A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?

"I can always come stay in the hospital again if I don't want to take care of my own needs."

"Right now, I can't bathe or dress myself, but my family will help me."

"I will take my medicines as I should and know who to call if I have bad thoughts."

"Taking care of myself is important, but it's okay if I don't want to do anything."

Answer and Explanation

The Correct Answer is C

A.   This statement suggests dependency and a lack of readiness to take responsibility for self-care.
B.   While family support is important, the client should be able to demonstrate some level of independence for discharge readiness.
C.   Taking medications as prescribed and knowing who to contact in case of suicidal thoughts shows insight and preparedness for discharge.
D.   This statement reflects avoidance and a lack of motivation, indicating that the client is not yet ready for discharge.

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Correct Answer is B

Explanation

A. Hostility and sarcasm are concerning, but they are not as urgent as the risk of injury associated with hyperactivity.
B. Pacing in the hallway during the day and night is indicative of extreme restlessness and may lead to exhaustion or self-harm. The nurse should address this behavior to prevent harm.
C. Giving money away may be problematic, but it is a less immediate risk compared to physical safety.
D. Flight of ideas is a common symptom of mania, but it is less dangerous than pacing and hyperactivity, which can lead to physical harm.

A. "He spends much of his time with his school friends." B. "He is very religious and attends services twice a week." C. "He has slept 9 hours each night for the past 2 years." D. "His basketball coach committed suicide last month."

Correct Answer is D

Explanation

A. Spending time with friends is generally a healthy social behavior.
B. Being religious and attending services does not indicate suicidal risk.
C. Sleeping 9 hours per night is within a normal range for an adolescent.
D. The statement about the basketball coach committing suicide may indicate the adolescent is at risk for suicide, as exposure to suicide can increase the likelihood of suicidal behavior.

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A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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