Question

1. A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?

1. “I don’t know how I could cope if I didn’t have my family’s support.”
2. “I don’t feel anything about numbness anymore.”
3. “It’ll be a long time before I’m happy again.”
4. “I feel like I’m angry at the whole world right now.”

2. A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?

1. Inform the client that they have the legal right to refuse treatment at any time
2. Request another nurse to review the procedure with the client
3. Obtain consent from the client’s family member
4. Encourage the client to have the procedure.

3. A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states. “I feel unmotivated and don’t feel like leaving my home.” Which of the following recommendations should the nurse make to address the client’s social isolation?

1. Join a low impact exercise class.
2. Practice guided imagery each morning
3. Enroll in an online self-help course
4. Write in a journal daily.

4. A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?

1. Ask the client if he intends to harm others.
2. Suggest the client make a list of things that make him angry
3. Assist the client to explore techniques to reduce stress
4. Role model healthy ways to express anger

5. A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?

1. Inform the client that he does not have the right to refuse the medication.
2. Offer the client the medication at the next scheduled dose time
3. Implement consequences until the client takes the medication.
4. Administer the medication to the client via IM injection.

Answer 1

Answer 1: (D)I feel like I’m angry at the whole world right now.

Rationale: People suffering from clinical depression experiences anger, loss contact with the society, feeling of hateness towards people etc.

Answer 2: (D)Encourage the client to have the procedure.

Rationale: Patient with anxiety disorder usually fear for the new things. Hence it could be due to the anxiety that the patient is not ready for the treatment. Being a nurse, it is responsibility of the nurse to encourage and provide counseling to the patient about the benefits of the treatment.

Answer 3: (A)Join a low impact exercise class.

Rationale: This will imcrease the social interaction as well as the exercise could reduce the disparities. Exercise keeps mind fresh and reduces the mood swings.