Question

For this week, Identify three patients on the unit you are assigned on. One should have a primary diagnosis of major depressive disorder (MDD), the second should have a diagnosis of mania and the third should have a diagnosis of bipolar depression. Identify the differences in the symptoms presented by these patients.

1. List the symptoms these patients exhibited. What are the differences?

2. What are the differences and similarities in the medications prescribed for these individuals?

3. What nursing interventions will you give to these patients? is there a difference between the interventions you will give? Why?

4. Identify one nursing diagnosis you will formulate based on one of the symptoms for each of the diagnosis

Answer 1

	Major depressive disorder	Mania	Bipolar depression
Symptoms	hopelessness Restlessness Agitation Insomnia Fatigue Weight loss or weight gain Frustration Lack of appetite Suicidal thoughts	high energy Overexcited Overconfident Increased self-esteem Excessive speech Sleep disturbances	Mood swings Unwanted thoughts fatigue Lack of concentration Hopelessness Restlessness Sleep disturbances weight loss or weight gain
Medications	Selective serotonin uptake inhibitor Serotonin reuptake inhibitor Antidepressants Monoamine oxidase inhibitors	Antipsychotic Mood stabilizers Examples: Lithium, Haloperidol, Loxapine, Risperidone.	Anticonvulsant Antipsychotic Selective serotonin reuptake inhibitor.
Nursing Intervention	Assess the patient's high-risk behavior Assess the suicidal thoughts and implement suicide precautions Encourage to express their emotions and feelings. Remove the harmful substances from the patient's surroundings to prevent major harm	Assess the increased level of self-esteem. Remove harmful substances from the patient's environment. Maintain simple and direct communication. to prevent unnecessary thoughts assist in personal care activities. Give them a high caloric diet to meet the demands of energetic needs.	assess the behavior of the patient. Encourage to express their thoughts. Provide calm and comfortable environment to create enthusiasm. Encourage in physical and recreational activities to improve their energy levels. Assist in the activities of daily living.
Nursing Diagnosis	Risk for self-directed violence related to depression as evidenced by repeated suicidal thoughts.	Disturbed energy field related to hyperactivity as evidenced by excessive speech, racing thoughts.	Self-care deficit related to depression as evidenced by lack of grooming, dressing.