NURSING 432- FA Davis Mindy Wright | Interview the Patient | Review Answers and Rationale.

Erika Hightower Mindy Wright Mindy Wright | Interview the Patient | Review Back Continue Answers and Rationale Your responses and feedback are displayed below. For more information regarding feedback, click "Help". When you are finished reviewing, click "Continue" to proceed to next section. 1. You said that you are experiencing some periods of sadness. Rationale Relevancy Your Answer Because the criteria for depression involve identification of symptoms of sadness, dejection, anger, guilt, helplessness, hopelessness, despondency, etc., this broad opening allows the client to start speaking about what “sadness” means to her. Relevant Relevant Client: Yes. It started about 2 months ago and I thought I could work through it myself. 2. Do you get the sensation of heart palpitations when you are feeling sad? Rationale Relevancy Your Answer Physical symptoms such as heart palpitations occur with anxiety, not depression. Irrelevant Irrelevant Client: I do not have heart palpitations. 3. Does it seem like your feelings of sadness occur at certain times of the year? (Do you feel better in the summer, for example?) Rationale Relevancy Your Answer Seasonal affective disorder is identified by seasonal variances in the depressive symptoms. The client’s symptoms have been occurring for only 2 months so it may be hard for her to quantify whether the season makes a difference. Irrelevant Irrelevant Client: Not that I know of. This has only been going on for 2 months. 4. Did something in particular happen that triggered these feelings of sadness? Rationale Relevancy Your Answer Depression can begin after a situational occurrence that is of significance to the client. It is important to understand if an event in the client’s life precipitated her symptoms. Relevant Relevant Client: Yes. These feelings started shortly after my mom died. She had been sick a long time so we knew she was dying, but I just really miss her. I don’t know why God allowed her to be that sick and suffer so much. I thought I was prepared for her death, but I continue to think about her dying and how much she suffered. 5. Have you ever experienced the feeling of a “racing heart?” Rationale Relevancy Your Answer Physical symptoms such as heart palpitations and the sensation of a “racing heart” occur with anxiety, not depression. Irrelevant Irrelevant Client: I’ve never felt like that. 6. Are you experiencing clammy hands or breaking out in a sweat when you begin feeling sad or depressed? Rationale Relevancy Your Answer Physical symptoms such as heart palpitations, the sensation of a “racing heart,” clammy hands, and breaking out in a sweat occur with anxiety, not depression. Irrelevant Irrelevant Client: I do not have clammy hands, nor do I break out in a sweat when I feel sad. 7. How long after your mother passed away did you start feeling depressed? Rationale Relevancy Your Answer Establishing a timeline for the onset of symptoms is important, as the psychiatrist will use this information to determine whether the client has acute or chronic depression. Relevant Relevant Client: Probably about a week—after the funeral, and after all of my out-of-town relatives went home. I felt like my life was empty. I would start to call or go see my mom and then would remember that she was gone. 8. How would you describe the sadness that you feel?