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A nurse is assessing a client who has a new diagnosis of major depressive disorder.

Which of the following client statements should the nurse expect?

"I feel like my mood has been all over the place."

"I recently started hearing voices in my head."

“I cannot trust you enough to tell you how I feel."

"just don't feel like doing things I usually enjoy."

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Rapid mood swings are not a defining characteristic of major depressive disorder.

Choice B rationale:

Hearing voices is a symptom more commonly associated with conditions like schizophrenia.

Choice C rationale:

Expressing mistrust of the nurse is not a specific symptom of major depressive disorder.

Choice D rationale:

A hallmark symptom of major depressive disorder is anhedonia, which is the diminished ability to experience pleasure or interest in previously enjoyed activities.

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Correct Answer is C

Explanation

Choice A rationale:

Increased serum amylase is a common finding in acute pancreatitis, and its decrease would be a positive sign. However, lipase is a more specific marker for pancreatic injury.

Choice B rationale:

Increased C-reactive protein is a marker of inflammation and would not necessarily indicate improvement in pancreatitis.

Choice C rationale:

Decreased serum lipase indicates improvement in the pancreatic injury and is a positive sign.

Choice D rationale:

Decreased platelets would not specifically indicate improvement in acute pancreatitis.

A. Teach the client about manifestations of anxiety. B. Complete the client's assessment. C. Provide reassurance of safety to the client. D. Administer an anti-anxiety medication to the client.

Correct Answer is C

Explanation

Choice A rationale:

Teaching about manifestations of anxiety might be important, but addressing the immediate needs of the anxious client takes precedence.

Choice B rationale:

Completing the assessment is important, but if the client is becoming increasingly anxious, immediate intervention is needed.

Choice C rationale:

Reassuring the client of their safety is a priority intervention for managing escalating anxiety. This can help to provide a sense of security and prevent the situation from worsening.

Choice D rationale:

Administering an anti-anxiety medication should not be the first step, especially without assessing the client's current condition and considering non-pharmacological interventions first.

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A nurse is assessing a client who has a new diagnosis of major depressive disorder. Which of the following client statements should the nurse expect?

Nursing Test Bank

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Explanation

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Correct Answer is C

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A nurse is assessing a client who has a new diagnosis of major depressive disorder.

Which of the following client statements should the nurse expect?