A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months.

She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

Teach the client techniques for coping with the mother’s anger.

Ask if the mother could come in for a hearing evaluation.

Tell the client it appears the mother has a hearing loss.

Inform the client to ignore the behavior and treat the mother with love.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While teaching the client techniques for coping with the mother’s anger might be helpful, it does not address the root cause of the problem. The mother’s anger and inappropriate responses could be due to frustration from not being able to hear properly.
Choice B rationale
The mother’s behavior of not responding when her back is turned and becoming increasingly angry could be signs of hearing loss. A hearing evaluation would help determine if this is the case and appropriate interventions can be put in place.
Choice C rationale
Telling the client that it appears the mother has a hearing loss is not the best intervention because it is based on assumption without any professional evaluation. It is important to have a professional evaluation before making such conclusions.
Choice D rationale
Informing the client to ignore the behavior and treat the mother with love does not address the potential issue of hearing loss. Ignoring the problem does not solve it and could lead to further frustration and misunderstanding.

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Correct Answer is D

Explanation

Choice D rationale
Feelings of hopelessness, worthlessness, and difficulty focusing are common symptoms of severe depression. Depression is a serious mood disorder that affects how a person feels, thinks, and handles daily activities. To be diagnosed with depression, the symptoms must be present for at least 2 weeks.
Choice A rationale
Changes in sleep pattern and fatigue are symptoms of depression, but an elevated mood is not. An elevated mood is more commonly associated with bipolar disorder.
Choice B rationale
While a depressed mood and feelings of guilt are symptoms of depression, rapid speech is not. Rapid speech is more commonly associated with mania or hypomania, conditions seen in bipolar disorder.
Choice C rationale
Difficulty concentrating and feelings of helplessness are symptoms of depression, but rapid shifts in thoughts are not. Rapid shifts in thoughts are more commonly associated with conditions such as bipolar disorder.

A. During the first few days after admission. B. On the anniversary of significant life events in the patient’s life. C. Approximately 2 weeks after starting antidepressant medication. D. Immediately after a family visit.

Correct Answer is C

Explanation

Choice A rationale
While the initial days after admission can be stressful and potentially risky for a patient with suicidal ideation, they are not typically considered the highest risk period.
Choice B rationale
Anniversaries of significant life events can indeed trigger emotional distress and potentially increase suicide risk. However, these are specific time points and not a continuous period of heightened risk.
Choice C rationale
The highest risk for self-harm in a patient with a history of suicidal ideation is often approximately 2 weeks after starting antidepressant medication. This is because as their mood begins to lift, they may still have suicidal thoughts but now have the energy to act on them.
Choice D rationale
While family visits can be emotionally charged and potentially distressing, they do not typically represent the highest risk period for self-harm.

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A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been admitted due to severe depression. What symptoms should the nurse anticipate during the assessment?

Correct Answer is D

Explanation

A patient with a history of suicidal ideation is under observation. When is the patient at the highest risk for self-harm?

Correct Answer is C

Explanation

True or False: The management of delirium is dependent on its cause, with the primary focus being to address the root cause.

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What is an effective nursing intervention to help an angry patient manage their anger without resorting to violence?

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

The practical nurse (PN) reviews the lab values. What Questions can the PN ask the client based on the lab results? Select all that apply.

The patient is experiencing loss of multiple abilities such as short- and long-term memory, language, and the ability to understand. What condition does the patient have?

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months.

She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?