The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?

Fear

Compulsions

Euphoria

Extreme sadness

Answer and Explanation

The Correct Answer is D

Choice A reason: Fear is a common emotion but is not a defining symptom of major depression.

Choice B reason: Compulsions are more characteristic of obsessive-compulsive disorder, not major depression.

Choice C reason: Euphoria is typically not associated with major depression, which is characterized by a persistent feeling of sadness or loss of interest.

Choice D reason: Extreme sadness is a hallmark symptom of major depression, often accompanied by a loss of interest in activities that were once enjoyed.

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Correct Answer is D

Explanation

Choice A reason: The statement "Your heart stops" is incorrect; heart failure does not mean the heart has stopped functioning.

Choice B reason: "Your heart is pumping too much blood" is not accurate; heart failure often means the heart cannot pump enough blood to meet the body's needs.

Choice C reason: While an area of heart muscle may die during a heart attack, this is not the defining characteristic of heart failure.

Choice D reason: The most accurate description of heart failure is that the heart is not pumping efficiently, which can lead to symptoms like fatigue and shortness of breath.

A. Notify the patient's family. B. Provide oxygen as prescribed. C. Notify the health care provider. D. Elevate the head of the bed.

Correct Answer is B

Explanation

Choice A Reason:Notifying the patient's family is not the immediate priority when the patient is experiencing severe respiratory distress. The nurse's primary focus should be on addressing the patient's acute symptoms.

Choice B Reason:Providing oxygen is crucial in managing respiratory distress. In a patient with myocardial infarction (heart attack), adequate oxygenation is essential to prevent further complications. The nurse should promptly administer oxygen as prescribed to improve oxygen supply and alleviate distress.

Choice C Reason:While notifying the health care provider is essential, it is not the first action in this critical situation. The nurse should prioritize interventions that directly address the patient's distress.

Choice D Reason:Elevating the head of the bed (semi-Fowler's position) is beneficial for patients with respiratory distress, but it is not the initial action. Providing oxygen takes precedence over positioning.

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The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

Correct Answer is D

Explanation

A patient hospitalized with a myocardial infarction suddenly begins having severe respiratory distress with frothy red sputum. What is the first action for the nurse to take?

Correct Answer is B

Explanation

Your patient with major depressive disorder isolates herself in her room for the whole day. You find her sitting and staring out the window. What is your best therapeutic response when you walk into her room?

A newly licensed nurse is assisting with the involuntary admission of a client who has depression to an acute care mental health facility. Which of the following guidelines should the nurse follow when caring for the client?

Your patient, who is manic, says, "Everything I do is great." How should you respond?

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A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

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