Description "Sad and Lonely" Bianca is a 32-year-old sales consultant for a local department store for the past 4 years. She is divorced with two young daughters, 6 and 9 years of age. She is being seen at the clinic for evaluation. The nurse notes a sad affect with no eye contact, no make-up and hair is messy and uncombed. Bianca is teary-eyed and states, "My husband not only left me alone in this world, but left me with all of the bills too. I just can't do this anymore!" 1. "What is the nurse's best response at this point?" 2. What symptoms would support the health care provider's diagnosis of depression? 3. What leading questions might encourage Bianca to continue talking? 4. The provider prescribes the antidepressant drug Escitalopram (Lexapro). What side effects may occur with this drug?
5. What client teaching should be done concerning this drug? 6. How will the nurse evaluate the effectiveness of the drug at the next clinic visit?
RUBRIC FOR ESSAY-STYLE QUESTIONS (20 Possible Points) Question Responses Focus UNACCEPTABLE ACCEPTABLE EXCELLENT 4 points 5 points Mechanics 2 point Unclear Illogical Organization sequence of ideas No book name, no chapter or page is provided. No Clear Focus Many errors in spelling, grammar/and or usage. Does not answer question completely. Reference provided but not complete. Adequate with some improvement needed Question answered completely with book Adequate with some improvements flows needed Few Errors name, chapter and page referenced. Well organized smoothly. Clearly focused throughout No errors, no editing required
Description "Sad and Lonely" Bianca is a 32-year-old sales consultant for a local department store for the past 4 years.
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Description "Sad and Lonely" Bianca is a 32-year-old sales consultant for a local department store for the past 4 years.
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