A patient diagnosed with major depressive disorder was hospitalized for 8 days. Treatment included six electroconvulsive therapy sessions and aggressive dose adjustments of antidepressant medications. The patient owns a small business and was counseled not to make major decisions for a month. Select the correct rationale for this counseling.

Antidepressant medications alter catecholamine levels, which impair decision-making abilities.

The patient needs time to reorient him or herself to a pressured work schedule.

Temporary memory impairments and confusion can be associated with electroconvulsive therapy.

Antidepressant medications may cause confusion related to a limitation of tyramine in the diet.

Answer and Explanation

The Correct Answer is C

A.   This is not the primary reason for the counseling. The decision-making recommendation is
more related to the effects of the electroconvulsive therapy and the need for the patient to recover from its associated side effects.
B.   While readjustment to a work schedule might be a consideration, the primary reason for counseling against major decisions for a month is related to the potential side effects of
electroconvulsive therapy.
C.   Temporary memory impairments and confusion are potential side effects of electroconvulsive therapy, which might interfere with decision-making abilities, hence the advice to refrain from major decisions.
D.   Antidepressant medications causing confusion related to dietary limitations with tyramine is not directly relevant to the counseling against making major decisions after electroconvulsive therapy.

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Correct Answer is C

Explanation

A. This response may convey a sense of judgment or imply the client's previous state was unacceptable, potentially making the client feel criticized.
B. This question might inadvertently put the client on the defensive and seems intrusive, possibly making the client uncomfortable.
C. This response is observational and nonjudgmental, acknowledging the change without implying any criticism.
D. This response assumes the reason for the change without allowing the client to express herself and might not accurately reflect the client's emotional state or motivation.

A. Allow no glass or metal on meal trays. B. Check the patient's whereabouts every 15 minutes and make frequent verbal contact. C. Remove all potentially harmful objects from the patient's possession. D. Maintain arm's length, one-on-one nursing observation around the clock.

Correct Answer is ["A","B","C"]

Explanation

A. This precaution helps eliminate potential means for self-harm.
B. Regular checks and verbal contact are essential to monitor the patient's safety and provide support.
C. Removing objects that could be used for self-harm is a key part of suicide precautions.
D. While this is an intensive level of observation, it might not be feasible at all times due to staffing limitations, making this choice less practical than the others.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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.)

Correct Answer is ["A","B","C"]

Explanation

The decision to intervene as a patient advocate is clearly identified by the American Nurses Association's (ANA) code of ethics in which situation?

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.)

A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hr hold is over for which of the following conditions?