A nurse is contributing to the plan of care for a client who has major depressive disorder.

Which of the following recommendations should the nurse include in the plan of care?

Suggest the client exercise before going to bed.

Recommend the client spend time alone in his room.

Encourage the client to use positive self-talk.

Offer the client low-protein snacks throughout the day.

Answer and Explanation

The Correct Answer is C

Helping the client develop positive self-talk and challenging negative thoughts can be beneficial in managing depressive symptoms. Assisting the client in recognizing negative self-perceptions and replacing them with more positive and realistic thoughts can help improve mood and self-esteem.

Exercise has been shown to have mood-enhancing effects and can help alleviate symptoms of depression. However, exercise should be done earlier in the day rather than right before bedtime, as it can have stimulating effects that may interfere with sleep.

It is important to encourage the client to engage in activities and spend time with others. Isolation and spending excessive time alone can exacerbate depressive symptoms. However, it is also important to respect the client's need for privacy and personal space.

While diet does play a role in overall well-being, there is no specific evidence to support the use of low-protein snacks for the treatment of major depressive disorder. It is important to provide the client with a well-balanced diet that includes a variety of nutrients to support overall health.

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Correct Answer is B

Explanation

A.This can be a breach of confidentiality, especially if the report includes sensitive information that can be overheard by others. Nurses need to avoid discussing patients in public areas (e.g., hallways). Conducting the shift-to-shift report should be done at the bedside.

B.This is an appropriate action to ensure continuity of care and to provide the assistive personnel with the necessary information to care for the client effectively. However, the discussion should be held in a private setting, such as a conference room or the client's room, to avoid any breaches of confidentiality.

C.This is a clear violation of confidentiality, as it exposes the client's private health information to anyone who may access the room.

D.This is a breach of confidentiality, as the information could be accessed by unauthorized individuals. The appropriate way to dispose of confidential information is to shred it or return it to the medical record.

A. "I will wash my baby's head using a moist towelette." B. "I will bathe my baby under a faucet of running water." C. "I will wash my baby's face with a warm, wet washcloth without soap." D. "I will give my baby a bath every day."

Correct Answer is C

Explanation

This statement reflects appropriate newborn care as newborns have sensitive skin, and using soap on the face can cause irritation. Washing the baby's face with a warm, wet washcloth is a gentle and effective way to clean the baby's face without the need for soap.

Moist towelettes may not be suitable for cleaning a newborn's head as they may contain chemicals or fragrances that can be harsh on the baby's delicate skin. It is generally recommended to use a soft, damp cloth for cleaning the baby's head.

Bathing a newborn under a faucet of running water can be unsafe as the water temperature may fluctuate and pose a risk of scalding. It is recommended to use a baby bathtub or a basin with warm water for bathing the baby.

Newborns do not need to be bathed daily as frequent bathing can strip their skin of natural oils and cause dryness. It is generally recommended to bathe newborns 2-3 times a week or as needed, focusing on areas that need cleaning such as the diaper area and skin folds.

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

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A nurse is contributing to the plan of care for a client who has major depressive disorder.

Which of the following recommendations should the nurse include in the plan of care?