Passage / Scenario

History and Physical
Nurses' Notes
Vital Signs
2 months ago:
Client states, "My depression has been getting a little worse lately."
Client reports increased fatigue, sadness, and hypersomnia over the last few months. Client reports their manifestations have been well-controlled "for years" on fluoxetine, but "it seems to have stopped working." Client denies any physical complications or suicidal ideation.
Client has history of depression and hyperlipidemia.
Client lives at home with partner and 4-year-old child. Denies alcohol, illicit drug, or tobacco use. Exercises occasionally.