A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

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

Reward the client for her change in behavior.

Ask the client why her behavior has changed.

Monitor the client's whereabouts at all times.

Answer and Explanation

The Correct Answer is D

Choice A reason: While it may be beneficial for the client's mood, taking the client out of the facility does not directly address the sudden change in behavior.

Choice B reason: Rewarding the client for a change in behavior does not address the potential risks associated with a sudden change in mental status.

Choice C reason: Asking the client why their behavior has changed could be part of an assessment, but it is not an immediate safety intervention.

Choice D reason: Monitoring the client's whereabouts at all times is important as a sudden lift in depressive symptoms can sometimes precede a suicide attempt, and close observation is necessary.

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Correct Answer is B

Explanation

Choice A Reason:In left HF, the left ventricle fails to pump blood forward efficiently, leading to congestion in the pulmonary circulation. As a result, blood backs up into the left atrium, causing symptoms such as pulmonary edema, shortness of breath, and fatigue. Left atrial enlargement may occur due to this backup of blood.

Choice B Reason:In left HF, blood does not back up from the left ventricle. Instead, the left ventricle itself is weakened and unable to propel blood effectively into the systemic circulation.

Choice C Reason:Blood backing up from the right ventricle is associated with right heart failure, not left HF. Right HF occurs when the right ventricle fails to pump blood efficiently, leading to congestion in the systemic venous circulation.

Choice D Reason:Blood backing up from the right atrium is also related to right heart failure. In left HF, the primary issue is congestion in the pulmonary circulation due to left ventricular dysfunction.

A. Ability to dress himself B. Ability to identify how often he should schedule his car for an oil change C. Ability to bathe himself D. Ability to perform oral hygiene E. Ability to balance his bank account

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: The ability to dress oneself is a basic ADL and is important for independence after discharge.

Choice B reason: Scheduling car maintenance is not considered a basic ADL; it is an instrumental activity of daily living (IADL), which is not typically assessed for depression-related ADLs.

Choice C reason: The ability to bathe oneself is another basic ADL that is crucial for self-care and should be assessed before discharge.

Choice D reason: Performing oral hygiene is a fundamental ADL and should be included in the assessment.

Choice E reason: Balancing a bank account is an IADL and, similar to choice B, is not typically part of the basic ADL assessment for a client with depression.

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A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

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Naxlex Comprehensive Predictor Exams

The nurse reinforces teaching to the patient on left heart failure (HF). The nurse would evaluate the patient as understanding if the patient stated which of these occurs to blood flow through the heart?

Correct Answer is B

Explanation

A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

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