Nursing Diagnosis: Disturbed Thought Process related to biochemical/ neurophysical imbalance secondary to depression as evidenced by impaired insight and judgment, poor decision-making skills, difficulty handling complex tasks, confusion and disorientation, inability to do activities of daily living (ADLs) as normal
After assessment and documentation of the information obtained from the client, the nurse needs to analyze the data collected. Which nursing actions depend on accurate analysis of data during this phase of the nursing process? Select all that apply.
A nurse is collecting data on a client's chief complaint, which is a spell of numbness and tingling on her left side. Which of the following questions would be best for eliciting information related to associated factors? A. "How bad was the tingling and numbness?" B. "What other symptoms occurred during the spell?" C.
The data may also point to trends of unhealthy behaviors such as being smoking or lack of physical activity. The information gained from these questions assists the nurse to identify risk factors that stem from previous health problems. Risk factors may be to the client or to his significant others.
Patient Health Questionnaire (PHQ-9) The Patient Health Questionnaire (PHQ) is a self-report measure designed to screen depressive symptoms. It takes one to five minutes to complete and roughly the same amount of time for a clinician to review the responses. The PHQ-9 is available in multiple languages.
So here are five therapeutic communication techniques nurses should utilize to deliver effective nursing care in working with individuals having depression:Trash “I think…” and “You should…” ... Acknowledge their pain. ... Remain neutral. ... Silence is therapeutic. ... Let client decide on the topic of conversation.
Cognitive Behavior Therapy and Interpersonal Therapy are evidence-based psychotherapies that have been found to be effective in the treatment of depression.
The most common depression screening tool is the Patient Health Questionnaire-9 (PHQ-9). It indicates whether an individual has symptoms of depression that may require professional intervention. Through a series of nine questions, symptoms are assessed.
The main functions for practice nurses treating patients with depressive disorders include: assessment of depression; monitoring clinical progress; enhancing treatment compliance; promoting social change and education of the patient and carers.
be patient and understanding.offer encouragement and acknowledge gains, no matter how small.ask if there is anything you can do to help, instead of asking what's wrong.acknowledge that the mental health condition isn't their fault.speak clearly and at a pace that they understand.More items...
Nurse administrators can support nurses suffering from anxiety and depression by mentoring and guiding them through difficult situations. Administrators that maintain a healthy, open attitude regarding mental health can also help nurses feel safe coming forward with their mental health challenges.
A nursing diagnosis has typically three components: (1) the problem and its definition, (2) the etiology, and (3) the defining characteristics or risk factors (for risk diagnosis). BUILDING BLOCKS OF A DIAGNOSTIC STATEMENT. Components of an NDx may include problem, etiology, risk factors, and defining characteristics.
Research suggests that depression doesn't spring from simply having too much or too little of certain brain chemicals. Rather, there are many possible causes of depression, including faulty mood regulation by the brain, genetic vulnerability, and stressful life events.
Patient Health Questionnaire (PHQ) Screeners. Recognizing signs of mental health disorders is not always easy. The Patient Health Questionnaire (PHQ) is a diagnostic tool for mental health disorders used by health care professionals that is quick and easy for patients to complete.
The Patient Health Questionnaire (PHQ) is a new instrument for making criteria-based diagnoses of depressive and other mental disorders commonly encountered in primary care.
Some of the most common therapy questions are included below....What makes the problem better?How often do you experience the problem?How have you been coping with the problem(s) that brought you into therapy? ... What do you think caused the situation to worsen?How does the problem affect how you feel about yourself?More items...•
Before the physical examination, the nurse should first. A. take a complete health history. B. collect all home medications brought to the hospital.
A clinical instructor is teaching a nursing student group about organizing data when documenting and communicating assessment findings. The clinical instructor knows that the method being taught promotes critical thinking and clustering of similar data.
When answering questions about health during a presentation at a women's club luncheon, the nurse emphasizes that prevention of disease is multifaceted but is connected directly to. A. a healthy lifestyle.
C. Nurses do not need to think critically; they just need to follow the doctor's orders. D. Critical thinking helps nurses decide which parts of the nursing process are not needed in regard to a particular client. C. Complete health history. A nurse performs a comprehensive assessment on a client.