A nurse on a mental health unit is caring for clients who have various d Bryant traction. When determining that the traction is the following client diagnoses as presenting the greatest risk for suicide?
Seasonal affective disorder
Persistent depressive disorder
Major depressive disorder
Premenstrual dysphoric disorder
The Correct Answer is C
A. Seasonal affective disorder (SAD): While individuals with SAD experience depressive symptoms that tend to occur seasonally, typically in the winter months, the severity of symptoms is generally less severe compared to MDD. While suicide risk can still be present in individuals with SAD, it is usually lower compared to those with MDD.
B. Persistent depressive disorder (PDD): Persistent depressive disorder, formerly known as dysthymia, is characterized by chronic depressive symptoms that are less severe than those seen in MDD. While individuals with PDD may experience prolonged feelings of sadness and hopelessness, their symptoms may not reach the severity seen in MDD. Therefore, the risk of suicide may be lower in individuals with PDD compared to those with MDD.
C. Major depressive disorder (MDD): Major depressive disorder is characterized by persistent feelings of sadness, hopelessness, and worthlessness, along with a loss of interest or pleasure in activities. Individuals with MDD are at significant risk of suicide, especially if their depressive symptoms are severe. The presence of traction may exacerbate feelings of hopelessness or helplessness in individuals with MDD, further increasing the risk of suicide.
D. Premenstrual dysphoric disorder (PMDD): PMDD is a severe form of premenstrual syndrome (PMS) characterized by significant mood disturbances and other symptoms that occur in the luteal phase of the menstrual cycle. While PMDD can cause distressing symptoms, including depressive mood, irritability, and anxiety, it is typically limited to the premenstrual period and does not carry the same chronicity or severity as MDD. Therefore, the risk of suicide may be lower in individuals with PMDD compared to those with MDD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Plan the client's schedule to allow time for rituals: This is the most appropriate action. It is essential to recognize that compulsive behaviors in OCD serve as coping mechanisms for the individual. Allowing time for rituals within the client's schedule can help reduce anxiety and provide a sense of control. Gradual exposure and response prevention techniques can be incorporated into the treatment plan over time to help the client gradually decrease reliance on rituals.
B. Isolate the client for a period of time: Isolating the client may exacerbate feelings of anxiety and distress, as well as decrease opportunities for social interaction and support, which are essential components of mental health treatment.
C. Confront the client about the senseless nature of the repetitive behaviors: Confrontation may lead to defensiveness and resistance from the client. It is important to approach the client with empathy and understanding rather than judgment. Educating the client about the nature of OCD and the role of compulsive behaviors in managing anxiety can be more helpful in fostering insight and motivation for change.
D. Set strict limits on the behaviors so that the client can conform to the unit rules and schedules: Setting strict limits may increase the client's distress and resistance. It is important to collaborate with the client in treatment planning and find a balance between supporting the client's needs and maintaining a therapeutic environment. Gradual exposure and response prevention techniques should be implemented in a supportive manner rather than through strict enforcement.
Correct Answer is B
Explanation
A. Administer opioids for pain:
While pain management is crucial after surgery, opioids may not be the first-line choice for pain relief in toddlers due to their potential side effects, including respiratory depression and sedation. Non-opioid pain relief methods such as acetaminophen or ibuprofen may be preferred, depending on the toddler's age and the surgeon's preference.
B. Apply bilateral wrist restraints:
After a cleft palate repair, it's essential to prevent the toddler from putting hands or objects into their mouth, as this could disrupt the surgical site and compromise healing. Bilateral wrist restraints help to immobilize the toddler's arms and prevent them from reaching the mouth area, reducing the risk of injury and promoting healing.
C. Implement a soft diet:
A soft diet may be appropriate for the toddler once they have fully recovered from the surgery and the surgical site has healed adequately. However, 24 hours postoperative is too soon to introduce a soft diet, as the toddler may still be recovering from anesthesia and experiencing discomfort. It's essential to follow the surgeon's orders regarding diet progression.
D. Offer fluids through a straw:
Offering fluids through a straw may pose a risk of aspiration or injury to the surgical site, especially in the immediate postoperative period. It's crucial to follow the surgeon's instructions regarding feeding methods and avoid using straws until the toddler has fully recovered and the surgical site has healed.
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