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A psychiatric nurse is reviewing three client cases during s…

Posted byAnonymous February 19, 2025February 19, 2025

Questions

A psychiаtric nurse is reviewing three client cаses during shift repоrt: Client A: A 32-yeаr-оld was admitted after being fоund walking naked in a shopping mall, claiming to be "chosen by God." History reveals periods of severe depression with multiple suicide attempts. Current presentation includes no sleep for 4 days and states "I don't even feel tired", increased energy, pressured speech, and aggressive behavior requiring security presence. BP 158/98, HR 122, RR 24. Client B: A 28-year-old presents with persistent low mood for 8 months following job loss. Reports sleeping 12 hours daily, gained 11 kg in last month, and experiences constant fatigue. No history of elevated mood or increased energy. PHQ-9 score is 24. BP 124/82, HR 72, RR 18. Client C: A 45-year-old presents with severe depression, being bedbound for 6 weeks, with passive suicidal ideation. History includes brief periods of increased productivity and decreased need for sleep (4-5 hours/night) lasting 3-4 days,. During these times, the client reports they completed "so many home building projects and excelled at meeting work deadlines". No hospitalizations for elevated mood. BP 118/72, HR 68, RR 16. PHQ-9 score is 25. Select the correct diagnosis for each client presentation.

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