NU371 HESI Case Study: Major Depressive Disorder Verified
Guide
Client Presentation
A client visits the community mental health clinic. The individual is divorced, has no children, and has a
job that involves significant travel. This week, the client was in the office when a 6-story buildin...
NU371 HESI Case Study: Major Depressive Disorder Verified
Guide
Client Presentation
A client visits the community mental health clinic. The individual is divorced, has no children, and has a
job that involves significant travel. This week, the client was in the office when a 6-story building
collapsed, resulting in over 100 fatalities. The client has a medical history that includes hypothyroidism
and depression. They report feeling increasingly depressed over an extended period, experiencing easy
irritability, anxiety, and a lack of enjoyment in previously pleasurable activities.
Assessment
The triage nurse conducts a thorough assessment of the client’s reported issues and relays the findings
to the Advanced Practice Registered Nurse in Psychiatric-Mental Health (APRN-PMH). The two nurses
collaborate to create a care plan aimed at assessing and addressing the client’s anxiety.
During the initial assessment, which areas should the nurse emphasize that are most indicative of
anxiety? (Select all that apply. One, some, or all responses may be correct.)
- a) Symptoms like restlessness, difficulty concentrating, and irritability.
- b) Social behaviors such as withdrawal, avoiding family, and alcohol use.
- c) Heightened symptoms of depression with a consistent low mood.
- d) Behavioral changes including hallucinations.
- e) Thoughts of self-harm or suicidal ideation.
Correct answers:
- a) Symptoms like restlessness, difficulty concentrating, and irritability.
- c) Heightened symptoms of depression with a consistent low mood.
- e) Thoughts of self-harm or suicidal ideation.
Therapeutic Relationship
The orientation phase of building a therapeutic relationship is crucial for fostering rapport. What is the
best approach for the nurse to obtain subjective information from the client?
- a) Ask the client to name the cause of their anxiety.
, - b) Suggest to the client that anxiety is leading to their depression.
- c) Encourage the client to describe how anxiety impacts their regular activities.
- d) Request the client to provide an example of their feelings when anxious.
Correct answer:
- d) Request the client to provide an example of their feelings when anxious.
This question aims to clarify vague statements from a client experiencing anxiety.
Group Session Interaction
During a group session, the client shares their experience of significant workplace stress, noting they
have filed multiple harassment complaints against their boss. The client expresses feeling the need to
maintain a higher standard of performance compared to coworkers because of stricter evaluation
criteria from their boss.
Anxiety Level Recognition
The nurse identifies the level of anxiety the client is experiencing as:
- a) Mild
- b) Moderate
- c) Severe
- d) Panic
Correct answer:
- c) Severe
A person with severe anxiety generally focuses narrowly on a specific concern, such as their relationship
with their employer and coworkers.
Treatment Planning
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