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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Having the patient sit alone while reviewing rules does not address the immediate risk of injury due to hyperactivity.
Choice B reason: Reinforcing coping mechanisms can help the patient manage hyperactivity and reduce the risk of injury.
Choice C reason: Placing the patient with another hyperactive patient could potentially exacerbate the situation and increase the risk of injury.
Choice D reason: While administering medication may be necessary, it should be done in conjunction with other interventions that address behavior management.
Correct Answer is D
Explanation
Choice A reason: Being honest is important in building a therapeutic relationship and can help the patient feel understood and respected.
Choice B reason: Developing trust is crucial for effective interventions and can encourage the patient to engage in treatment and share their feelings.
Choice C reason: Showing acceptance helps the patient feel safe and validated, which is essential in treating depression.
Choice D reason: Being judgmental is not an effective intervention as it can further alienate and discourage the patient, potentially worsening their condition.
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