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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Observing the client during and after meals is a priority because clients with bulimia nervosa often engage in episodes of binge eating followed by purging behaviors. Monitoring the client's behavior during meals and immediately after can help assess for potential purging behaviors.
B. Incorrect. While involving the client in meal planning might be helpful, it is not the first action to address potential purging behaviors.
C. Incorrect. Instructing the client about effective coping strategies is important, but observing for potential purging behaviors is the initial action to address the client's immediate safety.
D. Incorrect. Referring the client to a support group is beneficial, but it is not the first action to address the client's immediate risk of purging behaviors.
Correct Answer is C
Explanation
A. Incorrect. Security bands should not be removed or transferred to others. They help ensure the correct identification of both the mother and the baby.
B. Incorrect. Carrying the baby to the nursery might not be necessary, and newborns should be transported in a safe manner, often in a crib.
C. Correct. Both the mother and the baby should have matching identification bands to prevent mix-ups and ensure proper identification.
D. Incorrect. Newborns should generally remain in designated safe areas, like the mother's room or the nursery, to ensure their safety and security.
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