A female client with severe depression is about to be discharged from an inpatient mental health unit.
The client’s highest level of education is seventh grade, and she reads at a fifth-grade level.
The nurse is giving her discharge instructions.
Which instruction is most appropriate for this client?
This is the medicine for your depression, and you will take it every morning after you get up.
Your MAOI should be taken once a day at the same time each day.
Your MAOI should be taken q.d.
Your antidepressant should be taken in the morning or in the evening at the same time.
The Correct Answer is A
Choice A rationale
Given the client’s educational background and reading level, it’s important to provide instructions that are simple and straightforward. Telling the client when to take her medication in a clear, concise manner is most appropriate.
Choice B rationale
Using medical terms like “MAOI” (Monoamine Oxidase Inhibitor) could confuse the client, especially considering her educational background and reading level.
Choice C rationale
Using abbreviations like “q.d.”. (which stands for “quaque die”, meaning “once a day” in Latin) could also confuse the client.
Choice D rationale
While this instruction is accurate, it might be too complex for the client to understand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Personality disorders are characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the individual’s culture. These patterns develop early, are inflexible, and are associated with significant distress or disability. However, the behaviors described in the question are not specific to personality disorders.
Choice B rationale
Affective disorders, also known as mood disorders, involve persistent feelings of sadness or periods of feeling overly happy, or fluctuations from extreme happiness to extreme sadness. The behaviors mentioned in the question do not align with the symptoms of affective disorders.
Choice C rationale
Dysfunctional disorder is not a recognized term in psychiatric diagnosis. Therefore, it cannot be the correct answer.
Choice D rationale
Conduct disorder is a mental health condition that affects children and teens. People with this condition persistently display severely antisocial and aggressive behaviors. They may bully others, be abusive to small animals, lie, steal, drink alcohol, use drugs, or skip school, often before their teenage years. The behaviors described in the question align with the symptoms of conduct disorder.
Correct Answer is B
Explanation
Choice A rationale
The diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD) require a disturbance lasting at least 6 months with at least eight relevant findings. A disturbance lasting at least 9 months is not specified in the diagnostic criteria.
Choice B rationale
The diagnostic criteria for ADHD require a disturbance lasting at least 6 months with at least eight relevant findings. This aligns with the description provided in Choice B34.
Choice C rationale
The diagnostic criteria for ADHD require a disturbance lasting at least 6 months with at least eight relevant findings. A disturbance lasting at least 3 months is not specified in the diagnostic criteria.
Choice D rationale
The diagnostic criteria for ADHD require a disturbance lasting at least 6 months with at least eight relevant findings. A disturbance lasting at least 12 months is not specified in the diagnostic criteria.
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