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

Encourage physical activity for the client during the day.

Identify and schedule alternative group activities for the client.

Discourage the client from expressing feelings of anger.

Keep a bright light on in the client's room at night.

Answer and Explanation

The Correct Answer is A

A. Encouraging physical activity during the day has been shown to improve mood and reduce symptoms of depression by increasing endorphin levels and promoting a sense of well-being.

B.   Identifying and scheduling alternative group activities for the client may be helpful in reducing social isolation and improving mood but should not replace physical activity.
C.   Discouraging the client from expressing feelings of anger is not appropriate, as it may suppress emotions and hinder therapeutic communication. Instead, the nurse should encourage the client to express and explore their emotions in a healthy manner.

D.   Keeping a bright light on in the client's room at night may disrupt sleep patterns and exacerbate symptoms of depression, as individuals with depression often have disturbances in their sleep-wake cycle.

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Correct Answer is A

Explanation

A. This question assesses the client's perception of the impact of the stroke on their life, providing insight into their coping abilities and emotional response.

B. This question addresses acceptance but may not fully assess the client's coping strategies or emotional response to the stroke.
C. This question addresses practical assistance with hygiene tasks but does not directly assess coping mechanisms.
D. This question focuses on the cause of the stroke rather than the client's coping abilities or emotional response.

A. Allow the client to create their own meal schedule. B. Allow the client's family to bring the client food. C. Monitor the client's bathroom trips. D. Encourage the client to exercise frequently.

Correct Answer is C

Explanation

A. Allowing the client to create their own meal schedule may exacerbate disordered eating patterns and is not recommended in the treatment of bulimia nervosa.
B. Allowing the client's family to bring food may enable or reinforce disordered eating behaviors and is not recommended in the treatment of bulimia nervosa.
C. Monitoring the client's bathroom trips is important to prevent purging behaviors, such as self- induced vomiting, which are characteristic of bulimia nervosa.

D. Encouraging the client to exercise frequently may exacerbate unhealthy behaviors and is not recommended as a primary intervention for bulimia nervosa.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?

Correct Answer is A

Explanation

A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is C

Explanation

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