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Question
Andrea has come to the emergency department (ED) with complaints of not being able to sleep or eat for the past five days. She does not have anyone accompanying her because "I'm so embarrassed that this is happening." In the past, Andrea has had bouts of feeling sad, but she states that she has always been able to sleep and eat. Andrea is taken to a room where Susan, RN, completes the admission. Susan notes that Andrea is slow in answering questions and appears unsure of her responses. Susan also notes that Andrea appears unkempt, has body odor, has no facial expression, is gaunt looking, and has dark circles under eyes. Vital signs were as follows: temperature 98°F, pulse 88, respirations 18, blood pressure 90/60 mm Hg, O2 saturation 97% room air. Andrea states that all she has done the last five days is sit on the couch and look out the window. What assessment data indicated the client may be displaying depression? What assessment information is relevant to the client's condition?
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