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 D

Explanation

A. Haloperidol might be used in some detoxification scenarios but isn't directly indicated based on the information provided.
B. Folic acid is not an immediate medication administered during alcohol detoxification.
C. Trazodone is used for other purposes and is not an immediate medication in alcohol detoxification.
D. Vitamin B1 (thiamine) supplementation is crucial during alcohol detoxification to prevent Wernicke-Korsakoff syndrome or other neurological complications associated with
alcohol withdrawal.

A. Five-pound (2.3 kg) weight gain. B. Depressed affect. C. Nausea and vomiting D. Short-term memory loss.

Correct Answer is C

Explanation

A. A five-pound weight gain could be significant but might not require immediate reporting unless it continues to increase rapidly.
B. A depressed affect is concerning but may not warrant immediate reporting unless it signals a severe change in the client's mental state.
C. Nausea and vomiting could indicate lithium toxicity, a serious side effect requiring immediate attention and evaluation by the healthcare provider.
D. Short-term memory loss can be a side effect of lithium but might not pose an immediate threat unless severe or rapidly worsening.

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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

A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?

Correct Answer is D

Explanation

The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?

Correct Answer is C

Explanation

The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?

A client is admitted to the mental health unit and sits in the corner of the day room. When the nurse begins the admission assessment interview, the client is guarded, suspicious, and resists talking. Which action should the nurse implement?

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?

A female client with bulimia is admitted to the mental health unit after she disclosed to a friend that she purges after meals. Which intervention should the nurse implement first?

A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?