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 A

Explanation

A. Exploring changes in life after the loss can help the nurse understand the client's current situation and provide a basis for further interventions.
B. Suggesting psychiatric consultation might be necessary but might not be the immediate first step without assessing the client's current needs.
C. Offering a referral to pastoral counseling might be helpful, but understanding the client's current state is important before making specific referrals.
D. Encouraging attendance at a local support group could be beneficial but might not be the immediate priority without understanding the client's current emotional state.

A. Vomiting, seizures, and loss of consciousness. B. Depression, fatigue, and dizziness. C. Hypotension, shallow respirations, and dilated pupils. D. Agitation, sweating, and abdominal cramps.

Correct Answer is D

Explanation

A. Vomiting, seizures, and loss of consciousness are severe manifestations but not commonly associated with narcotic withdrawal.
B. Depression, fatigue, and dizziness are symptoms commonly associated with depression but not specifically with narcotic withdrawal.
C. Hypotension, shallow respirations, and dilated pupils are more indicative of opioid overdose rather than withdrawal.
D. Agitation, sweating, and abdominal cramps are common symptoms of narcotic withdrawal.

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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 caring for a client who is experiencing extreme sadness after the passing of a companion of 30 years. The client describes not being able to think of other things and finds it difficult to control emotions. Which action should the nurse take first?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?

The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?

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