A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?

Share personal information to help the client feel comfortable.

Set boundaries with the client regarding personal space.

Tell the client if she reminds the nurse of a personal friend or relative.

Develop an emotional commitment to the client.

Answer and Explanation

The Correct Answer is B

A.   Sharing personal information can blur the professional boundaries and hinder the therapeutic relationship. The nurse's focus should be on the client's needs and well-being.
B.   Maintaining professional boundaries is essential in therapeutic relationships. It helps to establish trust and ensures the nurse can provide effective care without becoming emotionally involved.
C.   Comparing the client to someone else can be misleading and inappropriate. It's important to focus on the client as an individual and avoid making comparisons.
D.   While empathy and compassion are crucial in nursing, developing an emotional commitment can compromise objectivity and hinder the nurse's ability to provide effective care.

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Correct Answer is A

Explanation

A. This is the most significant risk factor for suicide among adolescents. Conditions like depression, anxiety, bipolar disorder, and substance abuse can contribute to suicidal thoughts and behaviors.
B. While family issues can contribute to stress and emotional turmoil, mental health problems are more directly linked to suicide risk.
C. Social difficulties, such as bullying or isolation, can increase the risk of suicide, but they often coexist with underlying mental health conditions.
D. While chronic physical illnesses can impact mental health and overall well-being, acute physical problems are less likely to be direct precursors to suicide.

A. Posttraumatic stress disorder B. Obsessive-compulsive disorder C. Disordered thinking D. Phobia

Correct Answer is A

Explanation

A. This is the most likely diagnosis based on the information provided. The teenager's reaction to the firecrackers is a classic example of a trigger response associated with PTSD. The loud noise is likely triggering a flashback to the school shooting, causing the individual to react as if they are back in the traumatic event.
B. OCD involves recurrent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions). While the behavior might seem repetitive, it's directly linked to a traumatic event, making PTSD a more likely diagnosis.
C. This is a broad term that could encompass various mental health conditions. While the behavior might seem unusual, it's a direct response to a traumatic experience, making PTSD more specific.
D. A phobia is an irrational fear of a specific object or situation. While the teenager might exhibit fear, the response is directly linked to a traumatic event, making PTSD a more appropriate diagnosis.

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A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Adolescents are at greater risk for committing suicide if they have __________ problems.

Correct Answer is A

Explanation

A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?

Correct Answer is A

Explanation

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