Registered Practical Nurse (RPN) Practice Test

For a client experiencing a major depressive episode, the nurse should observe for which emotional symptom?

1. Apathy

2. Overeating

3. Increased self-esteem

4. Hallucinations

The correct answer is: Apathy

In the context of a major depressive episode, apathy is a key emotional symptom to observe. Individuals experiencing major depression often exhibit a marked decrease in interest or pleasure in nearly all activities, which contributes to feelings of emotional numbness or disconnection from their usual interests and responsibilities. This lack of engagement can manifest as apathy, reflecting the profound impact of depression on mood and motivation. The other options, while they may be relevant in different contexts, do not align as closely with the hallmark symptoms of a major depressive episode. Overeating can occur but is more characteristic of a specific behavioral response rather than a core emotional symptom. Increased self-esteem is usually contradictory to what is observed in depression, as the condition often leads to feelings of worthlessness and inadequacy. Hallucinations may occur in severe cases or specific types of depression, such as psychotic depression, but they are not universally present in all individuals experiencing a major depressive episode. Apathy stands out as a significant and identifiable emotional symptom that healthcare professionals should monitor closely.