A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?
"I can't sit still. I feel like I need to be doing things around the house."
"Lately, I feel like I am more alert than usual and can focus better."
"When I went to my provider, they told me I have high blood pressure."
"I can't get my mind to stop racing at night. I'm only sleeping a couple of hours.”
The Correct Answer is D
Rationale:
A. Feeling restless and needing to be active can be more indicative of anxiety or agitation rather than depression.
B. Increased alertness and improved focus are not typical symptoms of depression; rather, depression often involves decreased energy and focus.
C. High blood pressure is not directly related to depressive symptoms.
D. Difficulty sleeping and racing thoughts at night are consistent with depression, particularly when accompanied by poor sleep quality.
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Correct Answer is B
Explanation
Rationale:
A. Adverse effects of treatment might impact overall health but are not direct risk factors for developing mental illness.
B. Immune system dysfunction can contribute to the development of mental health disorders. Research shows that immune system abnormalities and chronic inflammation are linked to mental health conditions.
C. Exposure to environmental allergies does not have a direct link to the development of mental illness, though it can affect overall well-being.
D. Medication adherence affects treatment outcomes but is not a contributing factor to the development of mental health disorders.
Correct Answer is B
Explanation
Rationale:
A. Narcissistic personality disorder involves a grandiose sense of self-importance and a need for admiration, but it is not typically associated with aggressive behavior in public settings.
B. Antisocial personality disorder is characterized by a disregard for the rights of others, impulsivity, and aggressive behavior. Clients with this disorder may engage in unlawful activities and show no remorse for their actions, making this the most likely diagnosis for the client described.
C. Histrionic personality disorder involves attention-seeking behavior and emotionality, but it does not typically manifest in aggressive outbursts.
D. Borderline personality disorder involves instability in relationships, self-image, and emotions, and while it may include impulsivity, it is not primarily associated with aggressive behavior in public settings.