The nurse has determined that the assessment data have resulted in a strong inference that the client is suffering from depression. Which of the following client responses to nursing questions best supports the possibility of depression?
(Select all that apply.)
1. “My work environment would depress anyone.”
2. “It seems like almost anything can make me cry.”
3. “Being here away from my family makes me sad.”
4. “I just can’t seem to get excited about anything anymore.”
5. “The family always thought that my father was depressed.”
6. “I like winter because I can just cover up on the couch and sleep.”
ANSWER
ANS: 4, 5
“I just can’t seem to get excited about anything anymore” and “The family always thought that my father was depressed.” Remember to always have supporting cues before you make an infer-ence. These options relate a broad lack of interest in life and a family history of depression. While mentioning “My work environment would depress anyone” as a depressing situation, this option does not infer personal depression. While mentioning “It seems like almost anything can make me cry” as a potential sign of depression, this option is not a strong inference because crying can be a result of other emotions. While mentioning “Being here away from my family makes me sad” notes sadness, this option describes a normal reaction to being separated from loved ones. While mentioning “I like winter because I can just cover up on the couch and sleep” shows withdrawal behaviors, this option is not a strong inference because winter often evokes stay-at-home tenden-cies in people.
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