Depression Symptoms and Nursing Care Quiz

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Questions and Answers

What is an important consideration when collecting assessment data from severely depressed clients?

Allowing several short periods to complete the assessment (correct)

Focusing only on family history

Pushing the client to respond quickly

Rapidly completing the assessment to avoid frustration

Why is it important not to rush severely depressed clients during assessment?

Rushing improves the client's response to treatment

Rushing can lead to frustration and incomplete assessment data (correct)

Rushing helps the clients to process questions faster

Rushing minimizes the time spent on assessment

What does psychomotor retardation in clients with depression involve?

Quick verbal interaction and minimal eye contact

Slow body movements, slow cognitive processing, and slow verbal interaction (correct)

Rapid body movements and quick cognitive processing

Normal body movements but slow cognitive processing

Why is assessing the history of a client with depression important?

To determine any previous episodes of depression, treatment, and the client’s response to treatment Signup and view all the answers

What is a common characteristic of the general appearance of many people with depression?

Slouched posture with minimal eye contact Signup and view all the answers

What should the nurse ask about when assessing the client’s perception of the problem?

Behavioral changes, their duration, and previous episodes of depression Signup and view all the answers

Which of the following is a common symptom of depression?

Feelings of hopelessness and helplessness Signup and view all the answers

What is a common psychomotor agitation behavior exhibited by clients with depression?

Pacing and accelerated thinking Signup and view all the answers

What is a common cognitive characteristic of depressed clients?

Negative and pessimistic thinking Signup and view all the answers

What is a common physiological consideration in depression?

Neglect of personal hygiene Signup and view all the answers

What is a common consequence of depression on relationships?

Strain in relationships and difficulty fulfilling roles Signup and view all the answers

What should healthcare professionals directly assess in clients with depression?

Suicidal ideation Signup and view all the answers

What are some assessment data for depression mentioned in the text?

Feelings of despair, hopelessness, guilt, and anhedonia Signup and view all the answers

What is an expected immediate outcome for a client with depression?

Being free from self-inflicted harm Signup and view all the answers

What is a stabilization outcome for a client with depression?

Being free from psychotic symptoms Signup and view all the answers

What is a nursing intervention for a client with depression?

Providing a safe environment Signup and view all the answers

What are some of the somatic symptoms assessed in clients with depression?

Gastrointestinal issues, general somatic symptoms, and loss of weight Signup and view all the answers

Why is it important to use simple, direct sentences when communicating with a client with depression?

To facilitate understanding and reduce confusion Signup and view all the answers

Which nursing diagnosis is common for clients with depression?

Risk for suicide Signup and view all the answers

What is the significance of encouraging the client to ventilate feelings in whatever way is comfortable?

It can help relieve despair, hopelessness, and worthlessness Signup and view all the answers

What is the first priority in intervention for clients with depression?

Determine whether the client is suicidal and provide a safe environment if necessary Signup and view all the answers

What is an important aspect of establishing outcomes for clients with depression?

Tailoring outcomes to how the depression is manifested Signup and view all the answers

Why may nurses find it difficult to interact with clients with depression?

Empathy with their sadness and depression Signup and view all the answers

What is a common aspect assessed in clients with depression?

Insight, diurnal variation, and worthlessness Signup and view all the answers

Which self-rating scale of depressive symptoms is used for case finding in the general public?

Zung Self-Rating Depression Scale Signup and view all the answers

What does a score of 3 on the Hamilton Rating Scale for Depression indicate for the item 'Suicide'?

Suicide ideas or gesture Signup and view all the answers

What does a score of 2 on the Hamilton Rating Scale for Depression indicate for the item 'Insomnia late'?

Unable to fall asleep again if gets out of bed Signup and view all the answers

Which assessment tools help create a diagnostic picture of depression?

Self-rating scales and evaluation of behavior Signup and view all the answers

What is the purpose of the problem-solving process in the context of coping strategies?

To explore possible options and select an alternative Signup and view all the answers

What is the recommended approach to assist the client if they are not satisfied with the chosen alternative in problem-solving?

Assist the client in selecting another alternative Signup and view all the answers

What are some positive coping strategies that clients can use to manage stress?

Physical exercise, expressing feelings, and meditation Signup and view all the answers

What is the purpose of depression rating scales?

To assess depressive symptoms and create a diagnostic picture Signup and view all the answers

Which scale is a clinician-rated scale that assesses a range of depressive behaviors and symptoms?

Hamilton Rating Scale for Depression Signup and view all the answers

What type of scales like Zung Self-Rating Depression Scale and Beck Depression Inventory are used for?

Case finding and treatment evaluation Signup and view all the answers

What is crucial for the client's persistence in problem-solving according to the text?

Positive feedback at each step of the process Signup and view all the answers

What should be taught to clients involving exploring options, consequences, selecting an alternative, and evaluating results?

The problem-solving process Signup and view all the answers

Study Notes

Assessment of Depression Symptoms

The assessment includes various somatic symptoms such as gastrointestinal issues, general somatic symptoms, genital symptoms, hypochondriasis, and loss of weight.
Insight, diurnal variation, depersonalization, paranoid symptoms, obsessional and compulsive symptoms, helplessness, hopelessness, and worthlessness are also assessed.
Common nursing diagnoses for clients with depression include risk for suicide, imbalanced nutrition, anxiety, ineffective coping, hopelessness, and impaired social interaction.
Outcomes for clients with depression are tailored to how the depression is manifested, such as psychomotor retardation form, and include establishing balance in various aspects of life and compliance with treatment.
The first priority in intervention is to determine whether a client with depression is suicidal and to provide a safe environment if necessary.
Establishing a therapeutic relationship is important, and nurses may find it difficult to interact with these clients due to empathy with their sadness and depression.

Coping Strategies and Depression Rating Scales

Clients can use coping strategies to manage stress and should be taught positive techniques such as physical exercise, expressing feelings, and meditation.
The problem-solving process should be taught, involving exploring options, consequences, selecting an alternative, and evaluating results.
Positive feedback at each step of the process is crucial for the client's persistence in problem-solving.
Depression rating scales, including self-rating and clinician-rated scales, are used to assess depressive symptoms and create a diagnostic picture.
Self-rating scales like Zung Self-Rating Depression Scale and Beck Depression Inventory are used for case finding and treatment evaluation.
The Hamilton Rating Scale for Depression is a clinician-rated scale that assesses a range of depressive behaviors and symptoms.
The scale includes items such as depressed mood, feelings of guilt, thoughts of suicide, insomnia, and anxiety, among others.
Each item on the Hamilton Rating Scale for Depression has a scale to rate the severity of the symptom, allowing for a comprehensive assessment.

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Description

Assess your knowledge of depression symptoms and nursing care with this quiz. Explore somatic symptoms, nursing diagnoses, intervention priorities, and the importance of establishing a therapeutic relationship with clients experiencing depression.