A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?

Sit with the client and offer simple, direct information.

Have the client attend group therapy immediately.

Take the client on a tour of the unit and introduce him to all the staff members on duty.

Explain the unit policies to the client and answer any questions he might have.

Answer and Explanation

The Correct Answer is A

A.   For a client with severe depression, a calm and direct approach is beneficial. Sitting with the client and offering simple, clear information can help establish trust and rapport.
B.   Attending group therapy immediately might overwhelm the client, especially if they are newly admitted and experiencing severe depression.
C.   Taking the client on a tour and introducing all staff members might be overwhelming or excessive for someone with severe depression.
D.   While explaining unit policies is important, a direct informational approach might be more effective initially given the severity of the client's condition.

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Correct Answer is B

Explanation

A. Clinical algorithms help in standardizing certain processes but might not specifically integrate evidence-based practice guidelines for evaluating therapy plans.
B. Clinical practice guidelines offer evidence-based recommendations, aiding healthcare providers in decision-making for specific conditions or treatments.
C. While the internet may provide information, it might lack the vetting and credibility of evidence-based practice guidelines provided by reputable sources.
D. Clinical pathways provide a structured approach to care delivery but might not inherently integrate evidence-based practice guidelines unless these are explicitly incorporated into the pathway.

A. "Let's talk about something else because this subject is upsetting you." B. "I can see that you feel sad about this situation." C. "Crying is a way of expressing the hurt you're experiencing." D. "The loss of your parent is very painful for you."

Correct Answer is ["B","C","D"]

Explanation

A. This response invalidates the patient's feelings and avoids addressing the emotion, hindering communication.
B. Acknowledging the patient's emotion validates their feelings and encourages further discussion.
C. Validates the patient's emotional expression and offers understanding.
D. Acknowledges the depth of the patient's pain and encourages expression without judgment.

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A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which institution-specific clinical practice resource will the nurse use to integrate evidence- based practice (EBP) into the care of a client hospitalized for the purpose of the evaluation of his or her current therapy plan?

Correct Answer is B

Explanation

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

When considering an individual's risk for suicide, which client will the nurse consider the priority?

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process?

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

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