A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take?

Recommend that the client participate in more solitary activities.

Explain to the client that the duration of grief is highly variable and can last for years.

Encourage the client to avoid discussing the events surrounding the sibling's death.

Caution the client against feeling angry at the sibling.

Answer and Explanation

The Correct Answer is B

A. Recommend that the client participate in more solitary activities.
This option is not suitable because encouraging solitary activities may lead to further isolation, which can worsen the client's depressive feelings. Social support and connection are often crucial during the grieving process.

B. Explain to the client that the duration of grief is highly variable and can last for years.
This is the correct choice. Grief is a complex and individual process, and there is no specific timeline for how long it should last. Some people may continue to experience feelings of sadness and loss for an extended period after the death of a loved one. Validating the client's emotions and letting them know that their experience is within the range of normal can be comforting.

C. Encourage the client to avoid discussing the events surrounding the sibling's death.
This option is not recommended. Encouraging the client to avoid discussing their feelings can hinder the healing process. Open communication about the loss can help the client process their emotions and find ways to cope.

D. Caution the client against feeling angry at the sibling.
This option is not appropriate. Allowing the client to express their feelings, including anger, is a healthy part of the grieving process. Suppressing emotions, including anger, can lead to complications in the grieving process. It is essential to acknowledge and validate all the client's emotions.

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Correct Answer is A

Explanation

A. Recent head injury:
A recent head injury is a potential concern when considering the prescription of bupropion. Bupropion can lower the seizure threshold, and head injuries might increase the risk of seizures. Therefore, it's important to report a recent head injury to the healthcare provider to assess the client's suitability for bupropion.

B. Hepatitis B infection:
Hepatitis B infection is not a contraindication for bupropion. However, the healthcare provider should be aware of the client's full medical history, including hepatitis B infection, to ensure appropriate monitoring and management, especially if the client is taking other medications or has liver function concerns.

C. Hypothyroidism:
Hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormones, is not a contraindication for bupropion. However, the healthcare provider should be aware of this condition to monitor the client appropriately, as thyroid function can influence the metabolism of medications.

D. Knee arthroplasty 1 month ago:
Knee arthroplasty (knee replacement surgery) performed one month ago is not a direct contraindication for bupropion use. However, the provider should be informed of recent surgeries or procedures, especially if the client is taking medications or undergoing physical therapy, to ensure there are no potential drug interactions or complications related to the recent surgery. It's essential to monitor for signs of infection or other complications post-surgery.

A. Implement consequences until the client takes the medication. B. Inform the client that he does not have the right to refuse the medication. C. Offer the client the medication at the next scheduled dose time. D. Administer the medication to the client via IM injection.

Correct Answer is C

Explanation

A. Implement consequences until the client takes the medication:
Punitive measures should never be used in healthcare, especially in the context of mental health treatment. Coercion and punitive consequences can lead to mistrust and hinder the therapeutic relationship, which is crucial in mental health care.

B. Inform the client that he does not have the right to refuse the medication:
While it's important for the client to understand the potential consequences of refusing medication, it's also crucial to respect the client's autonomy and right to make decisions about their own treatment. Involuntary admission doesn't negate the individual's right to be informed and involved in their care decisions to the extent they are able.

C. Offer the client the medication at the next scheduled dose time:
Respecting the client's autonomy is a fundamental ethical principle in nursing care. The nurse should continue to offer the medication to the client at the scheduled times. It's essential to maintain open communication with the client, addressing concerns and attempting to build trust, which can sometimes lead to the client accepting the medication voluntarily.

D.Administer the medication to the client via IM injection:
Administering medication against a patient's will is ethically and legally questionable without proper authorization, especially if the patient is not an immediate danger to themselves or others. This approach should be avoided whenever possible.

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A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take?

Nursing Test Bank

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