SWIFT RIVER SIMULATION: MARY
JANE: MAJOR DEPRESSIVE DISORDER
2026 QUESTIONS AND ANSWERS | A+
GRADED | WITH EXPERT SOLUTIONS
Mary Jane is a 21-year-old female who is beginning the
admissions process to a community-based inpatient psychiatric
facility. Her parents report, "Mary is withdrawn from others and
sleeps most of the day. She is sad and cries all the time. She will
not bathe or brush her hair. I don't think she has had a bath in 10
days. She is not eating, but only takes a few bites of food daily,
and she barely drinks anything. She is always expressing feelings
of hopelessness, helplessness, and an inability to cope. She can't
even perform simple tasks or solve the simplest problems. Mary is
acting like a teenager again."
Which of the following concerns should the nurse address?
(Select all that apply.) - correct answer -Psychosocial: Mood and
Affect
Health Promotion: Self Care
Psychosocial: Stress and coping
Physiological: Nutrition
Physiological: Fluid and Electrolyte
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The nurse is continuing to conduct the admission assessment for
Mary in the admission office. The nurse reviews the subjective
and objective data and determines what screening tools to use for
evaluating the client mental health status.
Which of the following screening tools should the nurse anticipate
using to evaluate the client? (Select all that apply.) - correct
answer -Hamilton depression rating scale
Patient health questionnaire-9 (PHQ-9)
Mary's admission assessment and history are completed. The
nurse and the provider work with Mary to complete the Hamilton
depression rating scale and the Patient health questionnaire-9
(PHQ-9). The client meets with the provider, who diagnosis Mary
with major depressive disorder.
Which of the following spheres of function are altered for this
client? (Select all that apply.) - correct answer -Cognitive
Speech
Behavioral
Affective