A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?

Giving the client choices of activities.

Playing a game of chess with the client.

Encouraging decision-making.

Spending time sitting with the client.

Answer and Explanation

The Correct Answer is D

a. Giving the client choices of activities: While providing choices can be empowering for clients, it might be overwhelming for someone with severe depression, who may struggle with decision-making and motivation.

b. Playing a game of chess with the client: This could be too mentally demanding and may not be appropriate for a client with severe depression, who may have difficulty concentrating or engaging in complex activities.

c. Encouraging decision-making: Encouraging decision-making is important in general, but clients with severe depression may find it difficult and stressful to make decisions. This approach should be used cautiously and based on the client's readiness.

d. Spending time sitting with the client: This is correct and therapeutic. Spending time with the client without the pressure to engage in conversation or activities can help the client feel supported and understood. It fosters trust and shows that the nurse is there to provide support, which is especially important for someone experiencing severe depression.

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Correct Answer is D

Explanation

A. Panic. Panic-level anxiety typically involves extreme fear and severe physical symptoms such as palpitations, sweating, trembling, and a sense of impending doom. The client's reported symptoms (chest pain, headache, shortness of breath) do not align with the intense nature of panic anxiety.

B.Mild. Mild anxiety is characterized by heightened awareness and alertness. The client's symptoms and statement about his wife leaving him suggest more than mild anxiety as they indicate emotional distress beyond simple alertness.

C.Moderate. Moderate anxiety is associated with increased muscle tension, restlessness, and impaired concentration. Moderate anxiety (choice C) is characterized by increased alertness and decreased concentration but is manageable with support.

D. Severe anxiety significantly impairs daily functioning. It can cause physical symptoms such as chest pain, shortness of breath, and headaches. The client’s presentation aligns with severe anxiety, given the impact on his well-being.

A. "If you do not get out of bed, you will not receive your meal.". B. "I will help you get ready, and then you can rest after activities.". C. "You should rest until you feel able to join the group.". D. "You really need to follow the rules of the unit and get out of bed.".

Correct Answer is B

No explanation

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A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

Correct Answer is D

Explanation

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

Correct Answer is B

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