Major depression resulted after a patient's employment was ...

[penguins]

Major depression resulted after a patient's employment was terminated. The patient now says to the nurse, I'm not worth the time you spend with me. I am the most useless person in the world. Which nursing diagnosis applies?
 
  a. Powerlessness
  b. Defensive coping
  c. Situational low self-esteem
  d. Disturbed personal identity

Question 2

What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy treatment?
 
  a. Nutrition and hydration
  b. Supporting physiological stability
  c. Reducing disorientation and confusion
  d. Assisting the patient to identify and test negative thoughts

[31809pancho]

Answer to Question 1

ANS: C
The patient's statements express feelings of worthlessness and most clearly relate to the nursing diagnosis of situational low self-esteem. Insufficient information exists to lead to other diagnoses.

Answer to Question 2

ANS: B
During the immediate post-treatment period, the patient is recovering from general anesthesia; hence, the priority need is to establish and support physiological stability. Reducing disorientation and confusion is an acceptable intervention but not the priority. Assisting the patient in identifying and testing negative thoughts is inappropriate in the immediate post-treatment period because the patient may be confused.

[penguins]

Excellent

[kswal303]

TYSM