A client with a major depressive disorder is admitted to the inpatient psychiatric unit. Which intervention should the practical nurse (PN) use to demonstrate support of the client?

Schedule regular periods of time for interaction with the client.

Recommend journaling and time taken in self-reﬂection.

Assist the client to identify symptoms of depression.

Incorporate animated communication techniques.

Answer and Explanation

The Correct Answer is A

One of the most important interventions in caring for clients with major depressive disorder is building a therapeutic relationship. Scheduling regular periods of time for interaction with the client demonstrates support and provides an opportunity for the client to express their feelings and concerns. Journaling and self-reﬂection can be helpful interventions for some clients, but they do not necessarily demonstrate support.

Assisting the client to identify symptoms of depression is important for assessment and care planning, but it is not a way to demonstrate support.

Incorporating animated communication techniques may be appropriate for certain clients, but it is not a universal intervention for supporting clients with major depressive disorder.

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Correct Answer is A

Explanation

The fact that the patient is being treated for depression and is currently taking an antidepressant medication suggests that his loss of interest in sexual intimacy may be related to his medication. Certain antidepressants can cause sexual dysfunction, including decreased libido.

Therefore, obtaining a list of medications currently being taken (A) is the most important information for the PN to obtain. While marital discord (B), frequency of sexual activity (C), and alcohol consumption (D) may be relevant information, they are not as directly related to the patient's current complaint as his medication use.

A. Support the client's upper body and knees with pillows. B. Encourage the client to push with the next contraction. C. Assist the team to prepare for a possible cesarean delivery. D. Gently wrap the cord with a dry sterile dressing.

Correct Answer is C

Explanation

The umbilical cord prolapse is an emergency situation that requires immediate intervention. The PN should not attempt to push the cord back into the vagina or cover it with a dry sterile dressing. Instead, the PN should notify the healthcare provider and the obstetrical team and assist in preparing for an emergency cesarean delivery.

Option A and B may be appropriate in some situations, but they are not the priority in this scenario.

Therefore, options A, B, and D are not answers because they do not address the immediate emergency of umbilical cord prolapse.

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A client with a major depressive disorder is admitted to the inpatient psychiatric unit. Which intervention should the practical nurse (PN) use to demonstrate support of the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is interviewing a middle-aged married male who is being treated for depression and reports an increasing lack of interest in sexual intimacy with his wife. Which information is most important for the PN to obtain?

Correct Answer is A

Explanation

The practical nurse (PN) is assigned to assist in the care of a laboring client at 42-weeks gestation. While providing perineal care, the PN observes the umbilical cord protruding from the vagina. Which action should the PN take?

Correct Answer is C

Explanation

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