A patient whose spouse has died recently reports feeling down most of each day for the past 2 months. On further questioning,the nurse learns that the patient has quit participating in church and social activities,has difficulty falling asleep,and has lost 5 pounds. The patient reports feeling tired and confused all the time but does not have suicidal thoughts. What does the nurse suspect?

Question

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This patient has symptoms of major depression,which include depressed mood,loss of pleasure in usual activities,insomnia,weight loss,and feelings of fatigue. For a diagnosis of major depression,these symptoms must be present most of the day,nearly every day,for at least 2 weeks. Grief and sadness and situational depression are common responses to the death of a loved one,but this patient's symptoms go beyond this normal response. This patient does not show signs of hypomania.

A Patient Whose Spouse Has Died Recently Reports Feeling Down