BACHELOR OF SCIENCE IN NURSING:

INTENSIVE NURSING PRACTICUM

RLELCP MODULE RLE LCP UNIT WEEK
3 1 1

MAJOR DEPRESSIVE DISORDERS

 Read course and laboratory unit objectives

 Read study guide prior to class attendance
 Read required learning resources; refer to course unit terminologies for jargons
 Participate in weekly discussion board (Canvas)
 Answer and submit course unit tasks

At the end of this unit, the students are expected to:

1. Apply the nursing process in the care of groups of clients across the lifespan with
conditions and/or in situations needing nursing interventions:
a. Assess the client’s total health condition and resources.
b. Formulate nursing diagnoses based on the given scenario.
c. Develop a plan of care for individuals with conditions and/or in situations needing
nursing interventions.
d. Implement a plan of care applying the appropriate principles, guidelines, and steps in
administering psychotherapy to client(s).
e. Evaluate the outcomes(s) of nursing care.
2. Demonstrate competencies of a beginning staff nurse, nurse leader, and researcher.
3. Promote personal and professional growth by showing independence in performing varied
tasks and responsibilities.
To facilitate the practice of students’ nursing skills, the following rules must be implemented:
1. The use of the Nursing Skills laboratory equipment and materials appropriate of the given
case scenario are allowed.
2. Use resources from the required readings.
3. Students must perform the tasks in the worksheet at a given period.

SCENARIO

Shane was a 51-year-old woman who was brought to the

emergency room by her husband. She said, “I feel like
killing myself.” She had lost her interest in life about four
months before. During that time, she reported depression
every day for most of the day. Symptoms had been getting
worse for months. She had lost 14 pounds without dieting
because she did not feel like eating. She had trouble falling asleep almost every
night and woke at 3:00 a.m. several mornings a week (she normally woke at 6:30
a.m.). She had low energy, trouble staying focused and less ability to do her
office job at a dog food-processing plant. She was convinced that she had made a
mistake that would lead to the deaths of thousands of dogs. She expected that
she would soon be arrested and would rather kill herself than go to prison.

Both of her parents, her brother, and her sister suffered from depression. A
maternal aunt suffered from dementia. Her mother also struggled with alcohol
abuse until her death from emphysema in 2004 at the age of 89. At the time of
referral, she was taking fluoxetine, 40 mg, and venlafaxine, 37.5 mg, prescribed
by a pyshiatrist.

Shane showed all nine symptoms of major depression for at least two weeks:
depressed mood, loss of interest or pleasure, weight loss, insomnia, restlessness,
loss of energy, extreme guilt, trouble staying focused and thoughts of suicide.
Her doctor diagnosed her with major depressive disorder.

TASKS: Complete the following activities to provide high quality, individualized care for the patient.
Accomplish the worksheet below (Prehospital Care Record)

1. Quick Assessment . Collect, organize and document information about the patient. Data
will be used to
a. For you to be able to implement the necessary and appropriate interventions.

2. Implementing Care(20 minutes)

a. Nursing interventions (Independent, dependent, collaborative)
b. Drug study

3. Ongoing Care(15 minutes) - document the care that has been provided as follows:
a. Using the CHART (Complaint, History, Assessment, Rx – Drugs, Treatment) format– so
that this is communicated with other healthcare professionals.
b. Discharge instructions (METHOD)
 .
Disposition Procedures & Meds Patient Survey Situation Unit Information

Adapted from PreMIS (https://ncems.org)

Patient Care Report Narratives
Time: C:

Date: H:

A:

R:

T:

_________________ ________ _____________________ _______________

Patient Received By Date Drv/Medic Certification& Number
_________ ________________________ _________________
Date Medic 1 Certification& Number
_________ ________________________ _________________
Date Medic 2 Certification& Number

(Evaluation Tool – refer to the given rubrics)

Date Completed:
Date Submitted:
Psychiatric Nursing books by:

 Videbeck
 Keltner