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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Cheddar cheese is high in tyramine, which can interact with MAOIs and cause hypertensive crises, so it should be avoided.
Choice B reason: Corned beef and sauerkraut are also high in tyramine and should be avoided by clients taking MAOIs.
Choice C reason: Cottage cheese and oranges are generally considered safe for clients taking MAOIs as they are low in tyramine.
Choice D reason: Beer and red wine are high in tyramine and should be avoided by clients taking MAOIs due to the risk of severe hypertension.
Correct Answer is D
Explanation
Choice A reason: Encouraging the client to sleep during the day can disrupt the normal sleep-wake cycle and is not recommended for managing insomnia associated with depression.
Choice B reason: Scheduling a brisk physical activity before bedtime can be stimulating and may actually make it more difficult for the client to fall asleep.
Choice C reason: Monitoring for bouts of diarrhea is not directly related to the care of a client with severe depression unless the client is on specific medications that may cause gastrointestinal upset as a side effect.
Choice D reason: Offering frequent small snacks can help manage the weight loss and decreased appetite often seen in clients with severe depression, ensuring they receive adequate nutrition.
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