A nurse is seeing a patient with diabetes who reports that she ...

[sam.t96]

A nurse is seeing a patient with diabetes who reports that she thinks her diabetes is worse. She is feeling tired all the time, has difficulty enjoying things, and has problems concentrating and sleeping. What should the nurse consider in her assessment?
 
  1. The patient may have social phobia.
  2. The patient may have panic disorder.
  3. The patient may have bipolar disorder.
  4. The patient may have depression.

Question 2

A group of nurses are discussing the co-morbidity of physical and mental illness. Which patients would they assess to be at risk for depression? Select all that apply.
 
  1. A patient with COPD
  2. A patient with diabetes
  3. A patient with celiac disease
  4. A patient with Parkinson disease
  5. A patient with cardiovascular disease

[covalentbond]

Answer to Question 1

Answer: 4
Explanation: Depression is two to three times more common in patients with diabetes than in the general population. The patient is not evidencing symptoms of social phobia, panic disorder, or bipolar disorder.

Answer to Question 2

Answer: 1, 2, 4, 5
Explanation: Depression is two to three times more common in patients with cardiovascular disease and/or diabetes. Patients with chronic obstructive pulmonary disease are two to three times more likely to have significant depressive symptoms. Research has suggested that high levels of depression and anxiety observed in Parkinson disease. Celiac disease has not been associated with a high rate of depression.

[sam.t96]

Excellent

[marict]

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