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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Stress from a new job could indeed be a cause of a depressed mood. Changes in life circumstances, such as starting a new job, can be stressful and lead to feelings of depression.
Choice B rationale:
High blood pressure is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.
Choice C rationale:
An elevated heart rate is not typically a direct cause of a depressed mood. It is a physical symptom that can be associated with many different conditions, but it does not directly cause depression.
Choice D rationale:
Renal dysfunction is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.
Correct Answer is A
Explanation
Choice A rationale:
The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
Choice B rationale:
This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
Choice C rationale:
Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
Choice D rationale:
The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.
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