Depression Case Study:Luis Chaves is a 22-year-old who
migrated to Miami at the age of 2 years with hisparents.
The nurse is reviewing admission lab work. The nurse understands that a VDRL is
routinely done on admission for which reason? - ANSWER It is a screening for syphilis.
(VDRL (RPR) is a serum screen test for syphilis, which can be undetected and dormant
and can cause cognitive impairment in later stages.
Thyroid levels in depression: - ANSWER Hypothyroidism can lead to feeling sluggish
and depressed.
When waking Anna sits for periods and does not initiate combing her hair, getting
dressed, or going to breakfast. Which nursing intervention is important? - ANSWER
Help the client with ADL's
Since she has decreased energy, which intervention is best? - ANSWER Plan a
scheduled rest period.
As the nurse communicates with Anna, which communication technique is important? -
ANSWER Reinforce that she will progressively feel better.
Anna slept 30 minutes in the past 24 hours. the daily graphics indicate she has slept an
average of 2 hours in the past week. She is eating 50% of her food. What is priority
nursing problem? - ANSWER Sleep disturbance.
Eating 50% of her food. What action should be taken? - ANSWER Weigh weekly and
document
Which DSM-V axis would the nurse use to interpret for the presence of HTN? -
ANSWER Axis III. this is physiologic problems
The nurse collaborates with dietician about Anna's meal plan. Which recommendation
is best to minimize the risk of HTN? - ANSWER No added salt to diet.
Which risk factor does Anna have for HTN? - ANSWER African-American
One morning the nurse finds Anna sitting at the edge of her bed with a sheet around
her neck. What is the first nursing action? - ANSWER Stay with Anna.
When Anna wants to change clothes and get ready for sleep at night, what should the
migrated to Miami at the age of 2 years with hisparents.
The nurse is reviewing admission lab work. The nurse understands that a VDRL is
routinely done on admission for which reason? - ANSWER It is a screening for syphilis.
(VDRL (RPR) is a serum screen test for syphilis, which can be undetected and dormant
and can cause cognitive impairment in later stages.
Thyroid levels in depression: - ANSWER Hypothyroidism can lead to feeling sluggish
and depressed.
When waking Anna sits for periods and does not initiate combing her hair, getting
dressed, or going to breakfast. Which nursing intervention is important? - ANSWER
Help the client with ADL's
Since she has decreased energy, which intervention is best? - ANSWER Plan a
scheduled rest period.
As the nurse communicates with Anna, which communication technique is important? -
ANSWER Reinforce that she will progressively feel better.
Anna slept 30 minutes in the past 24 hours. the daily graphics indicate she has slept an
average of 2 hours in the past week. She is eating 50% of her food. What is priority
nursing problem? - ANSWER Sleep disturbance.
Eating 50% of her food. What action should be taken? - ANSWER Weigh weekly and
document
Which DSM-V axis would the nurse use to interpret for the presence of HTN? -
ANSWER Axis III. this is physiologic problems
The nurse collaborates with dietician about Anna's meal plan. Which recommendation
is best to minimize the risk of HTN? - ANSWER No added salt to diet.
Which risk factor does Anna have for HTN? - ANSWER African-American
One morning the nurse finds Anna sitting at the edge of her bed with a sheet around
her neck. What is the first nursing action? - ANSWER Stay with Anna.
When Anna wants to change clothes and get ready for sleep at night, what should the
