A nurse is contributing to the plan of care for a client who has a major depressive disorder. Which of the following recommendations should the nurse include in the plan of care?

Recommend the client spend time alone in his room.

Suggest the client exercise before going to bed.

Offer the client low-protein snacks throughout the day.

Encourage the client to use positive self-talk.

Answer and Explanation

The Correct Answer is D

A.   Social isolation can exacerbate depressive symptoms, so it's not recommended for the client to spend time alone in his room.
B.   Exercise is generally beneficial for individuals with depression, but exercising before bedtime might interfere with sleep.
C.   There's no evidence to support the direct relationship between low-protein snacks and managing major depressive disorder.
D.   Correct. Encouraging the client to use positive self-talk can help counteract negative thought patterns that are often present in depression.

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Correct Answer is A

Explanation

The correct answer is choice a. Wear shoes with rubber soles.

Choice A rationale:

Wear shoes with rubber soles () - Quiet footwear minimizes noise disruption during sleep hours, promoting a better sleep environment.

Choice B rationale:

Conduct change of shift reports near the clients’ rooms () - Conducting reports near rooms creates noise and disrupts sleep. It’s best done in designated areas away from patients.

Choice C rationale:

Open curtains between clients in semi-private rooms () - Privacy and individual light control are crucial for sleep. Open curtains can disrupt a client’s sleep cycle.

Choice D rationale:

Turn on overhead lights briefly when checking IV lines () - Bright lights suppress melatonin production, a hormone vital for sleep. Using alternative light sources or dimmed lighting minimizes sleep disruption.

A. Ensure that the client gave informed consent. B. Administer an oral contrast solution. C. Ensure that the client's bladder is full. D. Inform the client the procedure will take 60 min.

Correct Answer is A

Explanation

A. Correct. Ensuring informed consent is a critical step before any procedure.
B. Incorrect. An oral contrast solution is not typically required for an esophagogastroduodenoscopy.
C. Incorrect. A full bladder is not necessary for this procedure.
D. Incorrect. Informing the client about the procedure duration is important, but ensuring informed consent takes priority.

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A nurse is contributing to the plan of care for a client who has a major depressive disorder. Which of the following recommendations should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute care facility is assisting with the development of an in-service about reducing environmental stressors to improve clients' sleep. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who has peptic ulcer disease and is scheduled to undergo an esophagogastroduodenoscopy. Which of the following actions should the nurse take prior to the procedure?

Correct Answer is A

Explanation

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