A nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?

Having elevated levels of serotonin.

Past history of childhood trauma.

Being an only child.

Recent history of stressful positive life events.

Answer and Explanation

The Correct Answer is B

A.   Elevated levels of serotonin are associated with a potential treatment for depression but aren't considered a primary risk factor for developing depression.
B.   Past history of childhood trauma, such as abuse or neglect, is a well-established risk factor for the development of depression later in life.
C.   Being an only child is not recognized as a primary risk factor for depression.
D.   Recent history of stressful positive life events might not be a primary risk factor for depression; in some cases, it could be a protective factor.

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Correct Answer is C

Explanation

A. Sleep disturbances are common in PTSD but might not address the immediate distress related to the sexual assault.
B. While discussing triggers is relevant, it might not directly address the current acute symptoms of reliving the traumatic event.
C. Asking about current experiences of flashbacks directly relates to one of the hallmark symptoms of PTSD, especially given the recent severe anxiety related to the assault.
D. Avoidance behavior is a symptom of PTSD, but asking about flashbacks addresses more immediate distress.

A. Recognize the attempt at manipulation and escort the client back to her activity. B. Notify the client's family and request a visitor to stay with the client until thoughts of suicide are gone. C. Ask the client if she has a plan to commit suicide. D. Assist the client to her room and allow her to rest before resuming activity.

Correct Answer is C

Explanation

A. Dismissing the client's statement as manipulation without proper assessment can be dangerous.
B. While involving family support is important, this response doesn’t address the immediate safety concerns of the client.
C. Asking about suicidal plans helps assess the level of risk and informs subsequent actions to ensure the client's safety.
D. The situation requires more immediate assessment and action due to the expressed suicidal ideation.

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A nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

Correct Answer is C

Explanation

A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Which intervention(s) should the nurse include in the plan of care for an adolescent who is depressed? (Select all that apply.)

What is the primary difference between somatic system disorders and dissociative disorders?

A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?

A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? (Select all that apply.)

A nurse is caring for a client who was admitted for suspected abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take to promote client communication?

After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?