5/11/24, 12:57 AM Lecture Depression.
Lecture Depression. Total points 5/5
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Last Name *
Agas
First Name *
Maxine Agas
School *
FEU
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5/11/24, 12:57 AM Lecture Depression.
** Please read the text and then answer the questions below **
Depression: Nursing Process Notes
Assessment:
Subjective Data:
Elicit the patient's description of mood, including any feelings of sadness,
hopelessness, or emptiness.
Ask about changes in interest or pleasure in activities, energy levels, and
sleeping patterns.
Assess for thoughts of self-harm or suicide.
Inquire about recent stressors or changes in life circumstances.
Explore the patient’s coping mechanisms and social support system.
Objective Data:
Observe for physical signs of depression such as poor grooming, slowed
movement, or a flat affect.
Note changes in weight or appetite.
Monitor sleep patterns and any reports of insomnia or hypersomnia.
Evaluate the presence and severity of depressive symptoms using
standardized screening tools like the PHQ-9.
Diagnosis:
NANDA-I Nursing Diagnoses:
Major Depression related to [specific situational factors] as evidenced by
reported sadness, apathy, and sleep disturbances.
Risk for suicide related to feelings of hopelessness and expressions of
suicidal ideation.
Social isolation related to withdrawal and decreased interest in engagement
with others.
Planning:
Goals and Outcomes:
Patient will report an improved mood and interest in activities within a
specified time frame.
Patient will develop effective coping strategies to manage symptoms of
depression.
Patient will verbalize understanding of their condition and treatment plan.
Patient will exhibit no signs of self-harm.
Setting Priorities:
Ensure safety if there is any risk of self-harm or suicide.
Focus on establishing a therapeutic alliance and engaging the patient in
treatment.
Collaborate with the patient to set realistic and achievable goals.
Intervention:
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5/11/24, 12:57 AM Lecture Depression.
Nursing Interventions:
Establish a therapeutic relationship, offering support and empathy.
Monitor for changes in mood, and alertness to suicidal thoughts or behaviors.
Encourage routine, including regular sleep patterns and physical activity.
Facilitate adherence to the pharmacological regimen.
Provide psychoeducation about depression and its management.
Assist in identifying and developing support systems and resources for
coping.
Evaluation:
Effectiveness of Nursing Care:
Regularly assess the patient's mood and response to treatment interventions.
Evaluate the patient's ability to manage and cope with depressive symptoms.
Monitor for side effects of medications and any need for adjustments in
therapy.
Revise the care plan as necessary based on the patient's progress and
changing needs.
Signs and Symptoms and Nursing Diagnosis
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5/11/24, 12:57 AM Lecture Depression.
A 54-year-old male patient with a history of depression states, "Life isn't *1/1
worth living anymore." Which of the following responses by the nurse is
most appropriate?
"You seem to be having a tough time. Can you tell me more about what you're
feeling?"
"I'm sure it's not as bad as you think."
"Why do you feel that life isn't worth living?"
"I think you should stay positive. Everyone goes through hard times."
Feedback
I love your work - that's the correct answer
Which intervention should a nurse prioritize when planning care for a *1/1
patient with depression who has expressed suicidal thoughts?
Encouraging the patient to participate in group activities
Assigning the patient to a room far from the nursing station for privacy
Encouraging the patient to take naps throughout the day to improve energy
Placing the patient on one-to-one observation
Feedback
Well done, that's correct
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5/11/24, 12:57 AM Lecture Depression.
The nurse is using therapeutic communication techniques with a patient *1/1
diagnosed with depression. Which of the following statements by the
nurse is an example of offering self?
"You should focus on the good things in your life."
"I will stay with you for a while."
"How do you feel about what happened?"
"Why do you think you have been feeling this way?"
Feedback
That's the right answer, great stuff.
During the initial assessment, a patient with severe depression is unable *1/1
to articulate thoughts and feelings. What is the most appropriate nursing
diagnosis for this patient?
Impaired Verbal Communication
Social Isolation
Risk for Self-Directed Violence
Chronic Low Self-Esteem
Feedback
Well done, that's correct
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5/11/24, 12:57 AM Lecture Depression.
A patient with depression tells the nurse, "No one cares about me *1/1
anymore. I might as well be dead." Which response by the nurse directly
addresses the patient's statement?
"Everyone feels this way sometimes; it will get better."
"You are important to your family and friends."
"Feeling uncared for can be very lonely."
"Are you having thoughts of harming yourself?"
Feedback
Nailed it - that's correct
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5/11/24, 12:57 AM Lecture Depression.
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