A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)

Ability to dress himself

Ability to identify how often he should schedule his car for an oil change

Ability to bathe himself

Ability to perform oral hygiene

Ability to balance his bank account

Answer and Explanation

Correct Answer : A,C,D

Choice A reason: The ability to dress oneself is a basic ADL and is important for independence after discharge.

Choice B reason: Scheduling car maintenance is not considered a basic ADL; it is an instrumental activity of daily living (IADL), which is not typically assessed for depression-related ADLs.

Choice C reason: The ability to bathe oneself is another basic ADL that is crucial for self-care and should be assessed before discharge.

Choice D reason: Performing oral hygiene is a fundamental ADL and should be included in the assessment.

Choice E reason: Balancing a bank account is an IADL and, similar to choice B, is not typically part of the basic ADL assessment for a client with depression.

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Correct Answer is C

Explanation

Choice A reason: Schizophrenia is a diagnosis, not a symptom, and involves a range of symptoms including delusions, hallucinations, and disorganized thinking.

Choice B reason: Auditory hallucinations involve hearing voices or sounds that are not there and are not described in the scenario.

Choice C reason: Delusions of grandeur involve beliefs of having more power, wealth, smarts, or other grand traits than is true, which fits the description of Marge's belief about advising the mayor.

Choice D reason: Delusions of persecution involve beliefs that others are out to harm or harass the individual, which is not indicated in Marge's behavior.

A. Fresh vegetables B. Canned soups C. Hot dogs D. Milk and cheese

Correct Answer is A

Explanation

Choice A reason: Fresh vegetables are typically low in sodium and are a healthy choice for someone on a low-sodium diet.

Choice B reason: Canned soups often have high sodium content and are not recommended for a low-sodium diet.

Choice C reason: Hot dogs are processed meats that are usually high in sodium and should be avoided on a low-sodium diet.

Choice D reason: Milk and cheese can vary in sodium content; some cheeses are high in sodium and should be consumed in moderation or avoided. Fresh vegetables are the safest recommendation as they are naturally low in sodium and fit within a low-sodium diet.

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A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Marge is a 68-year-old woman with a long history of bipolar disorder. She is brought to the ED by her sister, who reports that Marge has been increasingly agitated, unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:

Correct Answer is C

Explanation

After hospitalization for a myocardial infarction, a patient is placed on a low-sodium diet. In discussing foods allowed on this diet, the nurse would inform the patient that this includes which of the following?

Correct Answer is A

Explanation

A nurse is caring for a client who has depression and is taking a monoamine oxidase inhibitor (MAOI). The nurse should inform the client that their diet may include which of the following foods?

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The nursing interventions for a patient with major depression would include all the following except:

A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)

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