This topic contains a solution. Click here to go to the answer

Author Question: A patient presents with withdrawal, poor concentration, fatigue, weakness, anorexia and aches. What ... (Read 51 times)

Awilson837

  • Hero Member
  • *****
  • Posts: 509
A patient presents with withdrawal, poor concentration, fatigue, weakness, anorexia and aches. What conditions should the nurse consider as part of a differential diagnosis?
 
  1. Anxiety and multiple sclerosis
  2. Depression and congestive heart failure
  3. Anxiety and diabetes
  4. Depression and acute inflammatory illness

Question 2

A nurse is seeing a 71-year-old patient with Parkinson disease. The patient has frequent episodes of crying and reports having panic attacks, during which she feels as though she can't breathe. How should the nurse respond?
 
  1. Inform the patient that depression is a normal reaction to a diagnosis of physical illness and it will naturally improve over time.
  2. Inform the patient that a diagnosis of depression is unrelated to a diagnosis of Parkinson disease and refer the patient for counseling.
  3. Inform the patient that brain changes that occur with Parkinson disease may be associated with high levels of depression and anxiety and may respond to pharmacotherapy.
  4. Inform the patient that pharmacological treatment for depression is usually unsuccessful in patients with Parkinson disease because of possible side effects.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

janeli1

  • Sr. Member
  • ****
  • Posts: 330
Answer to Question 1

Answer: 4
Explanation: Patients with acute inflammatory illness may exhibit sickness behavior, a constellation of symptoms similar to those of depression. Multiple sclerosis symptoms may appear similar to depression, not to anxiety. Although patients with congestive heart failure may also have depression, the symptoms of the two conditions do not generally mimic one another. The symptoms of anxiety and diabetes are different.

Answer to Question 2

Answer: 3
Explanation: Research suggests that high levels of depression and anxiety observed in Parkinson disease are a primary consequence of brain changes found in the disease and, therefore, may respond to pharmacotherapy. Although the rate of depression may rise with some physical illnesses, the rates vary depending on the illness and cannot be expected to improve without intervention. A diagnosis of depression is strongly associated with Parkinson disease. Although some early studies indicated concern over side effects, later studies have associated treatment for depression with motor as well as mood improvements in patients with Parkinson disease.




Awilson837

  • Member
  • Posts: 509
Reply 2 on: Jul 19, 2018
Thanks for the timely response, appreciate it


adf223

  • Member
  • Posts: 304
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

For a complete list of videos, visit our video library