A client with depression is not attentive to personal hygiene, uses television watching as a means of escape from responsibilities, and describes an inability to enjoy the things that once gave them pleasure. Which coping strategy should the nurse include in the plan of care?

Recall methods that were most successful in the past.

Turn to other activities to take one's mind off of the issues.

Reach out to family and friends about feelings of abandonment.

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

Answer and Explanation

The Correct Answer is A

A) Recalling methods that were most successful in the past is an effective coping strategy. This approach encourages the client to identify and utilize strategies that have previously helped them manage their depression. It fosters a sense of agency and can inspire motivation to engage in positive behaviors again.

B) Turning to other activities to take one's mind off of the issues may provide temporary relief, but it does not address the underlying issues related to depression. This strategy could lead to avoidance rather than active problem-solving and engagement with life.

C) Reaching out to family and friends about feelings of abandonment is important for social support; however, it may not be the first step in the coping strategy. The client may need to develop skills to articulate their feelings before reaching out, and it also doesn’t directly address their current disengagement from activities.

D) Relaxing and reducing the amount of effort to solve the problem may feel appealing but could reinforce avoidance behaviors. It’s crucial to encourage the client to engage actively with their emotions and challenges instead of stepping back entirely. The goal should be to empower the client to take small, manageable steps toward re-engagement with life, making option A the most suitable choice.

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Correct Answer is B

Explanation

A) Why do you think you have a hostile work environment?:Asking this question might come across as dismissive or challenging the client’s perception of their experience. It is important to validate the client’s feelings and experiences rather than questioning their interpretation of the situation.

B) How have you responded to those in your work environment about these events?:This response encourages the client to reflect on their actions and coping strategies. It shows empathy and interest in understanding the client’s perspective and experiences, which can help build rapport and provide valuable insights for further discussion and support.

C) Have you considered resigning from your position?:Suggesting resignation might not be appropriate at this stage, as it could increase the client’s stress and anxiety. It is important to explore the client’s feelings and experiences first before discussing potential solutions or changes in their employment situation.

D) Have the feelings associated with these events brought you to the clinic?:While this question acknowledges the client’s feelings, it may not provide an opportunity for the client to elaborate on their experiences and coping strategies. It is important to focus on understanding the client’s actions and responses to the events they described.

A. Disturbed personal identity. B. Risk for injury. C. Ineffective coping. D. Anxiety, panic.

Correct Answer is B

Explanation

A) Disturbed personal identity could be relevant in the context of a mental health issue, but it is not the most immediate concern given the client's current presentation. While it may be important to address over time, it does not take precedence in the acute phase.

B) Risk for injury is the most critical problem to include in the client's plan of care. The client's lack of sleep, pressured speech, and increase in sexual promiscuity indicate a potential manic episode, which can lead to impulsive and unsafe behaviors. Prioritizing the risk for injury ensures the safety of the client and others, making it essential for the immediate care plan.

C) Ineffective coping is a concern that may develop in response to the client's current symptoms. However, addressing immediate safety needs is more urgent than focusing on coping mechanisms at this point.

D) Anxiety and panic might be present, but they are not as clearly defined in the client's current symptoms as the risk for injury. The focus should remain on preventing harm and ensuring the client is safe during this acute episode.

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A client with depression is not attentive to personal hygiene, uses television watching as a means of escape from responsibilities, and describes an inability to enjoy the things that once gave them pleasure. Which coping strategy should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is admitting a client who has not slept in three days to the inpatient care facility. The client has pressured speech and describes an increase in sexual promiscuity. Which problem should the nurse include in the client's plan of care?

Correct Answer is B

Explanation

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