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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While hostility and sarcasm can be challenging, they are not immediate safety concerns compared to the physical activity that could lead to exhaustion or injury.
Choice B reason: Giving away personal items and money can be concerning for the client's financial well-being, but it does not pose an immediate risk to their physical health.
Choice C reason: Pacing in the hallway during the day and most of the night could indicate a high level of psychomotor agitation associated with mania, which can lead to physical exhaustion or injury and is therefore a priority.
Choice D reason: Flight of ideas is a symptom of mania that, while important to note, does not pose an immediate risk to the client's safety like excessive physical activity does.
Correct Answer is A
Explanation
Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.
Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.
Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.
Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.
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