The Patient Is Diagnosed with Major Depressive Disorder and Begins

question 919

Multiple Choice

The patient is diagnosed with major depressive disorder and begins weekly psychotherapy.  Arrangements are made to have extra help in the home.  Despite these interventions, she becomes increasingly depressed and anxious.  The patient's husband is concerned that she is getting worse.  He says, "Although the baby is healthy, she continues to worry about the baby's feeding and growth and berates herself for being a bad mother.  She even has difficulty making everyday decisions such as what diapers and groceries to buy."  The patient has difficulty falling and staying asleep.  Her appetite is poor, and she has lost 15 pounds over the past month.  She says, "Maybe my baby would be better off without me" but has no intention or plan to take her own life or hurt her baby.  No delusions or hallucinations are elicited.  The patient is willing to take medication but wants to continue breastfeeding and does not want to take anything that would harm the baby.  Which of the following is the most appropriate intervention?

• A)Recommend continuing breastfeeding and starting bupropion
• B)Recommend continuing breastfeeding and starting electroconvulsive therapy
• C)Recommend continuing breastfeeding and starting sertraline
• D)Recommend psychiatric hospitalization
• E)Recommend stopping breastfeeding prior to starting an antidepressant

Recognize the specific types of movements associated with parts of the body.

Distinguish between different types of joints based on their structural classification.

Explain the significance of menisci within certain joints.

Identify specific joints capable of performing complex movements like circumduction.

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Definitions:

Bacterial Gene

A unit of genetic information within the DNA of a bacterium that determines a specific characteristic.

Bt Protein

Bt protein refers to a group of bacterially-derived proteins, specifically from Bacillus thuringiensis, which are toxic to certain insects and are used as biological pesticides.

Genetically Modified Plants

Plants that have been genetically altered using biotechnology to possess traits that are not naturally theirs, such as resistance to pests or tolerance to herbicides.

Protein-Coding Genes

Genes that contain the instructions for producing proteins, which are crucial for various cellular functions.