The nurse is evaluating if a patient who made a suicide attempt several days ago is recovering. Which observation suggests the patient’s mood is improving? (Choose the correct answer)
Sleeping 4 hours each night
Showing a lack of energy with activities
Discussing ways to find an outpatient therapist with a social worker
Refusing to talk to staff or family
The Correct Answer is C
Choice A reason:
Sleeping 4 hours each night is not an indication that the patient’s mood is improving. In fact, inadequate sleep can be a sign of ongoing depression or anxiety. Recovery from a suicide attempt typically involves improvements in sleep patterns, energy levels, and engagement in daily activities.
Choice B reason:
Showing a lack of energy with activities suggests that the patient is still experiencing depressive symptoms. Recovery from depression and suicidal ideation generally includes an increase in energy and participation in activities.
Choice C reason:
Discussing ways to find an outpatient therapist with a social worker indicates that the patient is taking proactive steps towards recovery. This behavior shows that the patient is engaging in their treatment plan, seeking support, and planning for ongoing care, all of which are positive signs of mood improvement.
Choice D reason:
Refusing to talk to staff or family is a sign that the patient may still be struggling with depressive symptoms and social withdrawal. Effective recovery involves open communication and support from healthcare providers and loved ones.
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Correct Answer is D
Explanation
Choice A reason:
Adolescents can experience social isolation and mental health challenges, but they are not the age group most likely to face chronic health problems that lead to suicidal risk. While adolescent suicide is a serious concern, older adults are more prone to chronic health issues and social isolation.
Choice B reason:
Young adults may also face social isolation and mental health issues, but they generally have fewer chronic health problems compared to older adults. The combination of social isolation and chronic health conditions is more prevalent in the geriatric population.
Choice C reason:
Middle-aged adults can experience significant stressors, such as career pressures and family responsibilities, which may contribute to mental health issues. However, they are not the age group most at risk for social isolation and chronic health problems leading to suicidal risk.
Choice D reason:
Geriatric or older adults are the age group most likely to be at risk for social isolation and have chronic health problems that lead to suicidal risk. Older adults often face multiple chronic health conditions, loss of loved ones, and reduced social networks, all of which can contribute to feelings of isolation and increased suicidal risk. Addressing these issues through social support and healthcare interventions is crucial for this population.
Correct Answer is A
Explanation
Choice A reason:
Duloxetine (Cymbalta) is an SNRI antidepressant commonly used for both chronic pain and depression. It works by increasing the levels of serotonin and norepinephrine in the brain, which helps improve mood and alleviate pain. Duloxetine is often prescribed for conditions such as fibromyalgia, diabetic neuropathy, and chronic musculoskeletal pain, in addition to its use in treating major depressive disorder.
Choice B reason:
Sertraline (Zoloft) is an SSRI antidepressant used primarily to treat depression, anxiety disorders, and other mood disorders. While it is effective for these conditions, it is not specifically indicated for chronic pain management.
Choice C reason:
Fluoxetine (Prozac) is another SSRI antidepressant used to treat depression, anxiety disorders, and certain eating disorders. Like sertraline, it is not typically used for chronic pain management.
Choice D reason:
Citalopram (Celexa) is also an SSRI antidepressant used to treat depression. It is not indicated for chronic pain management and is primarily used to improve mood and alleviate symptoms of depression.