RN Hesi Case Study - Major

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RN Hesi Case Study - Major Depressive Disorder Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Which symptom is most common in major depressive disorder?

• Elevated mood

✔✔B. Persistent sadness

• Grandiosity
• Increased energy

What is a priority nursing intervention for a patient with suicidal ideation?

• Allowing the patient to isolate

✔✔B. Maintaining close observation

• Encouraging risk-taking behavior
• Withholding support

Which neurotransmitter imbalance is most associated with major depressive disorder?

• Acetylcholine excess 1 / 3

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✔✔B. Low serotonin and norepinephrine

• High dopamine
• Increased GABA

Which statement by the patient indicates hopelessness?

• "I think I’ll join a support group."

✔✔B. "Nothing will ever get better for me."

• "I want to try a new hobby."
• "I feel optimistic today."

Which activity should the nurse encourage for a depressed patient?

• Long naps during the day
• Watching sad movies

✔✔C. Short, simple activities the patient can complete successfully

• Avoiding all activity

Which cognitive symptom is common in major depressive disorder?

• Racing thoughts 2 / 3

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✔✔B. Difficulty concentrating

• Flight of ideas
• Overconfidence

Which sleep disturbance is most often seen in major depressive disorder?

• Sleepwalking

✔✔B. Early morning awakening

• Night terrors
• Increased total sleep

Which appetite change is typical in major depressive disorder?✔✔A. Loss of appetite

• Increased cravings for junk food only
• Excessive thirst
• No change

Which patient statement reflects anhedonia?

• "I feel like eating too much."
• / 3