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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Chicken fingers and fries are typically high in fat and may not provide balanced nutrition for an underweight patient.
Choice B reason: Grilled chicken and a baked potato offer a good balance of protein and carbohydrates, which can help in weight gain and provide sustained energy.
Choice C reason: Chili and crackers may not provide enough calories or balanced nutrition for someone who is underweight and needs to gain weight.
Choice D reason: Spaghetti and meatballs can be a good option for weight gain due to the high carbohydrate and protein content, but grilled chicken and a baked potato are healthier and more balanced choices.
Correct Answer is C
Explanation
Choice A Reason:Encouraging the client to rest in bed until she feels able to participate in unit activities is appropriate. Depression often leads to fatigue, lack of motivation, and decreased interest in daily activities. Allowing the client to rest and regain energy while acknowledging her feelings is supportive and respectful.
Choice B Reason:Telling the client that she needs to follow the rules of the unit and get out of bed may come across as dismissive and unsupportive. It does not consider the client's emotional state or address her fatigue. A more empathetic approach is needed.
Choice C Reason:Offering assistance to help the client sit up and put on her slippers is a helpful action, but it does not directly address her feelings of tiredness or depression. While physical support is essential, emotional support and understanding are equally crucial.
Choice D Reason:Linking getting out of bed to receiving a meal may inadvertently pressure the client. It could worsen her feelings of guilt or hopelessness. Instead, focusing on her well-being and emotional state is more appropriate.
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