A nurse is caring for a client who has a spinal cord injury and is at risk for depression. Which of the following findings should the nurse identify as an indication that the client is developing depression?
Difficulty concentrating
Paranoia
Feelings of grandeur
Flight of ideas
The Correct Answer is A
Choice A reason: Difficulty concentrating is a common symptom of depression, particularly in individuals with a spinal cord injury, where the change in lifestyle and physical abilities can lead to cognitive overload and reduced focus.
Choice B reason: While paranoia can be associated with other mental health conditions, it is not a typical sign of depression. Depression is more commonly associated with symptoms like hopelessness and low self-esteem.
Choice C reason: Feelings of grandeur are not typically associated with depression. This symptom is more indicative of mania or other psychiatric conditions such as bipolar disorder.
Choice D reason: Flight of ideas is a symptom often seen in manic episodes and is characterized by rapidly changing or disjointed thoughts. It is not a common symptom of depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.
Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.
Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.
Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.
Correct Answer is D
Explanation
Choice A reason: Cyclothymic disorder involves periods of hypomanic symptoms, but not continuously for 2 years.
Choice B reason: Cyclothymic disorder is not a one-time event; it involves multiple episodes of hypomanic and depressive symptoms.
Choice C reason: While chronic depression can be a part of cyclothymic disorder, it alone does not define it.
Choice D reason: Cyclothymic disorder is characterized by at least 2 years of numerous periods of hypomanic symptoms and depressive symptoms.
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