A nurse is assisting in the development of a staff educational inservice about depression. Which of the following factors should the nurse identify as a primary risk factor for depression?

Pregnancy

Male gender

Chronic illness

Being married

Answer and Explanation

The Correct Answer is C

Choice A reason: PregnancyWhile pregnancy can be associated with mood changes (such as postpartum depression), it is not considered a primary risk factor for depression. Pregnancy-related mood disorders are specific to the perinatal period and may not apply to all individuals.

Choice B reason: Male genderAlthough depression affects both men and women, research suggests that women are more likely to be diagnosed with depression. However, this does not make male gender a primary risk factor. Other factors play a more significant role.

Choice C reason: Chronic illnessThis is the correct answer. Chronic illnesses (such as diabetes, cardiovascular disease, autoimmune disorders, etc.) are associated with an increased risk of depression. The stress, lifestyle changes, and impact on overall well-being related to chronic illness contribute to this risk.

Choice D reason: Being marriedBeing married is not necessarily a primary risk factor for depression. Relationship status alone does not determine depression risk. Factors such as marital satisfaction, social support, and individual coping mechanisms play a more significant role.

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Correct Answer is C

Explanation

Choice A reason: This response may come off as dismissive and does not address the patient's immediate concerns or feelings.

Choice B reason: While this response offers a solution, it does not engage with the patient's current emotional state or provide immediate support.

Choice C reason: This response is therapeutic as it acknowledges the patient's emotional state and invites them to discuss their concerns, which is important in managing patients with bipolar disorder.

Choice D reason: This response might minimize the patient's feelings and does not encourage communication about the patient's current distress.

A. "You should rest in bed until you feel able to take part in unit activities." B. "You really need to follow the rules of the unit and get out of bed." C. "I will help you sit up and get your slippers on." D. "If you do not get out of bed, you will not receive your meal."

Correct Answer is C

Explanation

Choice A Reason:Encouraging the client to rest in bed until she feels able to participate in unit activities is appropriate. Depression often leads to fatigue, lack of motivation, and decreased interest in daily activities. Allowing the client to rest and regain energy while acknowledging her feelings is supportive and respectful.

Choice B Reason:Telling the client that she needs to follow the rules of the unit and get out of bed may come across as dismissive and unsupportive. It does not consider the client's emotional state or address her fatigue. A more empathetic approach is needed.

Choice C Reason:Offering assistance to help the client sit up and put on her slippers is a helpful action, but it does not directly address her feelings of tiredness or depression. While physical support is essential, emotional support and understanding are equally crucial.

Choice D Reason:Linking getting out of bed to receiving a meal may inadvertently pressure the client. It could worsen her feelings of guilt or hopelessness. Instead, focusing on her well-being and emotional state is more appropriate.

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A nurse is assisting in the development of a staff educational inservice about depression. Which of the following factors should the nurse identify as a primary risk factor for depression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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