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 A

Explanation

Rationale:

A. Cognitive behavioral therapy (CBT) is a noninvasive, evidence-based treatment for depression. It helps clients identify and change negative thought patterns and behaviors that contribute to their depression.

B. Deep-brain stimulation is an invasive procedure used for treatment-resistant depression and other neurological conditions.

C. Electroconvulsive therapy (ECT) is a noninvasive but more intensive treatment often used for severe or treatment-resistant depression. However, it is generally not the first line of treatment.

D. Vagal nerve stimulation is a more invasive treatment, typically reserved for cases where other treatments have failed.

A. Awareness of potential for self-harm B. Medication compliance C. Information about insurance coverage D. Resources for group therapy in the community

Correct Answer is A

Explanation

Rationale:

A. Awareness of potential for self-harm is the priority as it directly impacts the safety and immediate well-being of the client with borderline personality disorder.

B. Medication compliance is important but secondary to immediate safety concerns.

C. Information about insurance coverage is relevant but does not address the immediate psychological safety needs.

D. Resources for group therapy are helpful but not as urgent as ensuring the family is aware of and can respond to self-harm risks.

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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 depression. Which of the following noninvasive treatments should the nurse recommend to the client?

Correct Answer is A

Explanation

A nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

Correct Answer is A

Explanation

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