A newly admitted client diagnosed with major depressive disorder ...

[vicotolentino]

A newly admitted client diagnosed with major depressive disorder states, I have never considered suicide. Later the client confides to the nurse about plans to end it all by medication overdose. What is the most helpful nursing reply?
 
  A. There is nothing to worry about. We will handle it together.
  B. Bringing this up is a very positive action on your part.
  C. We need to talk about the things you have to live for.
  D. I think you should consider all your options prior to taking this action.

Question 2

An individual experiences sadness and melancholia in September continuing through November. Which of the following factors should a nurse identify as most likely to contribute to the etiology of these symptoms? Select all that apply.
 
  A. Gender differences in social opportunities that occur with age
  B. Drastic temperature and barometric pressure changes
  C. Increased levels of melatonin
  D. Variations in serotonergic functioning
  E. Inaccessibility of resources for dealing with life stressors

[jordangronback]

Answer to Question 1

ANS: B
By admitting to the staff a suicide plan, this client has taken responsibility for possible personal actions and expresses trust in the nurse. Therefore, the client may be receptive to continuing a safety plan. Recognition of this achievement reinforces this adaptive behavior.

Answer to Question 2

ANS: B, C, D
The nurse should identify drastic temperature and barometric pressure changes, increased levels of melatonin, and/or variations in serotonergic functioning as contributing to the etiology of the client's symptoms. A number of studies have examined seasonal patterns associated with mood disorders and have revealed two prevalent periods of seasonal involvement: spring (March, April, May) and fall (September, October, November).