Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

What type of depression is a patient MOST likely to experience following the onset of disability?

1. Situational depression

2. Psychotic depression

3. Chronic depression

4. Major depressive disorder

The correct answer is: Psychotic depression

The type of depression that a patient is most likely to experience following the onset of disability is major depressive disorder. This condition can arise due to significant life changes and the challenges associated with adapting to new limitations, often manifesting with symptoms like persistent sadness, loss of interest or pleasure in activities, and impairments in daily functioning. With the onset of disability, individuals may face overwhelming feelings of loss, helplessness, and hopelessness, which align more closely with major depressive disorder rather than other forms of depression. Situational depression, while a notable response to stressful life situations, often resolves as the individual adjusts to their new circumstances. Psychotic depression, which includes symptoms of psychosis alongside depressive features, is less common and generally arises in the context of severe and specific clinical conditions. Chronic depression refers to a more persistent, longer-term state, but the immediate and intense reaction following a significant life change is more characteristic of major depressive disorder.