During assessment, the nurse is most likely to find the attitude of the depressed client toward his illness to be:

"It's just a matter of time and I will be well."

"I can fight this and lick it."

"I deserve to be this way."

"If I ignore this, it will go away."

Answer and Explanation

The Correct Answer is C

C. This attitude suggests a sense of self-blame or low self-worth commonly seen in individuals with depression. They may feel undeserving of happiness or believe that their suffering is justified. This attitude can hinder the individual's willingness to seek help or engage in treatment, as they may believe that they do not deserve support or that their situation is hopeless.
A. This attitude may reflect optimism or hopefulness which is not a common finding in individuals with depression. Hopelessness is more common in depression.
B. This attitude reflects a sense of determination and agency in overcoming the illness. This is not a typical finding in depression.
D. Some individuals with depression may attempt to cope by minimizing or ignoring their symptoms, hoping that they will resolve on their own. However, untreated depression typically does not improve without intervention and may worsen over time.

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Correct Answer is A

Explanation

A. Neglect occurs when a caregiver fails to provide for a child's basic needs, such as food, shelter, clothing, medical care, education, or emotional support. In this scenario, the child's statement about not eating for days and feeling worried because their parents are away suggests a lack of provision for basic needs, indicating possible neglect.
B. Sexual abuse involves inappropriate sexual behavior or contact imposed upon a child by an adult or older child. There is no indication of sexual abuse in the child's statement about not eating for days and feeling worried because their parents are away.
C. Financial abuse typically involves the misuse or withholding of a child's financial resources by a caregiver. While financial abuse can manifest in various forms, such as stealing a child's money or preventing access to resources, there is no direct mention of financial abuse in the child's statement.
D. Bullying involves repeated aggressive behavior intended to intimidate, harm, or exert control over another individual. There is no indication of bullying in the child's statement to the school nurse.

A. Orient the client and offer reassurance B. Encourage the client to drink some fluids C. Orient the client and monitor vital signs D. Assist the client from the stretcher to a wheelchair

Correct Answer is C

Explanation

C. After ECT, the client may be disoriented, confused, or drowsy due to the effects of anesthesia and the procedure itself. Orienting the client to their surroundings and situation helps promote their safety and comfort. Monitoring vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, is crucial to assess the client's immediate post-procedural status and detect any complications.
A. Offering reassurance can help alleviate any anxiety or confusion the client may experience. However, while this intervention is important, it may not be the first priority immediately upon admission to the Post Anesthesia Care Unit (PACU).
B. Hydration is important after any medical procedure, including ECT. However, immediately after ECT, the client may still be recovering from anesthesia and may not be fully alert or able to safely drink fluids.
D. Assisting the client with mobility is important but it may not be the first intervention performed in the PACU after ECT. The priority immediately upon admission to the PACU is to ensure the client's safety.

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During assessment, the nurse is most likely to find the attitude of the depressed client toward his illness to be:

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Naxlex Comprehensive Predictor Exams

While talking to the school nurse, a child in third grade states, "My parents are away and I have not eaten for days. I am worried that my parents forgot about me and my little brother." The nurse would suspect what type of abuse?

Correct Answer is A

Explanation

A client has just been admitted to the Post Anesthesia Care Unit after electroconvulsive therapy (ECT). Which intervention will the nurse perform first?

Correct Answer is C

Explanation

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