ANS: A, B, C
The correct options promote a normal elimination pattern. Although excessive intake of stimulants such as caffeine may make the patient feel jittery and anxious, small amounts may provide useful stimulation. No indication exists that processed foods should be restricted. See relationship to audience response question.

[naturalchemist]

Thanks for the timely response, appreciate it

[jackie]

Gracias!