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."

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. A cool mist tent may be helpful for other respiratory conditions but is not the priority in epiglottitis.

B. Suctioning the oropharynx can cause further airway irritation and increase the risk of airway obstruction.

C. Epiglottitis can rapidly lead to airway obstruction, and intubation may be necessary to secure the airway.

D. Obtaining a throat culture is contraindicated as it may trigger airway closure.

A. High-pitched stridor B. Reduced right-sided breath sounds C. Intercostal retractions D. Paradoxical chest movement

Correct Answer is B

Explanation

A. High-pitched stridor suggests airway obstruction, not heart failure.

B. Reduced right-sided breath sounds can indicate pleural effusion or pulmonary congestion, common in clients with heart failure.

C. Intercostal retractions indicate respiratory distress, usually associated with conditions like asthma or pneumonia.

D. Paradoxical chest movement is a sign of flail chest, not heart failure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a 3-year-old child who has suspected epiglottitis. Which of the following actions should the nurse include in the plan nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

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