A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

"I can't sit still. I feel like I need to be doing things around the house."

"Lately, I feel like I am more alert than usual and can focus better."

"When I went to my provider, they told me I have high blood pressure."

"I can't get my mind to stop racing at night. I'm only sleeping a couple of hours.”

Answer and Explanation

The Correct Answer is D

Rationale:

A. Feeling restless and needing to be active can be more indicative of anxiety or agitation rather than depression.

B. Increased alertness and improved focus are not typical symptoms of depression; rather, depression often involves decreased energy and focus.

C. High blood pressure is not directly related to depressive symptoms.

D. Difficulty sleeping and racing thoughts at night are consistent with depression, particularly when accompanied by poor sleep quality.

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Correct Answer is ["B","D","E"]

Explanation

Rationale:

A. Asking about salary range is not directly relevant to the client’s mental health condition and would not help in understanding the barriers to employment.

B. Inquiring if the client has served time in prison may reveal a history that could impact their employability, as some employers may have restrictions on hiring individuals with criminal records.

D. Asking about drug use is pertinent as substance abuse can interfere with employment opportunities and overall functioning.

E. Knowing whether the client is taking antipsychotic medication is important because adherence to treatment can significantly affect the client’s ability to function in a work environment.

A. Stage 2 (moderate) B. Stage 3 (severe) C. Stage 1 (mild) D. The client’s manifestations

Correct Answer is B

Explanation

Rationale:

A. Stage 2 (moderate) of alcohol withdrawal involves symptoms such as increased blood pressure and heart rate, mild confusion, and tremors, but does not typically include hallucinations or severe agitation.

B. Stage 3 (severe) alcohol withdrawal includes severe symptoms such as hallucinations (e.g., seeing spiders), severe agitation, and possible delirium tremens, which are consistent with the client's manifestations.

C. Stage 1 (mild) symptoms generally include mild anxiety and tremors but do not include hallucinations or significant changes in mental status.

D. The client’s manifestations indicate severe withdrawal symptoms, not just a general description.

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A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in a community health center is speaking with a client who has a serious mental illness. The client states that they are unable to find employment and they do not understand why. Which of the following questions should the nurse ask? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

Correct Answer is B

Explanation

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