COMPLETE STUDY GUIDE & PRACTICE
QUESTIONS
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Updated 2026 Questions and Answers
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Rationales Included
,major depressive disorder: s/s -a depressed mood
-loss of interest in life's activities most of the day
-things the client used to enjoy, they now do not anymore
-express feelings of worthlessness or excessive/inappropriate guilt
-self critilization
-self esteem problems
-focus on negative thoughts
-untrue guilt
-feel they should be punished for past behaviors/decisions
-may report fatigue or loss of energy daily
-insomnia or hypersomnia
-difficulty falling asleep, staying asleep, or waking up early
-weight gain/loss without trying
-no appetite/increased appetite
, -poor concentration
-slowed thought processes
-recurrent thoughts of death
-speak about suicide (with or without a plan)
-delusions or hallucinations
major depressive disorder: the patient's thought slow down when speaking & use the therapeutic communication of silence
processes may seem slow, so the nurse should 3 multiple choice options
, major depressive disorder: nursing considerations -help with self care (especially initially)
-promote independence when possible
-prevent isolation
-encourage interaction with others
-help experience accomplishments
-if severely depressed, sit with them & make no demands (promotes self-
esteem)
-as they feel better, encourage them to describe their feelings
-let them know you understand they are in pain & feel powerless
-help them set accomplishable goals
-if capable, encourage walking, running, & weight lifting safely
-assess for suicide risk
major depressive disorder: depression patients may initially
need help with their self care, especially ___________ 1 multiple choice option