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 B
Explanation
Choice A rationale
While sadness can be a symptom of many mental health issues in children, it is not typically considered a warning sign of violence.
Choice B rationale
Use of alcohol is a warning sign of violence in children. Substance abuse can impair judgment, increase impulsivity, and lead to aggressive behavior.
Choice C rationale
Relationship difficulties can be a symptom of many mental health issues in children, but they are not typically considered a warning sign of violence.
Choice D rationale
Though thought disorders can lead to behavioral problems, they are not directly associated with violence in children.
Correct Answer is C
Explanation
The primary nursing care intervention for an adolescent patient diagnosed with schizophrenia involves educating the patient and their family about the importance of medication adherence. Schizophrenia is a chronic condition that often requires long-term medication management. Ensuring adherence to prescribed medication regimens can significantly improve symptom management and overall quality of life.
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