A nurse is discussing mental health with a client. Which of the following statements by the client requires follow-up by the nurse?
"My boss often asks me to work overtime, but I have to refuse the extra hours due to my responsibilities at home."
"The demands of raising two young children by myself are often overwhelming, and I sometimes need some alone time to recharge."
"On the weekends when my kids are with their other parent, I often just lay in bed all day and cry, because I feel hopeless."
"Work can be extremely stressful at times, so I often need to take a walk during my lunch break."
The Correct Answer is C
Rationale:
A. This statement reflects a healthy boundary-setting behavior, where the client recognizes their limits and makes decisions accordingly.
B. This reflects a healthy coping mechanism, where the client acknowledges their stress and takes time to recharge, which is important for mental health.
C. This statement indicates a possible depressive symptom, as feeling hopeless and withdrawing from activities (like staying in bed and crying) can be signs of depression. This requires follow-up to assess the client's mental health and provide appropriate support.
D. Taking a walk during stressful times is a positive coping strategy that helps manage stress and maintain mental health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. A JP drain primarily helps to prevent fluid accumulation, not just limit bleeding.
B. The JP drain is designed to remove fluids and blood from the surgical site, reducing the risk of fluid accumulation and promoting healing.
C. A JP drain does not eliminate the need for wound irrigations if indicated.
D. A JP drain is not used for medication administration; its purpose is drainage.
Correct Answer is D
Explanation
Rationale:
A. An inverted P wave is not specifically associated with hypokalemia; it can be seen in various other conditions.
B. An elevated ST segment is not characteristic of hypokalemia; it is more associated with other conditions such as myocardial ischemia.
C. A wide QRS complex can occur with hypokalemia but is also seen in other conditions.
D. An abnormally prominent U wave is a classic sign of hypokalemia and can be seen in EKG changes associated with low potassium levels.
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