A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?

Shift attention from self to the needs and requests of others

Relax and reduce the amount of effort to solve the problem.

Focus on small achievable tasks, not taxing problems.

Concentrate on and ventilate emotions when distressed.

Answer and Explanation

The Correct Answer is C

A.   Shifting attention from self to others might strain the individual further as they might not have the emotional energy for it.
B.   Relaxation without addressing underlying issues won't help in managing depression and might exacerbate the situation.
C.   Focusing on small achievable tasks helps in breaking down overwhelming problems into manageable parts, aiding in a sense of accomplishment.
D.   Ventilating emotions might be beneficial, but solely relying on this strategy might not address the core issue of handling responsibilities.

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Correct Answer is B

Explanation

A. Hallucinations and delusions might be associated with other substances or conditions but are not specific to cocaine use.
B. Cocaine use commonly leads to stimulation, increased energy, and dilated pupils.
C. Lethargy and depression are not typical effects of recent cocaine use.
D. Cocaine typically causes increased heart rate (tachycardia) and increased respiratory rate (tachypnea) rather than bradycardia and bradypnea.

A. Provide a quiet room away from the recreational area. B. Acquaint the client with the rules of the unit. C. Ensure that the client eats a well-balanced diet. D. Introduce the client to other clients with a similar diagnosis.

Correct Answer is A

Explanation

A. Providing a quiet room is important. This is because individuals with PTSD are often hypersensitive to noise and other stimuli, which can trigger flashbacks or other
symptoms. A quiet environment can help to reduce anxiety and promote relaxation.
B. Acquainting the client with the unit rules is important, but connecting the client with peers who understand their experiences can be more therapeutic initially.
C. Ensuring a well-balanced diet is essential but might not be the priority in the immediate plan of care for someone newly admitted with PTSD.
D. Introducing the client to others with similar diagnoses helps foster a sense of belonging.
However, this is a long-term rather than an immediate intervention.

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A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client who reports using cocaine several times in the past week.Which observations should the nurse expect on assessment?

Correct Answer is B

Explanation

A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?

Correct Answer is A

Explanation

A client is admitted to the hospital with suicidal ideation. When completing the health history and admission assessment interview, which client comment is most important for the nurse to document?

When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?

A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement?

The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?

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A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?