A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

Use systematic desensitization to help prevent relapse.

Your antidepressant medication will make you feel better in a few days.

You should identify how you react to stressful events.

Try snapping a rubber band on your wrist when depressive thoughts occur.

Answer and Explanation

The Correct Answer is C

Choice A reason: Systematic desensitization is a technique primarily used for anxiety disorders and phobias, rather than for preventing relapse in depression. This method involves gradually exposing a person to anxiety-provoking stimuli while teaching them relaxation techniques to cope with the anxiety. While it is an effective therapeutic tool, it is not specifically aimed at preventing relapse in depression. Instead, it is more suitable for conditions where anxiety and avoidance behaviors are predominant issues.

Choice B reason: Antidepressant medications typically take several weeks to begin showing their full therapeutic effects, not just a few days. Telling a client that they will feel better in a few days can lead to unrealistic expectations and potential disappointment if the medication does not work immediately. Clients should be informed that it might take a few weeks to notice significant improvements and that they should continue taking the medication as prescribed and follow up with their healthcare provider.

Choice C reason: Identifying how one reacts to stressful events is crucial in managing depression and preventing relapse. Stressful events can trigger or exacerbate depressive episodes. By understanding their responses to stress, clients can develop coping strategies and seek appropriate support when needed. This proactive approach helps in recognizing early signs of relapse and implementing measures to mitigate the impact of stress on their mental health. Therefore, this advice is practical and directly applicable to preventing depression relapse.

Choice D reason: Snapping a rubber band on the wrist as a way to interrupt depressive thoughts is a behavioral technique that might work for some individuals in the short term. However, it is not a comprehensive strategy for preventing depression relapse. This method is more of a distraction technique and does not address the underlying issues or equip the client with long-term coping strategies. Effective relapse prevention in depression involves a more holistic approach, including cognitive-behavioral techniques, medication adherence, and lifestyle changes.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Encouraging the client to participate in a board game may be helpful for social interaction and engagement, but it is not the most appropriate intervention to address hostile verbal outbursts. Engaging in activities like board games can be beneficial for overall mental health, but the immediate issue of managing aggression requires more direct strategies.

Choice B reason: Touching the client on the shoulder to console them is not advisable in this situation. Physical contact can be misinterpreted by clients with schizophrenia and may escalate their agitation or aggression. It is important to maintain personal boundaries and use verbal communication to convey support and reassurance.

Choice C reason: Bringing a security guard whenever approaching the client can create an atmosphere of fear and mistrust. It is important to establish a therapeutic relationship built on trust and respect. While safety is a priority, using calm communication and de-escalation techniques is preferable to prevent hostile behavior.

Choice D reason: Using a calm, clear tone when speaking to the client is an effective intervention for managing hostile verbal outbursts. Calm communication helps de-escalate the situation and prevents further agitation. It shows the client that the nurse is in control and can provide a stable, reassuring presence, which is essential for building trust and maintaining a therapeutic environment.

A. You might have extreme fatigue for several weeks after the device is implanted. B. Your voice might sound hoarse after the device is implanted. C. Your depression will improve within 72 hours after the device is implanted. D. You can schedule an appointment with your provider to turn the device off.

Correct Answer is B

Explanation

Choice A reason: Extreme fatigue for several weeks is not a common side effect associated with the implantation of a vagus nerve stimulator. While patients may experience some discomfort and mild fatigue immediately following surgery, it is typically short-term. Prolonged extreme fatigue is not a standard outcome and would warrant further medical evaluation if it occurs.

Choice B reason: Hoarseness or changes in voice is a common side effect after the implantation of a vagus nerve stimulator. The stimulator affects the vagus nerve, which is close to the vocal cords. As a result, stimulation can lead to changes in voice, including hoarseness. Patients should be informed of this potential side effect so they are not alarmed if it occurs.

Choice C reason: It is unrealistic to expect depression to improve within 72 hours after the implantation of a vagus nerve stimulator. While this treatment can be effective for certain individuals with treatment-resistant depression, it generally takes several weeks to months for patients to notice significant improvement in their symptoms. Setting realistic expectations is crucial for patient adherence and satisfaction with the treatment.

Choice D reason: Patients should not assume they can schedule an appointment at any time to turn off the device. The vagus nerve stimulator is implanted as part of a treatment plan, and any changes to its operation should be thoroughly discussed with and managed by the healthcare provider. Turning off the device without proper consultation can impact the effectiveness of the treatment and the patient’s overall health.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has schizophrenia. The client often directs brief, hostile verbal outbursts toward the staff. Which of the following interventions should the nurse recommend?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who is scheduled for implantation of a vagus nerve stimulator. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who is combative and requires wrist restraints. Which of the following actions should the nurse take?

A nurse is collecting data for a health history from a client who has bulimia nervosa. Which of the following laboratory findings should the nurse expect?

A nurse is assisting with the involuntary admission of a client who has an anxiety disorder and is unable to meet their basic physical needs. Which of the following statements should the nurse make to the client?

A nurse is reinforcing teaching with a client about naltrexone. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is collecting data from a group of clients in an acute care mental health facility. For which of the following findings should the nurse be most concerned regarding individual client safety?

A nurse is reinforcing teaching about home care with the family of a client who has Alzheimer's disease and wanders at night. Which of the following instructions should the nurse include?

A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?

A nurse in a pediatric clinic is caring for a school-age child who has a perforated eardrum. The nurse suspects abuse. Which of the following actions should the nurse take?