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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Clients have the right to refuse medication, as part of their autonomy and informed consent rights.
B. Clients retain their right to privacy and confidentiality, which are fundamental rights in healthcare and protected under various laws and regulations.
C. Clients have the right to the least restrictive environment necessary for their treatment, which supports their freedom and dignity.
D. Clients maintain the right to an attorney, ensuring their access to legal representation and support.
E. Clients can withdraw consent at any time, even after signing an informed consent form, as part of their ongoing right to informed consent and autonomy.
Correct Answer is B
Explanation
A. Encouraging the client to sleep during the day disrupts the natural sleep-wake cycle and may not address the underlying issue of noise disturbances at night.
B. Minimizing conversations and activities during the nighttime promotes a quieter environment conducive to sleep, addressing the client's concern directly.
C. Using a television to cover up noise may not address the root cause of the client's sleep disturbance and could interfere with sleep hygiene.
D. Dismissing the client's concern and suggesting they will eventually get used to the noise does not address the immediate issue or offer practical solutions.
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