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?

Make frequent short visits to her room and just sit there.

"Come with me. It's time for group therapy."

"I'd like to introduce you to the other patients."

"What are you thinking about?"

Answer and Explanation

The Correct Answer is D

Choice A reason: This approach is non-intrusive and allows the patient to become accustomed to the presence of others without feeling pressured to interact, which can be beneficial for someone with major depressive disorder who is isolating themselves.

Choice B reason: While group therapy is important, insisting that the patient comes with you when they are isolating themselves might be too forceful and could lead to increased resistance or distress.

Choice C reason: Introducing the patient to others is a good step, but it should not be the first approach if the patient is actively isolating and may not be ready for social interaction.

Choice D reason: Asking "What are you thinking about?" can be a good way to start a conversation, but it might be too direct for a patient who is not yet ready to open up and could feel invasive.

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

Explanation

Choice A reason: An exercise stress test can help diagnose coronary artery disease by measuring the heart's ability to respond to external stress in a controlled clinical environment.

Choice B reason: Troponin I is a blood test that measures the levels of troponin T or troponin I proteins in the blood. These proteins are released when the heart muscle has been damaged, such as in a heart attack, which is a common complication of coronary artery disease.

Choice C reason: Cardiac computed tomography (CT) for calcium scoring is a non-invasive way of obtaining information about the presence, location, and extent of calcified plaque in the coronary arteries.

Choice D reason: Radioisotope imaging, such as a nuclear stress test, can show how blood moves to the heart muscle at rest and during stress, helping to diagnose coronary artery disease.

Choice E reason: Angiography involves using X-rays to see your body's blood vessels. Coronary angiography is specifically used to see if your coronary arteries are blocked or narrowed, where they supply blood to your heart.

A. I will have my potassium level checked. B. I will have my calcium level checked. C. I will have my prothrombin time checked. D. I will have my urine sodium checked.

Correct Answer is A

Explanation

Choice A reason: Furosemide is a loop diuretic that can cause hypokalemia, so monitoring potassium levels is important.

Choice B reason: While calcium levels can be affected by furosemide, it is not typically the primary concern.

Choice C reason: Prothrombin time is not usually affected by furosemide and is not routinely monitored unless the patient is on anticoagulant therapy.

Choice D reason: Urine sodium could be checked, but it is the serum potassium that is most commonly monitored due to the risk of hypokalemia with furosemide use.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which tests can be used to assist in diagnosing a patient with coronary artery disease? Select all that apply.

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

Explanation

The patient is being discharged on furosemide (Lasix). The nurse evaluates the patient as understanding medication teaching if the patient states that which of the following laboratory tests will be monitored as ordered?

Correct Answer is A

Explanation

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

Your patient, who is manic, has lost 5 pounds and is underweight. Which meal is most appropriate?

The nursing interventions for a patient with major depression would include all the following except:

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A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?

The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat, I'm not hungry." What would be your best therapeutic response?