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 D
Explanation
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.
Correct Answer is B
Explanation
Choice A reason: Encouraging rest may not relieve the pain; sitting up and leaning forward is a common position for relief in pancreatitis.
Choice B reason: Positioning the bedside table allows the client to lean forward comfortably and may help alleviate the pain.
Choice C reason: Raising the head of the bed to a 90-degree angle may not provide the same relief as leaning forward.
Choice D reason: Reverse Trendelenburg position is not specifically indicated for pancreatitis pain relief.
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