A nurse is caring for a client who has vegetative signs of major depression. Which of the following actions should the nurse take?
Encourage the client to rest in bed during the day.
Request a prescription for antidiarrheal medication.
Provide low-calorie snacks throughout the day.
Offer the client high-protein fluids frequently.
The Correct Answer is D
A. Encourage the client to rest in bed during the day.
Promotes isolation and worsens depression. Activity should be encouraged.
B. Request a prescription for antidiarrheal medication.
Constipation, not diarrhea, is a more common vegetative symptom.
C. Provide low-calorie snacks throughout the day.
High-calorie, nutrient-dense foods are better for clients with poor appetite.
D. Offer the client high-protein fluids frequently.
Vegetative symptoms include poor appetite-offering high-protein fluids helps maintain nutrition and hydration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Delay admission while client fills out form
Admission should proceed; education about advance directives can occur during the process.
B. Confirm with family that consent was signed
Only the client can give informed consent unless they are unable and have a legal surrogate.
C. Determine if the client has prepared their advance directives.
Advance directives should be assessed upon admission to ensure client autonomy is respected.
D. Explain consent form prevents refusal of care
Clients can refuse care at any time, even after signing consent.
Correct Answer is B
Explanation
A. Sexual abuse is most often committed by a person who the child does not know.:
Most cases of sexual abuse are committed by someone the child knows and trusts, not strangers.
B. A child is at the highest risk for abuse from birth through 1 year of age.:
Infants are more vulnerable due to dependence and inability to verbalize or defend themselves.
C. Emotional abuse is the most common form of child maltreatment.:
Neglect, not emotional abuse, is the most common form of child maltreatment.
D. Physical neglect includes a failure to meet a child's needs for affection and attention.:
This describes emotional neglect, not physical neglect, which refers to food, shelter, hygiene, and medical care needs.
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