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 D

Explanation

Rationale:

A. Seizures and tremors can occur with some antipsychotic medications but are not specifically indicative of tardive dyskinesia.

B. Hallucinations and delusions are symptoms of psychosis, not a side effect of anti-psychotic medications.

C. Nausea and vomiting can be side effects of anti-psychotic medications but are not characteristic of tardive dyskinesia.

D. Tardive dyskinesia is characterized by uncontrolled, repetitive movements, such as facial grimacing, tongue protrusion, and other involuntary movements.

A. Stage 2 (moderate) B. Stage 3 (severe) C. Stage 1 (mild) D. The client’s manifestations

Correct Answer is B

Explanation

Rationale:

A. Stage 2 (moderate) of alcohol withdrawal involves symptoms such as increased blood pressure and heart rate, mild confusion, and tremors, but does not typically include hallucinations or severe agitation.

B. Stage 3 (severe) alcohol withdrawal includes severe symptoms such as hallucinations (e.g., seeing spiders), severe agitation, and possible delirium tremens, which are consistent with the client's manifestations.

C. Stage 1 (mild) symptoms generally include mild anxiety and tremors but do not include hallucinations or significant changes in mental status.

D. The client’s manifestations indicate severe withdrawal symptoms, not just a general description.

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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

A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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