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.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
While loss of interest in activities can be a symptom of depression, it is not the most common behavior exhibited by adolescents with depression.
Choice B rationale
Mood swings can occur in adolescents with depression, but they are not the most common behavior.
Choice C rationale
Depressed mood is a symptom of depression, but it is not the most common behavior exhibited by adolescents with depression.
Choice D rationale
Irritable moods and acting out are the most common behaviors exhibited by adolescents with depression, as per the school health nurse’s knowledge.
Correct Answer is B
Explanation
Choice A rationale
Focusing is a therapeutic communication technique where the nurse directs the conversation to specific areas or topics. In this scenario, the nurse is not focusing the conversation but is seeking to clarify the client’s understanding of their medication.
Choice B rationale
Clarification is a therapeutic communication technique where the nurse seeks to understand the client’s message more fully. In this scenario, the nurse is using clarification by stating that the client needs more information about their medication for safe use.
Choice C rationale
Informing is a therapeutic communication technique where the nurse provides the client with relevant information. While the nurse in this scenario is indicating a need to provide more information, the primary action is clarification.
Choice D rationale
Theme identification is a therapeutic communication technique where the nurse identifies recurring thoughts or feelings expressed by the client. In this scenario, the nurse is not identifying a recurring theme but is seeking to clarify the client’s understanding of their medication.
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