HESI Case Study: Depression
Eleven. A thyroid profile is important for numerous reasons. What role do thyroid stages play in
despair? - ANS-hypothyroidism can result in feeling slow and depressed
(thyroid tiers can help discover hypothyroidism, which could cause melancholy)
13. For the reason that purchaser has decreased power, which intervention is great? - ANS-plan
a scheduled relaxation length
(it's miles high-quality to plot rest periods in step with the customer's power degree because a
few clients sense exceptional within the morning and others feel exceptional within the night)
14. As the nurse initially communicates with Bethany, which communique technique is
essential? - ANS-acknowledge the client's braveness in searching for assist, then provide to sit
quietly with the purchaser
(presenting nonjudgemental reputation and companionship will assist develop agree with.
Acknowledging the step the purchaser took in seeking assist may additionally repair the
customer's feel of manage over her state of affairs)
16. Given that Bethany is consuming 50% of her food, which priority nursing intervention must
be included at the remedy plan? - ANS-weigh weekly and record
(the maximum objective assessment related to the consumer's intake is frequent weighing to
record any changes in weight that ought to be monitored extra intently)
19. The nurse knows that there are other hazard factors for high blood strain. Which hazard
factor does Bethany have? - ANS-African American
(african-individuals are much more likely than caucasians to increase high blood strain. Other
hazard factors include a sedentary lifestyle and alcohol intake)
22. Bethany is places on steady commentary for protection precautions, so the nurse have to
assign a staff member to remain together with her always. Which personnel member is
satisfactory to assign to Bethany? - ANS-woman unlicensed assistive personnel
(an unlicensed body of workers member can count on obligation for the purchaser's protection
and keep documentation. A lady body of workers member is much less threatening than a male
group of workers member when the consumer goals as an awful lot privateness as viable)
, 26. While the nurse prepares Bethany for ECT, what must be anticipated? - ANS-preparation is
just like a quick surgical treatment
(coaching for ECT is much like a surgical procedure. As an instance, the patron ought to stay
NPO for 6 to 8 hours prior to treatment apart from receiving cardiac medicines or
antihypertensive agents. Prostheses should be eliminated, and the customer need to void right
now earlier than receiving ECT)
five. What is the principal movement of SSRI antidepressants? - ANS-growth availability of
serotonin
(the principal movements of SSRIs is to selectively inhibit the reuptake of serotonin and growth
the supply of serotonin)
6. The nurse is familiar with that SSRIs at the moment are extra broadly prescribed than
tricyclics for antidepressant remedy. What is the reason? - ANS-tricyclics are more deadly in an
overdose
(SSRIs are extra broadly prescribed than tricyclics because they've fewer aspect
consequences, and tricyclics can be lethal in an overdose due to the fact they are cardiotoxic)
7. While the customer gets fluoxetine (Prozac), the nurse ought to give an explanation for the
reason and while to expect healing effectiveness. When ought to the client begin to experience
less depressed? - ANS-commonly inside 2 to 4 weeks
(in standard, it takes 2 to 4 weeks for antidepressant outcomes to begin. However, it depends at
the person, and some customers may also feel results begin as soon as 1 week or as late as 6
weeks. It is advised that despair takes place while a depletion of neurotransmitters in the
synapse reason the transmitter receptors to growth. Because the antidepressants make greater
transmitters available, it takes the receptors several weeks to go back their numbers lower back
to everyday and permit normal synaptic interest)
eight. The nurse ought to be aware about not unusual facet outcomes of SSRI antidepressants
such as Prozac. Which side results usually arise in customers who're taking SSRI
antidepressants? - ANS-gastro-intestinal disturbances
(GI disturbances which include nausea and diarrhea, as well as genitourinary aspect
consequences which include sexual disorder, are commonplace with SSRIs. SSRIs do no
longer have vast anticholinergic, cardiovascular, or sedative facet consequences)
9. The purchaser additionally begins an abnormal antipsychotic, risperidone (Risperdal), due to
the fact she reviews listening to a "scary voice" upon admission. Despite the fact that the
customer stays very withdrawn and noncommunicative, the nurse must explain the purpose of
Risperdal. Which explanation is best? - ANS-"This medicine will assist you think more certainly."
Eleven. A thyroid profile is important for numerous reasons. What role do thyroid stages play in
despair? - ANS-hypothyroidism can result in feeling slow and depressed
(thyroid tiers can help discover hypothyroidism, which could cause melancholy)
13. For the reason that purchaser has decreased power, which intervention is great? - ANS-plan
a scheduled relaxation length
(it's miles high-quality to plot rest periods in step with the customer's power degree because a
few clients sense exceptional within the morning and others feel exceptional within the night)
14. As the nurse initially communicates with Bethany, which communique technique is
essential? - ANS-acknowledge the client's braveness in searching for assist, then provide to sit
quietly with the purchaser
(presenting nonjudgemental reputation and companionship will assist develop agree with.
Acknowledging the step the purchaser took in seeking assist may additionally repair the
customer's feel of manage over her state of affairs)
16. Given that Bethany is consuming 50% of her food, which priority nursing intervention must
be included at the remedy plan? - ANS-weigh weekly and record
(the maximum objective assessment related to the consumer's intake is frequent weighing to
record any changes in weight that ought to be monitored extra intently)
19. The nurse knows that there are other hazard factors for high blood strain. Which hazard
factor does Bethany have? - ANS-African American
(african-individuals are much more likely than caucasians to increase high blood strain. Other
hazard factors include a sedentary lifestyle and alcohol intake)
22. Bethany is places on steady commentary for protection precautions, so the nurse have to
assign a staff member to remain together with her always. Which personnel member is
satisfactory to assign to Bethany? - ANS-woman unlicensed assistive personnel
(an unlicensed body of workers member can count on obligation for the purchaser's protection
and keep documentation. A lady body of workers member is much less threatening than a male
group of workers member when the consumer goals as an awful lot privateness as viable)
, 26. While the nurse prepares Bethany for ECT, what must be anticipated? - ANS-preparation is
just like a quick surgical treatment
(coaching for ECT is much like a surgical procedure. As an instance, the patron ought to stay
NPO for 6 to 8 hours prior to treatment apart from receiving cardiac medicines or
antihypertensive agents. Prostheses should be eliminated, and the customer need to void right
now earlier than receiving ECT)
five. What is the principal movement of SSRI antidepressants? - ANS-growth availability of
serotonin
(the principal movements of SSRIs is to selectively inhibit the reuptake of serotonin and growth
the supply of serotonin)
6. The nurse is familiar with that SSRIs at the moment are extra broadly prescribed than
tricyclics for antidepressant remedy. What is the reason? - ANS-tricyclics are more deadly in an
overdose
(SSRIs are extra broadly prescribed than tricyclics because they've fewer aspect
consequences, and tricyclics can be lethal in an overdose due to the fact they are cardiotoxic)
7. While the customer gets fluoxetine (Prozac), the nurse ought to give an explanation for the
reason and while to expect healing effectiveness. When ought to the client begin to experience
less depressed? - ANS-commonly inside 2 to 4 weeks
(in standard, it takes 2 to 4 weeks for antidepressant outcomes to begin. However, it depends at
the person, and some customers may also feel results begin as soon as 1 week or as late as 6
weeks. It is advised that despair takes place while a depletion of neurotransmitters in the
synapse reason the transmitter receptors to growth. Because the antidepressants make greater
transmitters available, it takes the receptors several weeks to go back their numbers lower back
to everyday and permit normal synaptic interest)
eight. The nurse ought to be aware about not unusual facet outcomes of SSRI antidepressants
such as Prozac. Which side results usually arise in customers who're taking SSRI
antidepressants? - ANS-gastro-intestinal disturbances
(GI disturbances which include nausea and diarrhea, as well as genitourinary aspect
consequences which include sexual disorder, are commonplace with SSRIs. SSRIs do no
longer have vast anticholinergic, cardiovascular, or sedative facet consequences)
9. The purchaser additionally begins an abnormal antipsychotic, risperidone (Risperdal), due to
the fact she reviews listening to a "scary voice" upon admission. Despite the fact that the
customer stays very withdrawn and noncommunicative, the nurse must explain the purpose of
Risperdal. Which explanation is best? - ANS-"This medicine will assist you think more certainly."
