A nurse in a provider's office is collecting data from a client.
Which of the following findings should the nurse identify as a risk factor for depression? (Select all that apply.)

Married.

Chronic illness.

Alcohol use disorder.

Early childhood trauma.

Middle class economic status.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

Being married is generally considered a protective factor against depression due to increased social support and companionship. Research often indicates that individuals in stable marital relationships tend to have lower rates of depression compared to unmarried individuals.

Choice B rationale

Chronic illness is a significant risk factor for depression. The ongoing physical discomfort, limitations in daily activities, and psychological burden associated with chronic conditions can increase vulnerability to mood disorders. The physiological and emotional impact of managing a long-term illness contributes to this increased risk.

Choice C rationale

Alcohol use disorder is strongly associated with an increased risk of depression. Alcohol is a central nervous system depressant that can disrupt neurotransmitter balance in the brain, leading to or exacerbating depressive symptoms. Furthermore, the social and personal consequences of alcohol abuse can contribute to feelings of isolation and despair.

Choice D rationale

Early childhood trauma is a well-established risk factor for developing depression later in life. Adverse experiences during childhood can have long-lasting effects on brain development, stress response systems, and emotional regulation, increasing susceptibility to mental health disorders, including depression.

Choice E rationale

Middle-class economic status is not typically identified as a specific risk factor for depression. While socioeconomic factors can influence mental health, depression can affect individuals across all economic strata. Poverty and financial instability are more commonly associated with increased risk.

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Correct Answer is C

Explanation

Choice A rationale

Encouraging the client to nap during the day might disrupt their sleep-wake cycle further, potentially increasing nighttime wandering. Daytime napping can reduce the need for nighttime sleep in individuals with Alzheimer's disease.

Choice B rationale

Administering an antianxiety medication before bedtime may sedate the client but does not address the underlying cause of the nighttime wandering and can have side effects, including increased confusion and risk of falls in older adults.

Choice C rationale

Placing a lock at the top of doors leading outside is a crucial safety measure for clients with Alzheimer's disease who wander at night. This prevents them from leaving the home unsupervised and potentially getting lost or injured.

Choice D rationale

Using light restraints while the client is in bed is generally not recommended and should be a last resort due to ethical and safety concerns. Restraints can increase agitation and anxiety and may cause physical harm.

A. Client denies that substance use was triggered by any childhood trauma. B. Client states that they “just got in with the wrong set of friends.” C. Client has identified several coping mechanisms when they feel tempted to use the substances. D. Client is not sure where they will live after discharge. E. Client states that they are looking forward to seeing old friends when they are released from the hospital. F. Client states that they have a plan to receive their methadone daily following discharge. G. The client has written a plan for what to do if relapse should occur. H. Client states that they are willing to participate in outpatient therapy following discharge.

Correct Answer is ["C","F","G","H"]

Explanation

The statements that indicate the client is progressing as expected include:

Client has identified several coping mechanisms when they feel tempted to use substances.
Client has written a plan for what to do if relapse should occur.
Client states that they are willing to participate in outpatient therapy following discharge.
Client states that they have a plan to receive their methadone daily following discharge.

These statements demonstrate the client’s ability to recognize and implement strategies for managing cravings, their proactive approach to relapse prevention, and their willingness to continue treatment after discharge—all signs of expected progress in recovery. However, uncertainty about post-discharge living arrangements and eagerness to reconnect with old friends could present challenges, as returning to previous environments may increase relapse risk. Continued support and planning are essential for a successful transition.

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A nurse in a provider's office is collecting data from a client.Which of the following findings should the nurse identify as a risk factor for depression? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.The caregiver reports that the client awakens at night and wanders.Which of the following strategies should the nurse suggest?

Correct Answer is C

Explanation

Correct Answer is ["C","F","G","H"]

Explanation

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A nurse in a provider's office is collecting data from a client.
Which of the following findings should the nurse identify as a risk factor for depression? (Select all that apply.)