The nurse is teaching the family of a client about the signs and symptoms of major depression prior to the discharge of their loved one from an inpatient stay after a suicide attempt. Which statement by a family member warrants further education by the nurse?

I will encourage him to join me in a daily walk with the dog to the park on the corner.

I will set timers for his medications and meals

I will let him have his freedom and wont ask any questions. This is his life not mine.

Engage with him daily on how he is feeling and what he goals he has set for the day.

Answer and Explanation

The Correct Answer is C

A.   Encouraging physical activity, like a daily walk, is a positive way to support the client’s mental health
and can help with symptoms of depression.
B.   Setting timers for medications and meals is a helpful strategy to ensure the client adheres to the prescribed treatment plan.
C.   Letting the client have complete freedom without offering support or asking questions is a risky approach. The nurse should encourage family involvement and monitoring, as clients recovering from a suicide attempt need continued emotional support and guidance.
D.   Engaging with the client about their feelings and daily goals can help maintain communication and provide emotional support.

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Correct Answer is ["A","C"]

Explanation

A. Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia.
B. Fidgeting behavior is more related to anxiety or restlessness rather than EPS.
C. Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine.
D. Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue.
E. Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.

A. "Why are you not seeing the value of this treatment plan for recovery?" B. "You may want to consider moving to a group home, since you will not be free of the troublesome symptoms." C. "While you may not be completely symptom-free, you should still see an increase in your quality of life by continuing with the treatment plan." D. "The medical model of recovery works to eliminate all symptoms. Maybe you should see a medical doctor."

Correct Answer is C

Explanation

A. Asking why the client doesn't see the value of treatment is confrontational and dismisses the client’s
experience.
B. Suggesting a group home without addressing the client’s personal goals or preferences could be perceived as dismissive.
C. While complete symptom resolution is not guaranteed, focusing on improving the client’s quality of
life and continuing treatment is more realistic and supportive.
D. The medical model of recovery emphasizes symptom management, but suggesting it works to eliminate all symptoms may be overly optimistic for someone with schizophrenia.

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The nurse is teaching the family of a client about the signs and symptoms of major depression prior to the discharge of their loved one from an inpatient stay after a suicide attempt. Which statement by a family member warrants further education by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

Correct Answer is C

Explanation

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