A nurse is evaluating the outcomes for a client who has depression following the death of his wife 3 months ago. Which of the following client statements indicates a need for further intervention?

"I can't help it but I am mad at my wife for leaving me alone."

"I feel better now that I have reestablished a relationship with my son."

"It is hard for me to be around others, but I make a point of going to the community center each week."

"I just don't feel like eating because I never liked to eat alone."

Answer and Explanation

The Correct Answer is A

Choice A reason: Anger towards a deceased spouse can be a sign of unresolved grief and may indicate complicated grief or depression, requiring further intervention.

Choice B reason: Reestablishing relationships is a positive step in coping with loss and suggests progress in managing grief.

Choice C reason: Although it's difficult, the effort to engage with the community is a positive sign of coping and does not typically indicate a need for further intervention.

Choice D reason: A lack of desire to eat due to the absence of a loved one can be a normal part of grieving, but if persistent, it may require intervention to address potential depression.

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Correct Answer is C

Explanation

Choice A reason: PregnancyWhile pregnancy can be associated with mood changes (such as postpartum depression), it is not considered a primary risk factor for depression. Pregnancy-related mood disorders are specific to the perinatal period and may not apply to all individuals.

Choice B reason: Male genderAlthough depression affects both men and women, research suggests that women are more likely to be diagnosed with depression. However, this does not make male gender a primary risk factor. Other factors play a more significant role.

Choice C reason: Chronic illnessThis is the correct answer. Chronic illnesses (such as diabetes, cardiovascular disease, autoimmune disorders, etc.) are associated with an increased risk of depression. The stress, lifestyle changes, and impact on overall well-being related to chronic illness contribute to this risk.

Choice D reason: Being marriedBeing married is not necessarily a primary risk factor for depression. Relationship status alone does not determine depression risk. Factors such as marital satisfaction, social support, and individual coping mechanisms play a more significant role.

A. Measure the client's apical pulse. B. Offer the client a light snack. C. Check the client's blood pressure. D. Weigh the client.

Correct Answer is A

Explanation

Choice A reason:Monitoring the apical pulse helps ensure safety and effectiveness of digoxin therapy.

Choice B reason:Offering a light snack is not relevant to digoxin administration.

Choice C reason:While checking the client's blood pressure is important, it is not directly related to digoxin administration.

Choice D reason:Weighing the client is not a specific action related to digoxin administration.

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A nurse is evaluating the outcomes for a client who has depression following the death of his wife 3 months ago. Which of the following client statements indicates a need for further intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the development of a staff educational inservice about depression. Which of the following factors should the nurse identify as a primary risk factor for depression?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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