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