A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

"I can't sit still. I feel like I need to be doing things around the house."

"Lately, I feel like I am more alert than usual and can focus better."

"When I went to my provider, they told me I have high blood pressure."

"I can't get my mind to stop racing at night. I'm only sleeping a couple of hours.”

Answer and Explanation

The Correct Answer is D

Rationale:

A. Feeling restless and needing to be active can be more indicative of anxiety or agitation rather than depression.

B. Increased alertness and improved focus are not typical symptoms of depression; rather, depression often involves decreased energy and focus.

C. High blood pressure is not directly related to depressive symptoms.

D. Difficulty sleeping and racing thoughts at night are consistent with depression, particularly when accompanied by poor sleep quality.

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Correct Answer is C

Explanation

Rationale:

A. Amphetamines can cause agitation and psychosis but are less commonly associated with delirium.

B. Antihistamines, particularly those with sedative properties, can contribute to delirium, but they are not the primary culprit.

C. Benzodiazepines, especially when used in high doses or in older adults, can cause delirium. They have sedative effects and can impair cognitive function, leading to confusion and delirium, particularly in vulnerable populations.

D. Sertraline, a selective serotonin reuptake inhibitor (SSRI), is generally not associated with causing delirium, though any medication can contribute to altered mental status depending on the patient’s overall health.

A. "There is a negative stigmatization for mental illness." B. "Bias is often isolated to inpatient hospitalization." C. "Displaying bias is a conscious act." D. "Favoring clients over others based upon their mental illness.”

Correct Answer is A

Explanation

Rationale:

A. Negative stigmatization for mental illness is a well-documented issue that affects individuals with mental health conditions, leading to discrimination and social exclusion.

B. Bias is not isolated to inpatient settings but can occur in various healthcare contexts and beyond.

C. Bias is often unconscious and can be subtle, not necessarily a deliberate or conscious act.

D. Favoring clients based on their mental illness is not typically a form of bias; instead, it can be indicative of personal biases or misconceptions about mental health.

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A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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