A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?
Communicate to the client that it is acceptable to cry.
Determine the client's stage of grief.
Encourage the client to express feelings openly,
Enable the client to obtain spiritual support.
The Correct Answer is B
A. While crying may be a normal expression of grief, determining the client’s stage of grief is more important for assessing the client’s emotional needs.
B. Determining the client’s stage of grief is the first step to understanding the client's emotional state
and providing appropriate support.
C. Encouraging expression is important, but first, understanding the client’s grief stage will guide the
intervention.
D. Spiritual support is valuable, but first, understanding the client's emotional response is necessary before offering this type of assistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia.
B. Fidgeting behavior is more related to anxiety or restlessness rather than EPS.
C. Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine.
D. Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue.
E. Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.
Correct Answer is D
Explanation
A. Requiring frequent reassurance is not typical of paranoid personality disorder. This is more common in dependent or avoidant personality disorders.
B. Lack of feelings of remorse is more characteristic of antisocial personality disorder.
C. An inflated sense of self is more characteristic of narcissistic personality disorder.
D. Suspiciousness of others is a hallmark of paranoid personality disorder. Clients with this disorder often exhibit distrust and suspicion of others, believing that others are plotting against them.
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