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 B

Explanation

A. While social factors can influence depression, they don't primarily focus on learning as the root cause.
B. Behavioral theories suggest that depression is learned through conditioning and reinforcement. This includes concepts like learned helplessness and operant conditioning.
C. These theories focus on physiological factors like neurotransmitters and genetics as the primary causes of depression.
D. These theories emphasize unconscious conflicts and early childhood experiences as the basis for depression.

A. If the client tends to pace a lot, be sure to encourage her to sit during interactions. B. If she doesn't understand the communication, change key words. C. Use simple, familiar words, along with short and simple sentences. D. Use hand gestures when speaking to try to explain what is being said.

Correct Answer is C

Explanation

A. While it might be helpful to reduce distractions, forcing someone to sit down can be counterproductive and stressful. It's important to respect the client's needs and preferences.
B. Changing key words might confuse the client further, as they may lose the context of the conversation. It's better to rephrase the sentence using simpler language.
C. This is the most effective communication technique for individuals with Alzheimer's disease. As the disease progresses, language skills deteriorate, and simple communication is easier to understand.
D. While hand gestures can be helpful in some cases, they should be used in conjunction with verbal communication, not as a replacement. Overreliance on gestures can be confusing for the client.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Theories that view depression as a group of learned responses are called theories.

Correct Answer is B

Explanation

Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer's disease has been diagnosed recently?

Correct Answer is C

Explanation

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