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

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

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

"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

A. "Lately, I feel like I am more alert than usual and can focus better.": Depression is commonly associated with difficulties in concentration, memory impairment, and slowed cognitive function rather than increased alertness or improved focus. Clients with depression often report feeling mentally sluggish or experiencing brain fog.
B. "I can't sit still. I feel like I need to be doing things around the house.": While some individuals with depression experience psychomotor agitation, it is more common for depression to present with fatigue, low energy, and decreased motivation. Restlessness may also be seen in anxiety disorders, but it is not a primary symptom of depression.
C. "When I went to my provider, they told me I have high blood pressure.": Hypertension is a medical condition that may have various causes, but it is not a direct manifestation of depression. However, chronic stress and depression can contribute to cardiovascular issues over time, though depression itself is primarily characterized by emotional and cognitive symptoms.
D. "I can't get my mind to stop racing at night. I'm only sleeping a couple of hours.": Insomnia and difficulty falling or staying asleep are hallmark symptoms of depression. Clients often experience ruminative thoughts, early-morning awakenings, or non-restorative sleep, which can contribute to worsened mood, fatigue, and impaired daily functioning.

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Correct Answer is D

Explanation

A. "Electrical current will flow through electrodes placed on your torso." Electrodes are placed on the scalp, either bilaterally or unilaterally, rather than on the torso. These electrodes deliver a controlled electrical stimulus to induce a therapeutic seizure, which can help alleviate severe depressive symptoms.
B. "It is not necessary to fast before the procedure." Fasting is required before ECT to prevent aspiration, as the client will receive general anesthesia and a muscle relaxant. Typically, clients must avoid food and liquids for at least 6 to 8 hours prior to the procedure.
C. "You will be awake during the procedure." The client is not awake during ECT, as they receive general anesthesia and a muscle relaxant. These medications ensure the client remains unconscious and immobile throughout the procedure to enhance safety and comfort.
D. "Your provider will likely schedule you for several treatments over a period of weeks." ECT is not a one-time procedure; it is typically administered two to three times per week for a total of 6 to 12 sessions. The number of treatments varies based on the client’s response, with improvements often occurring after multiple sessions.

A. Preparation B. Action C. Contemplation D. Precontemplation

Correct Answer is D

Explanation

A. Preparation: In this stage, individuals recognize the need for change and start making plans, such as gathering information or setting goals. The client, however, shows no intent to change dietary habits.
B. Action: This stage involves actively modifying behaviors and consistently implementing changes. The client is not taking any steps toward dietary adjustments, indicating they are not in this stage.
C. Contemplation: Individuals in this stage acknowledge the need for change and consider making adjustments but have not yet committed. The client, by dismissing the information, is not showing contemplation.
D. Precontemplation: This stage is characterized by a lack of awareness or denial of the need for change. The client’s response suggests they do not see dietary restrictions as necessary and are resistant to modifying their eating habits.

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A nurse at a primary care clinic is collecting data on 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 reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client about avoiding foods with tyramine. The client states, "Thank you for all of this information, but it's just not for me. I eat what I want when I want it." Which of the following stages of change is the client demonstrating?

Correct Answer is D

Explanation

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