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Ineffective coping
Decisional conflict
Disturbed thought process
Risk for self-directed violence
Actions designed to please the nurse
Limited expressions of feelings and emotions
Odd ideas and mannerisms
Reluctance to join group activities
Difficulty making decisions.lack of self-confidence
Grandiose thinking.attention-seeking behaviors
Odd mannerisms.speech.and behaviors
Unstable moods and impulsive behaviors
Apathy.poor insight.and poverty of ideas
Anxiety.somatic complaints.and insomnia
Elation.hyperactivity.and impaired judgment
Social isolation.delusional thinking.and clang associations
Allow the peer group to intervene.
Describe acceptable behavior and set realistic limits with the client.
Recommend that the client is hospitalized for treatment.
Tell the client that his behavior is inappropriate.
Dopamine and thyroxin
GABA and acetylcholine
Cortisone and epinephrine
Serotonin and norepinephrine
Brain structure abnormalities
Chemical imbalance
Social environment
Recessive gene transmission
At least a 2-year history of feeling depressed more days than not
Divorced from spouse six (6) months ago
Feeling loss of energy and appetite
Reference to suicide as best solution to identified problems
Allow the client time alone for reflection.
Encourage the client to use problem solving.
Follow agency protocol for suicide precautions.
Stimulate the client’s interest in activities.
Cyclothymia
Dysthymia
Melancholic depressive disorder
Seasonal affective disorder
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