A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?

Shift attention from self to the needs and requests of others

Relax and reduce the amount of effort to solve the problem.

Focus on small achievable tasks, not taxing problems.

Concentrate on and ventilate emotions when distressed.

Answer and Explanation

The Correct Answer is C

A.   Shifting attention from self to others might strain the individual further as they might not have the emotional energy for it.
B.   Relaxation without addressing underlying issues won't help in managing depression and might exacerbate the situation.
C.   Focusing on small achievable tasks helps in breaking down overwhelming problems into manageable parts, aiding in a sense of accomplishment.
D.   Ventilating emotions might be beneficial, but solely relying on this strategy might not address the core issue of handling responsibilities.

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Correct Answer is A

Explanation

A. Providing personal space allows the client to feel less threatened and gives them room to express their emotions without feeling cornered.
B. Standing in the doorway might block the client's exit and could escalate the situation.
C. Requesting backup might be necessary in some situations but should not be the initial response to the client's agitation.
D. Encouraging the client to sit down might not be well-received and could escalate the situation further.

A. Expected, as the client is attempting to reduce anxiety by regressing to a state of lesser anxiety. B. Should be encouraged as representative of the client's non-destructive method of fear expression. C. Unacceptable, and limits should be set to encourage the client to maintain her independence. D. Should be accepted by staff as the first step the client must experience in the grieving process. E. Should be accepted by staff as the first step the client must experience in the grieving process.

Correct Answer is A

Explanation

A. This behavior can be seen as a regression aimed at reducing anxiety during a stressful time, which is a relatively common psychological response to stress or trauma.
B. While it may be a way for the client to cope, encouraging dependency might not necessarily be the best approach to fostering independence.
C. While independence is important, setting rigid limits might not address the underlying emotional needs during a period of distress.
D. Acknowledging and understanding the client's behavior as a coping mechanism within the grieving process can help the staff provide appropriate support and care.

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A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When responding to a call light, the nurse finds a client with aggressive behaviors pacing and restless in the room. The client shouts, "What took you so long to get in here!" Which action should the nurse implement?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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