A nurse at a primary care clinic is assessing a client for manifestations of depression.
Which of the following client statements should the nurse identify as being consistent with depression?.
"I can't sit still. I feel like I need to be doing things around the house.”.
"I can't get my mind to stop racing at night.
"When I went to my provider, they told me I have high blood pressure.”.
"Lately, I feel like I am more alert than usual and can focus better.”.
The Correct Answer is B
Choice A rationale:
This statement indicates restlessness, which is not typically associated with depression.
Choice B rationale:
This statement indicates insomnia, which is a common symptom of depression.
Choice C rationale:
High blood pressure is not a symptom of depression.
Choice D rationale:
Increased alertness and focus are not typical symptoms of depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
If a client states that they do not want to live anymore and plans to end their life, the nurse should ask the client about the lethality of their plan. This can help the nurse assess the immediate risk and determine the appropriate level of intervention.
Choice B rationale:
While it’s important to encourage clients to focus on the positive aspects of life, this should not be the first response when a client expresses suicidal ideation. The priority is to assess the risk and ensure the client’s safety.
Choice C rationale:
Reassuring the client that everything is going to work out may seem helpful, but it can also minimize the client’s feelings and potentially make them feel misunderstood. The priority is to assess the risk and ensure the client’s safety.
Choice D rationale:
Allowing the client time alone to self-reflect is not the appropriate action when a client expresses suicidal ideation. The client should not be left alone, as they may be at risk of self-harm.
Correct Answer is C
Explanation
Choice A rationale:
Mood stabilizers are used for bipolar disorder, not for symptoms like delusions and hallucinations.
Choice B rationale:
Benzodiazepines are used for anxiety and panic disorders. They don’t treat psychotic symptoms.
Choice C rationale:
Dopamine antagonists, or antipsychotics, are the primary treatment for schizophrenia. They can reduce delusions and hallucinations.
Choice D rationale:
SSRIs are used for depression and some anxiety disorders. They don’t treat psychotic symptoms.
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