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Asked by saffie212
A 35-year-old woman was diagnosed in the last 3 months with stage IV breast cancer. She is in the hospital recovering after a bilateral mastectomy. The patient states that she feels that she will never be free of breast cancer and is convinced that it has spread to other parts of her body. She has wondered openly to nurses if it would be better to “cut off all the non-essential parts.” Physical exam is unremarkable except for her surgical scars, and she appears to be mentating normally otherwise. The patient has no history of depression but admits to feeling depressed for the last few days. She has no suicidal ideation but has a somewhat decreased appetite. The patient also has poor sleep (which she attributes to the chemotherapy), poor energy, but fairly good support in her mom and husband. However, she has little interest in things which previously made her happy. She reports no feelings of guilt, problems with concentration, or psychomotor retardation. What is the most likely diagnosis? A. Major depressive disorder B. Adjustment disorder with depression C. Adjustment disorder with dementia D. Persistent depressive disorder
SCIENCE
HEALTH SCIENCE
NURSING

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