1: In context to the present case study, the nursing diagnosis that would be appropriate for Jessica is Major Depressive Disorder (MDD).
2: According to Kupfer & Philips (2012), the common signs and symptoms that have been observed in the case of patients suffering from Major Depressive Disorder include depressed mood, showing diminished interest for the activities associated with, weight loss, insomnia, fatigue, feeling of worthless, diminished ability to concentrate or think and repeated thoughts of death. All the mentioned symptoms have been isolated in case of Jessica. In recent days, Jessica has also been diagnosed with insomnia, fatigue, weight loss, depressed mood and thoughts of feeling worthless.
3: While interviewing Jessica, the nurses need to use a set of clinical tools that includes proper monitoring and assessment of MDD. The nurse shall need to design a structured clinical plan for diagnosing the Jessica. It is also essential that the nurse shall assess the persistence and the duration of symptoms observed in Jessica. The tools that the nurse may implement for interviewing Jessica may include different kinds of self-reports that will help in measuring the extent of depression. This specifically includes implementation of Beck Depression Inventory-II (BDI-2), and Zung Self-Rating Depression Scale (Qaseem et al., 2016).
4: The three examples of Non-pharmacological interventions are:
According to National Institute of Mental Health, interpersonal therapy is one of the most important therapies used for MDD (Matcham et al., 2013). Interpersonal therapy will help to correct the present social dysfunction.
Cognitive Behavioral Therapy
This is considered as the most promising type of non-pharmacological intervention that can be implemented in case of Jessica. The therapy particularly aims at correcting the negative thoughts and the dysfunctional attitudes (Kupfer & Philips, 2012). This will play a significant role in treating and understanding the present condition from which Jessica is suffering.
Psychoanalytically Oriented Therapy
This particular therapy will also be beneficial for Jessica as it focuses on improving the hypothesized unconscious phenomena such as the thought that includes internal conflict (Matcham et al., 2013). The therapy will also help in analyzing the reasons for the outburst with which the patient remains associated with.
Kupfer, D. J., Frank, E., & Phillips, M. L. (2012). Major Depressive Disorder: new clinical, neurobiological, and treatment perspectives. The Lancet,379(9820), 1045-1055.
Matcham, F., Rayner, L., Steer, S., & Hotopf, M. (2013). The prevalence of depression in rheumatoid arthritis: a systematic review and meta-analysis.Rheumatology, 52(12), 2136-2148.
Qaseem, A., Barry, M. J., & Kansagara, D. (2016). Nonpharmacologic versus pharmacologic treatment of adult patients with major depressive disorder: a clinical practice guideline from the American College of Physicians. Annals of internal medicine.