Case Study, Chapter 17, Mood Disorders and Suicide
1. Julia, age 62 years, became severely depressed 6 years ago when her son
experienced a traumatic brain injury sustained in an automobile accident. She
has been nonadherent with pharmacologic antidepressant therapy, which has
led to her admission to an acute care psychiatric setting. During the assessment
interview, she reports becoming increasingly forgetful and now has difficulty
sleeping and concentrating. A physical assessment shows that she has lost 30
pounds during the last year as a result of “not being interested in eating.” Her
home needs repairs, and she feels overwhelmed with completing the
maintenance required. Julia reports “feeling helpless and alone,” adding that she
“is alone and no one cares.” (Learning Objectives: 3, 4, and 6)
a. Determine three nursing outcome statements that would apply to Julia, and
list them in order of priority.
b. Julia was started on sertraline (Zoloft). What client teaching should be done
with Julia regarding the sertraline?
Note: Pease all questions need to be completed with minimus of 300 words or more
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