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.
- make one psychotherapeutic activity and management applicable for this scenario and for major depression.
- One drug study emphasize your nursing responsibility and Drug's mechanism of action
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- 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…arrow_forwardADHD seems to generate more opinions in the popular press than other disorders. People call it over diagnosed, made-up, underdiagnosed, a product of the pharmaceutical industry, etc. Why do you think ADHD receives more discussion than other disorders? What are effective and long-lasting treatments for ADHD excluding stimulants (like amphetamines, SNRIs, NRIs, or NDRIs)?arrow_forwardHello! I been feeling unusual symptoms such as fatigue, a bit depress, and have gaining some weight recently (even though I’ve been exercising). I been doing a bit of some research to pinpoint what’s wrong with me, and I believe I am suffering from medical condition called hypothyroidism. What are some of the signs that I may suffer from hypothyroidism? Should I go see a doctor? How could I be of any help to my friends to identify weather they could also be suffering from hypothyroidism, and what advice should I give them?arrow_forward
- A concussion is a common sports-related injury involving the brain. Concussions occur when the brain is injured by a jolt or a hit. A number of symptoms can occur based on the affected areas of the brain. Some Areas of the Human Brain 1. Cerebellum 2. Frontal lobe 3. Parietal lobe 4. Occipital lobe 5. Temporal lobe 6. Hypothalamus Match the description of the symptom with the number of the affected brain area listed above. Number: Loss of sense Difficulty Difficulty Sensitivity Symptom: of understanding what is speaking to light smell or taste heardarrow_forwardIs it true that not having enough sleep for 5 days a week and then sleep recovery for the next 2 days can be worse then not having enough sleep for 7 days a week?arrow_forwardWhat are the small, finger-like extensions that project into the dural venous sinuses and return cerebrospinal fluid to the blood called? Group of answer choices Basal nucleus Lateral ventricle Choroid plexus Mammillary body Arachnoid villiarrow_forward
- 9) Mr. Bun-Bun has suffered a cerebrovascular accident (CVA) ' or stroke. It has been determined that the damage is to the left side of the cerebrum. What part of the body will most likely be affected?a. The lower extremities.b. Both right and left sides of the body.c. The right side of the body.d. Swallowing will be impaired on the left side. 10)The lobe of the cerebral cortex that is responsible for problem-solving is the a. occipital lobe.b. temporal lobe.c. frontal lobe. d. parietal lobe.arrow_forwardA nurse caring for patients in a hospital setting uses anticipatory guidance to prepare them for painful procedures. Which instruc-tion would the nurse provide in this type of stress management? a. The nurse teaches patients rhythmic breathing to performprior to the procedure. b. The nurse tells patients to focus on a pleasant place, men-tally place themselves in it, and breathe slowly in and out. c. The nurse teaches patients about the pain involved in theprocedure and methods to cope with it.d. The nurse teaches patients to create and focus on a mentalimage during the procedure to become less responsive tothe pain.arrow_forward12. What is the type of this question? "Where is your pain?" Open-ended Closed-ended b. c. Neutral d. Leading 13. What is the type of this question? "Describe your pain?" a. Open-ended b. Closed-ended c. Neutral d. Leading 14. A client had a stroke and is unable to speak. The barrier to communication that she faces is___: a. Structural defect b. Language defect c. Sensory impairment d. Cognitive Impairmentarrow_forward
- Joyce was sitting in her English Literature class having a tough time concentrating. She had just been home for a long weekend to visit her parents and had noticed some peculiar things going on with her mom. When she and her mom were out shopping, her mom had been walking a bit funny. Her foot kept slapping against the ground. Joyce also had noticed that her mom was talking with a slight slur, something she had never heard before. At first, Joyce found it amusing. But this continued throughout the day and during her entire visit home. Joyce also noticed some twitching in her mother’s forearms.Joyce started to wonder what was going on. She went to her computer and started reviewing any studies and artciles on the brain. She read about how the brain is made up of billions of neurons, which are the basic cellular units of the brain. These neurons help people to think, respond to the environment around them, maintain homeostasis, and move. “Aha!” Joyce said to herself. Maybe her mom’s…arrow_forwardChase’s mother reports that moving in with her parents has increased the level of stress in the house, and she thinks that may have something to do with Chase’s exacerbation. What are some of the factors that may increase stress, thereby contributing to a lack of controlling Chase’s condition, and how might Chase’s mother address these conditions?arrow_forwardWhy is sleeping sickness so harmful?arrow_forward
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