NU473 Week 6 HESI Case Study Evolve Elsevier: Major Depressive Disorder - 23 Questions UMB NU473 NURS473 NU 473 NURS 473 Evidence-Concepts of Health and Illness IV (UMB UMass Boston, Spring 2022) HESI Major Depressive Disorder - 23 Questions

NU473 Week 6 HESI Case Study Evolve Elsevier: Major
Depressive Disorder - 23 Questions UMB NU473
NURS473 NU 473 NURS 473 Evidence-Concepts of Health
and Illness IV (UMB UMass Boston, Spring 2022) HESI
Major Depressive Disorder - 23 Questions

The triage nurse performs a more in-depth assessment of the client's complaints and reports the
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assessment to the Advanced Practice Registered Nurse in Psychiatric-Mental Health (APRN-PMH).
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These two nurses collaborate on development of the care plan to facilitate assessment and
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interventions for the client's anxiety.
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During the initial assessment, the nurse should focus on which areas that are most characteristic
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of anxiety? Select all that apply.
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o Symptoms restlessness, difficulty concentrating, irritability.
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o Social interactions such as withdrawal, shunning family, and drinking alcohol.
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o Increasing symptoms of depression with consistently sad, low mood.
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o Behavioral alterations including hallucinations.
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o Suicidal ideation.
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o Symptoms restlessness, difficulty concentrating, irritability.
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· Hildegard Peplau identified four levels of anxiety defined by physical symptoms. Identification of
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the specific level of anxiety is essential because interventions are based on the degree of the
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client’s anxiety.
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o Increasing symptoms of depression with consistently sad, low mood.
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· There is a high comorbid rate of anxiety and depression. Often clients who are diagnosed with
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both of these diseases are at increased risk for suicidal ideation.
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o Suicidal ideation.
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· There is a high comorbid rate of anxiety and depression. Often clients who are diagnosed with
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anxiety and depression are at increased risk for suicidal ideation.
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, The orientation phase of building the therapeutic relationship is important to the establishment in
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which rapport can grow. Which approach is best for the nurse to use when assessing for
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subjective information from the client?
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o Have the client say what is causing the anxiety.
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o Tell the client that it sounds like the anxiety is causing depression.
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o Get the client to explain how anxiety affects normal activities.
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o Ask the client to give an example of how they feel when they are anxious.
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o Ask the client to give an example of how they feel when they are anxious.
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· This statement of asking for an example can clarify vague statements made by a client with
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anxiety.
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AD

The client meets with the nurse. During the group session, the client tells the nurse about an
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extreme amount of stress at work. The client has filed multiple harassment complaints against the
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boss. The client states feeling it is necessary to hold self to a higher set of standards than
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coworkers because their boss uses a stricter set of standards for the client's performance
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appraisal. The nurse recognizes that the client is experiencing what level of anxiety?
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o Mild. Il`




o Moderate. Il`




o Severe. Il`




o Panic. Il`




o Severe. Il`




· The individual with severe anxiety can only focus on a narrowed area of concern, such as the
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client only focusing on her employer andcoworkers.
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During the interview, the client identifies intense anxiety, irritability, and feelings of depression
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with thoughts of suicide as reasons for seeking treatment. The nurse develops a plan of care to
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assist the client in managing anxiety. Which approach is best for the nurse to use when assessing a
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client's risk for attempting suicide?
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o Tell the client to express which specific stress causes anxiety.
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o Find out from client how is their social life at work and at home.
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