A nurse is caring for a client who has a depressive disorder. Which of the following findings should the nurse expect?
Explanation & Rationale
A. Hypersensitivity to criticism: Clients with depressive disorders often exhibit low self-esteem and heightened sensitivity to perceived criticism or rejection. This can manifest as emotional distress, withdrawal, or exaggerated responses to minor feedback, which aligns with typical depressive symptoms. B. Grandiosity: Grandiose thoughts or inflated self-esteem are characteristic of manic or hypomanic episodes, not depressive disorders. Clients experiencing depression typically have diminished self-worth rather than exaggerated confidence. C. Racing thoughts: Racing thoughts are associated with mania or hypomania, indicating a rapid flow of ideas that is not typical in depressive disorders. Depressed clients are more likely to experience slowed thinking and indecisiveness. D. Pressured speech: Pressured speech, characterized by rapid and forceful talking, occurs in manic or hypomanic states. Depressive disorders generally involve slowed speech, limited verbal output, or monotone expression rather than pressured speech.