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. Platelets 150,000/mm B. Positive Western blot test C. WBC 5,000/mm3 D. CD4-T-cell count 180 cells/mm3

Correct Answer is D

Explanation

Rationale:

A. Platelets at 150,000/mm3 are within the lower range of normal but not immediately concerning.

B. A positive Western blot test is confirmatory for HIV but is not an immediate concern compared to other lab values.

C. A WBC count of 5,000/mm3 is within normal limits and not a primary concern for an HIV-positive client.

D. A CD4-T-cell count of 180 cells/mm3 indicates advanced immunosuppression, which is critical to monitor in HIV-positive clients to assess the progression of the disease and the risk for opportunistic infections.

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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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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is D

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