A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the client suddenly seems cheerful and relaxed, and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?

Ask the client why her behavior has changed.

Reward the client for her change in behavior.

Monitor the client's whereabouts at all times.

Encourage the family to take the client out of the facility for short periods of time.

Answer and Explanation

The Correct Answer is C

A. While it is important to understand changes in behavior, the sudden shift from depression to a cheerful state could be indicative of a potential risk, such as a plan to self-harm, particularly if the client is showing improved mood quickly.

B.It is not appropriate to reward a change in behavior without understanding the underlying reasons for the change. The sudden improvement in mood could be a sign of a potential risk, such as suicidal ideation or a temporary lift in mood before a possible crisis.

C. This is a crucial intervention. A sudden change in mood can sometimes be associated with an increased risk of self-harm or suicidal ideation, particularly if the client’s mood improves significantly before a more stable improvement in their depressive symptoms. Continuous monitoring helps ensure the client’s safety.

D.This could be premature and potentially unsafe, given the sudden and significant change in the client's condition. It is more important to ensure that the client’s mood change is not indicative of an underlying risk before allowing unsupervised activities.

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Free Nursing Study Resources

Correct Answer is C

No explanation

A. Recognize the client's spiritual preferences. B. Encourage the client to identify his positive qualities. C. Assist the client in practicing meditation. D. Help the client to identify his previous accomplishments.

Correct Answer is C

No explanation

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Naxlex Comprehensive Predictor Exams

A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client, he states, "I am at the end of my rope. I don't think I can take any more bad news." Which of the following responses should the nurse make?

Correct Answer is C

A nurse is planning care for a client who has generalized anxiety disorder. Which of the following intervention should the nurse implement to promote relaxation?

Correct Answer is C

A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?

A nurse is caring for a client who has bipolar disorder and is running around the unit asking people to dance with her. Which of the following interventions should the nurse take?

A patient who is a recovering alcoholic has been diagnosed as having panic disorder. The psychiatrist is planning long-term treatment with a medication that is taken daily. Which medication should the nurse anticipate to plan for patient teaching?

A nurse is providing discharge teaching to a client with a new prescription for phenelzine. The nurse should instruct the client to avoid which of the following foods when taking this medication?

When prescribing a tricyclic antidepressant, which patient would we be most concerned about dispensing the medication to?

A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crisis is the client experiencing?

A nurse is caring for a client who has major depressive disorder and is scheduled for electroconvulsive therapy (ECT). The client's spouse asks the nurse about the possible side effects of the ECT. Which of the following responses should the nurse make?