Depression II

Mental Health "Psychiatric Care"

Treatment Types

3 Phases HESI Question

Dysthymia
Mild symptoms … seasonal affective disorder.
1. Acute Phase What appropriate action...?
Seasonal affective disorder
2. Continuation Phase Use of light therapy
Instruct the patient to be
exposed to a light source
3. Maintenance phase Pre & Postpartum baby blues for 30 to 45 minutes daily

Nursing Care

Priority: Suicide Risk

ATI Question
Assessment:
... major depression and suicidal Saunder’s Question
Calmer or MORE Energetic ideation who is suddenly calmer and Q1: … a depressed client ... suddenly begins
= INCREASED suicide risk more energetic. Which of the following smiling and reporting that the crisis is over.
Sudden, abrupt, rapid change in energy should the nurse consider? The client says to the nurse, “I’m finally

Giving away possessions (cherished / valued)
Statements: “I can’t go on” “I do not want
to live”
“I won’t be a problem much longer” HESI
“This will all be over soon” Kaplan
Questions: Suicide risk assessment
“Have you had any thoughts of
NCLEX TIP
hurting yourself?”
“Do you have a plan to kill yourself?”
“Do you want to die?
The client is suicidal cured.” Intervention?
Increasing the level of suicide
precautions
Q2: Which behavior ... indicates an
HESI Question adolescent client may be suicidal?
A man tells the nurse … he has no Gives away a DVD and a
reason to continue living. What should cherished autographed picture of
the nurse ask him first? their favorite performer
Do you have any plans to end
your life right now?

NCLEX TIPS HESI Question

1. Continuous one-to-one observation
2. Semi-private room (near nurses’ station)
Remove harmful objects from room
Supervise during meals
Reassess: changes in suicidal thoughts
Clear plans of the future involving personal
goals, family, & friends NCLEX TIP
Kaplan Question
... client states, “I don’t want to live anymore.
I’ll find something else to kill myself with.”
Which nursing intervention is important to
perform next?
Provide direct one-to-one observation
to the client at all times
Q1: A client .. admits to a plan for suicide ..
What is the nurse’s priority action?
Provide one-on-one supervision
Q2: One week ago, a patient attempted
suicide…. which comment by the nurse is
most therapeutic?
“I’d like to hear about how you are
feeling now”

ATI Question Kaplan Question

Q1: … newly admitted client who has
Q1: Client diagnosed with depression … Which
severe depression.
approach by the nurse is best?
Sit with the client and offer
Invite the client to join in group activities
Interventions simple, direct information
Q2: … client seems more withdrawn and
Encourage & Invite client to participate Q2: … crying alone in the room. The client has
depressed than usual. refused to eat breakfast or have morning care.
Assist with ADLs Say to the client, “I would like to Which intervention by the nurse is best?
Help the client get ready NCLEX TIP spend some time with you.” Offer to sit with the client and help the
client get dressed
Spend time with client
“Sit with the client”
Communication with simple & direct language
HESI Question
Reevaluation Which comment … shows Saunder’s Question
improvement in depression?
...diagnosis of depression … plan of care that
“I talked with my family includes which intervention?
about ways we can celebrate A structured program of activities in
holidays together.” which the client can participate