A nurse is assessing the grief response of a client whose child died 6 months ago. Which of the following client statements should the nurse report to the provider as an indication of major depressive disorder?
"I know that I will be reunited with my child someday."
"I am unable to feel any joy since my child died."
"I feel guilty because my child died."
"I am angry that my child died."
The Correct Answer is B
A. Belief in being reunited with the child is a common and healthy coping mechanism.
B. Inability to experience joy (anhedonia) is a key symptom of major depressive disorder and warrants further assessment.
C. Feeling guilty is a normal part of grief but does not necessarily indicate major depression.
D. Anger is a normal stage of grief and does not typically indicate a disorder unless prolonged or extreme.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Caffeine is a stimulant and can interfere with sleep, especially if consumed in the afternoon or evening. It can lead to difficulty falling asleep and disrupt the sleep cycle.
B. While heavy meals close to bedtime can cause discomfort or indigestion, a light evening meal generally does not significantly interfere with sleep for most individuals.
C. The use of electronic devices, particularly before bedtime, can interfere with sleep due to the blue light emitted by screens. This light can suppress the production of melatonin, a hormone that helps regulate sleep.
D. Regular exercise generally promotes better sleep. However, vigorous exercise close to bedtime may interfere with sleep due to the increase in adrenaline, but this is not always the case.
E. The medications taken by the individual do not interfere with sleep.
Correct Answer is C
Explanation
A. Return in two weeks for a follow-up MRI: MRI is generally contraindicated for clients with ICDs unless the device is MRI-compatible.
B. Expect to have a rapid pulse rate for the first few weeks: ICDs do not cause a sustained rapid pulse rate.
C. Wear loose-fitting clothing: Loose clothing prevents irritation and promotes healing of the surgical site, reducing the risk of infection.
D. Resume tub baths and swimming after 24 hr: Clients should avoid soaking the surgical site until fully healed.
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