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.
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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Related Questions
Correct Answer is B
Explanation
A. While acknowledging the patient's feelings is important, ensuring safety is the priority, and the response should emphasize the ongoing concern for safety.
B. Prioritizing patient safety and care is crucial, especially in situations involving suicidal risks.
C. Encouraging the patient to elaborate further is essential; however, the priority is to maintain the safety precautions.
D. Directing the patient to not participate in their care isn't supportive or therapeutic, especially when safety is a concern.
Correct Answer is B
Explanation
A. Being married might have protective factors against depression for some individuals due to social support; however, it's not universally a risk factor.
B. Chronic illness, due to its impact on quality of life, pain, and coping mechanisms, is a well-known risk factor for developing depression.
C. While depression can affect anyone regardless of gender, it's not accurate to label male gender as a risk factor in itself.
D. Pregnancy can be associated with perinatal mood disorders like postpartum depression, but it's not a universal risk factor for depression in all cases.

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