A client at the mental health center reports difficulty concentrating at work, feeling very tired during the day, and sleeping 4 to 5 hours at night. To further assess for depression, which question is most important for the practical nurse (PN) to ask?
Have you experienced recent stresses?
Have you experienced sleep changes?
What foods have you been eating lately?
Do you often feel sad?
The Correct Answer is D
Feeling sad or having a depressed mood is a common symptom of depression. Asking the client if they often feel sad can help the practical nurse (PN) assess for depression.
While recent stresses (A), sleep changes (B), and dietary habits (C) may also be relevant to the client's situation, asking if the client often feels sad is the most important question for the PN to ask in order to further assess for depression.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Fetal heart rate (FHR) is one of the essential indicators of fetal well-being during labor. A fall in FHR following each contraction is known as recurrent deceleration and can be an indication of fetal distress. In this case, the PN should first reposition the client laterally, as this may help to alleviate compression of the umbilical cord and improve fetal oxygenation.
A. Administering oxygen at 10 L/face mask may be necessary, but it is not the first intervention to be implemented in this scenario.
B. Discontinuing oxytocin infusion may be necessary, but it is not the first intervention to be implemented in this scenario.
C. Observing perineum for cord prolapse is not necessary in this scenario.
Correct Answer is B
Explanation
The most important information for the PN to obtain at a health fair for high school students is their immunization history. This information is crucial for ensuring that the students are up-to-date on their vaccinations and protected against preventable diseases.
Option A, obtaining weight and height, is important for assessing overall health and growth but is not the most important information to obtain in this situation.
Option C, checking visual acuity, is also important but not the most crucial information to obtain.
Option D, asking about sexual activity, can provide useful information about the student's sexual health but is not the most important information to obtain in this situation.
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