A female client with severe depression is about to be discharged from an inpatient mental health unit.
The client’s highest level of education is seventh grade, and she reads at a fifth-grade level.
The nurse is giving her discharge instructions.
Which instruction is most appropriate for this client?
This is the medicine for your depression, and you will take it every morning after you get up.
Your MAOI should be taken once a day at the same time each day.
Your MAOI should be taken q.d.
Your antidepressant should be taken in the morning or in the evening at the same time.
The Correct Answer is A
Choice A rationale
Given the client’s educational background and reading level, it’s important to provide instructions that are simple and straightforward. Telling the client when to take her medication in a clear, concise manner is most appropriate.
Choice B rationale
Using medical terms like “MAOI” (Monoamine Oxidase Inhibitor) could confuse the client, especially considering her educational background and reading level.
Choice C rationale
Using abbreviations like “q.d.”. (which stands for “quaque die”, meaning “once a day” in Latin) could also confuse the client.
Choice D rationale
While this instruction is accurate, it might be too complex for the client to understand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Becoming helpless might be a response to a stressful situation or a symptom of a mental health disorder. However, it is not specifically a regressive response to the termination of a therapeutic relationship.
Choice B rationale
Returning to previous maladaptive behavior is a regressive response to the termination of a therapeutic relationship. It indicates a relapse into old, unhelpful patterns of behavior.
Choice C rationale
Bringing up new problems might indicate ongoing struggles or the emergence of new issues. However, it is not specifically a regressive response to the termination of a therapeutic relationship.
Choice D rationale
Denying caregiver’s help might indicate resistance or a lack of trust in the therapeutic process. However, it is not specifically a regressive response to the termination of a therapeutic relationship.
Correct Answer is C
Explanation
Choice A rationale
Asperger’s syndrome is a type of pervasive developmental disorder. It is characterized by difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests. However, it does not typically involve significant issues with imaginative use.
Choice B rationale
Rett syndrome is a rare genetic disorder that primarily affects girls and leads to severe cognitive and physical impairments. It does not match the description given in the question.
Choice C rationale
Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. Children with autism often have significant issues with social interaction, communication, imaginative use, and a limited range of activities, which matches the description given in the question.
Choice D rationale
Childhood disintegrative disorder is a rare condition characterized by late onset of developmental delays—or severe and sudden reversals—in language, social function, and motor skills. While it involves issues with social interaction and communication, it does not typically involve issues with imaginative use.
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