A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?

"My elevated heart rate could be the cause of my depressed mood."

"My renal dysfunction could be the cause of my depressed mood."

"My high blood pressure could be the cause of my depressed mood."

"The stress from my new job could be the cause of my depressed mood."

Answer and Explanation

The Correct Answer is D

Rationale:

A. An elevated heart rate alone is not commonly associated with depression.

B. While renal dysfunction can impact mood, the direct link between it and depression is not as strong as other factors.

C. High blood pressure is not a direct cause of depression, though it can contribute to overall health issues.

D. Stress from a new job is a common and recognizable factor that can lead to or exacerbate depressive symptoms, showing an understanding of how situational stress can impact mood.

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Correct Answer is B

Explanation

Rationale:

A. Anabolic steroids are associated with mood swings and aggressive behavior but are less likely to cause the acute symptoms of paranoia, hallucinations, and severe agitation described here.

B. Hallucinogens, such as LSD or PCP, can cause intense paranoia, hallucinations, and erratic behavior, as seen in the client’s symptoms. These substances often lead to altered perceptions of reality, including visual and auditory hallucinations.

C. Stimulants like cocaine or methamphetamines can cause paranoia and hyperactivity but are less likely to cause the vivid hallucinations described.

D. Opioids typically cause drowsiness, respiratory depression, and a sense of euphoria rather than hallucinations and severe agitation.

A. "Since you have such a good relationship with your family practice provider you do not need to see a mental health provider." B. "It is recommended that you receive follow-up care from a mental health provider after you are discharged." C. "You should follow up with your regular doctor in the next few months so they can manage your new diagnosis." D. "You have made such great progress here. I can see why you feel so well."

Correct Answer is B

Explanation

Rationale:

A. It is important for clients with borderline personality disorder to receive specialized follow-up care from a mental health provider to address their specific needs and manage their condition effectively.

B. Clients with borderline personality disorder often benefit from continued mental health care to ensure proper management of symptoms and prevent relapse.

C. While following up with a regular doctor is important, it is crucial for the client to see a mental health provider for ongoing treatment.

D. Assuming the client is well based on progress made in a short period does not address the need for continued mental health care.

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A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?

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Correct Answer is B

Explanation

A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states "I will just see my regular doctor at my annual checkup after I am discharged." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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