After establishing a no-harm contract with the client, the nurse should:

continue to maintain close observation.

begin treatment with antidepressants.

begin to assess client risk factors.

decrease observation activity to allow client autonomy.

Answer and Explanation

The Correct Answer is A

A.   A no-harm contract is a useful tool. However, it's essential to remember that it's not a guarantee against self-harm. Close observation remains crucial, as suicidal ideation can fluctuate.
B.   Antidepressants can be part of the treatment plan but they are not an immediate solution and require careful monitoring. The priority is ensuring the client's safety.
C.   This assessment should have already been conducted before establishing the no-harm contract. Ongoing assessment is important, but immediate observation takes precedence.
D.   Reducing observation could put the client at risk. Continuous monitoring is necessary to prevent self- harm.

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Correct Answer is A

Explanation

A. Severe, prolonged depression has been shown to increase a person's risk for physical illness. Chronic depression can lead to or exacerbate a range of health issues, including cardiovascular disease, weakened immune function, and gastrointestinal problems. The stress and physiological changes associated with depression can contribute to poorer health outcomes and a higher incidence of physical illnesses.
B. Severe, prolonged depression does have an effect on physical health, and the impact is generally detrimental rather than neutral. Ignoring the link between mental health and physical health overlooks the extensive evidence showing how chronic depression can affect physical well-being.
C. Severe, prolonged depression does not typically decrease the risk of physical illness. Instead, it generally increases the risk due to the negative effects on the body’s systems and overall health.
D. Severe, prolonged depression has more than just a little effect on physical health. Its impact is significant and can lead to a range of physical health problems, including increased susceptibility to infections, chronic diseases, and other health complications.

A. Denial B. Regression C. Projection D. Rationalization

Correct Answer is A

Explanation

A. This is the defense mechanism where a person refuses to acknowledge a painful reality. In this case, the client is denying their illness and the need for hospitalization.
B. This involves reverting to childlike behaviors as a way to cope with stress. It doesn't fit the scenario.
C. This is attributing one's own unacceptable thoughts or feelings onto others. There's no evidence of this in the given situation.
D. This involves creating excuses to justify unacceptable behavior. The client is not justifying their behavior but denying it.

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After establishing a no-harm contract with the client, the nurse should:

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Naxlex Comprehensive Predictor Exams

Severe, prolonged depression affects a person's risk for physical illness by

Correct Answer is A

Explanation

A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which defense mechanism?

Correct Answer is A

Explanation

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