A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?
Discourage the client from expressing anger.
Reinforce how to use assertive communication techniques.
Set short-term and long-term goals for the client.
Schedule the client's daily self-care activities.
The Correct Answer is B
Choice A reason: Discouraging the client from expressing anger is not therapeutic and can inhibit emotional expression, which is important in managing depression.
Choice B reason: Reinforcing assertive communication techniques is beneficial as it helps clients express themselves in a healthy way, which is a key aspect of depression management.
Choice C reason: Setting goals is important, but it should be done collaboratively with the client to empower them and ensure the goals are realistic and achievable.
Choice D reason: Scheduling daily self-care activities is helpful, but teaching the client how to manage their own schedule can promote independence and self-efficacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Ensuring safety is important, but it does not directly address the immediate risk of suicide as effectively as understanding the client's intentions.
Choice B reason: Informing the provider is a critical step, but it should follow after assessing the immediate risk to the client's safety.
Choice C reason: Questioning the client about a suicide plan and method is the most immediate and direct way to assess the risk of suicide and take appropriate safety measures.
Choice D reason: Administering medication is important for managing anxiety but does not take precedence over assessing the risk of suicide in a client expressing such thoughts.
Correct Answer is C
Explanation
Choice A reason: Hearing deficits are not commonly associated with digoxin toxicity. The typical symptoms involve gastrointestinal, neurological, and visual changes³.
Choice B reason: Jaundice is not a manifestation of digoxin toxicity. It is more commonly related to liver conditions³.
Choice C reason: Anorexia is a common symptom of digoxin toxicity, along with nausea, vomiting, and abdominal pain. These gastrointestinal symptoms are important indicators for nurses to monitor³.
Choice D reason: Ataxia, or lack of muscle coordination, is not a typical sign of digoxin toxicity. The primary concerns with toxicity are cardiac arrhythmias and gastrointestinal symptoms³.
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