A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day, refuses to take a bath, and refuses to eat. Which nursing intervention should the nurse implement first?
Assess the client's ability to communicate with the other staff members.
Arrange a meeting with the family to discuss the client's situation.
Administer the client's antidepressant medication as prescribed.
Establish a structured routine for the client to follow.
The Correct Answer is D
Choice A reason: Assessing communication ability is important but secondary to establishing a structured routine to address the client's immediate needs.
Choice B reason: Arranging a meeting with the family can provide support but is not the first priority in managing the client's depressive symptoms.
Choice C reason: Administering antidepressant medication is essential but must be part of an overall structured plan.
Choice D reason: Establishing a structured routine helps provide stability, encourages participation in daily activities, and addresses the client's refusal to eat and bathe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.75"]
Explanation
Calculation Steps:
Step 1: Determine the concentration of the reconstituted solution: 0.25 mg/mL. Result = 0.25 mg/mL.
Step 2: Calculate the volume needed for the prescribed dose: 0.1875 mg ÷ 0.25 mg/mL = 0.75 mL.
Result = 0.75 mL.
Correct Answer is D
Explanation
Choice A reason: A listing of African-American women in the community may help identify the target audience but is not as crucial as engaging the community leaders.
Choice B reason: Morbidity data for breast cancer in women of all races provides background information but does not directly address the specific needs of African-American women.
Choice C reason: Technical assistance to produce a video is useful but secondary to involving the community in the planning process.
Choice D reason: Participation of community leaders is vital as they can provide insights into cultural and social factors that influence health behaviors, ensuring the program is culturally relevant and effective.
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