A client is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless which of t responses should the nurse make?

“It is unusual for people who have depression to feel this way."

"You've been feeling that your life has no meaning."

"You have a great deal to live for."

"Why do you feel you are worthless?"

Answer and Explanation

The Correct Answer is B

A.   This response is dismissive and invalidating. It may come across as minimizing the client's feelings or suggesting that their experience is abnormal, which can increase feelings of isolation or inadequacy. It’s important to acknowledge the client’s feelings rather than suggesting that their experiences are atypical.
B.   This response reflects back the client's feelings in a validating manner. It shows empathy and understanding by acknowledging the depth of their emotional experience. Reflective listening helps the client feel heard and can facilitate further discussion about their feelings and needs.

C.   While this statement may be intended to provide hope, it can come across as dismissive of the client's current emotional state. Telling a person they have a lot to live for without addressing their immediate feelings may not resonate with their current perspective and might not be helpful at that moment.
D.   This question might come across as interrogative and could potentially make the client feel defensive or pressured. It’s important to approach such sensitive topics with empathy rather than probing questions, which could make the client feel worse or less understood.

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Correct Answer is B

Explanation

A. A history of a brain tumor does not automatically exclude a person from ECT, but it requires careful consideration and evaluation. It would be essential to conduct a thorough assessment, including imaging studies and consultations with specialists, to ensure that ECT would be safe and appropriate in this context.
B. This option is a strong candidate for ECT. ECT is particularly effective for individuals with severe, treatment-resistant depression, especially when other interventions such as medication and psychotherapy have not been successful. ECT is often considered when depression is severe, persistent, and significantly impairs functioning or poses a risk to life.
C. ECT is generally not indicated for mild depression. The treatment is typically reserved for more severe cases where other forms of treatment have failed or when rapid response is necessary. Mild depression can often be managed effectively with psychotherapy, medication, or a combination of both, without the need for ECT.
D. While ECT can be considered for individuals with severe depression and underlying medical conditions, congestive heart failure (CHF) adds a layer of complexity. However, ECT can still be considered if the potential benefits outweigh the risks, and if the patient is carefully monitored and managed by a multidisciplinary team.

A. If the client tends to pace a lot, be sure to encourage her to sit during interactions. B. If she doesn't understand the communication, change key words. C. Use simple, familiar words, along with short and simple sentences. D. Use hand gestures when speaking to try to explain what is being said.

Correct Answer is C

Explanation

A. While it might be helpful to reduce distractions, forcing someone to sit down can be counterproductive and stressful. It's important to respect the client's needs and preferences.
B. Changing key words might confuse the client further, as they may lose the context of the conversation. It's better to rephrase the sentence using simpler language.
C. This is the most effective communication technique for individuals with Alzheimer's disease. As the disease progresses, language skills deteriorate, and simple communication is easier to understand.
D. While hand gestures can be helpful in some cases, they should be used in conjunction with verbal communication, not as a replacement. Overreliance on gestures can be confusing for the client.

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A client is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless which of t responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client would be a candidate for Electroconvulsive Therapy (ECT)?

Correct Answer is B

Explanation

Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer's disease has been diagnosed recently?

Correct Answer is C

Explanation

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