A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

Encourage family to take the client out of the facility for short periods of time.

Reward the client for her change in behavior.

Ask the client why her behavior has changed.

Monitor the client's whereabouts at all times.

Answer and Explanation

The Correct Answer is D

Choice A reason: While it may be beneficial for the client's mood, taking the client out of the facility does not directly address the sudden change in behavior.

Choice B reason: Rewarding the client for a change in behavior does not address the potential risks associated with a sudden change in mental status.

Choice C reason: Asking the client why their behavior has changed could be part of an assessment, but it is not an immediate safety intervention.

Choice D reason: Monitoring the client's whereabouts at all times is important as a sudden lift in depressive symptoms can sometimes precede a suicide attempt, and close observation is necessary.

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Correct Answer is ["A","B","C","D","E","F"]

Explanation

Choice A reason: Sweating can be an atypical symptom of a myocardial infarction, especially if it is sudden and occurs without exertion.

Choice B reason: Fatigue, particularly if it is new or unexplained, can be a sign of a myocardial infarction.

Choice C reason: Shortness of breath without chest pain can also be an atypical presentation of a myocardial infarction.

Choice D reason: Dizziness, especially if associated with other symptoms, can indicate a myocardial infarction.

Choice E reason: Nausea is another atypical symptom that can occur with a myocardial infarction.

Choice F reason: Pain between the shoulder blades can be an atypical symptom of a myocardial infarction.

A. "Yes, I am happy for you." B. "No one can be great at everything." C. "Keep it up." D. "Tell me about a time in your life when things didn't go as planned."

Correct Answer is D

Explanation

Choice A reason: Affirming the patient's statement without addressing the potential for grandiosity may not be therapeutic.

Choice B reason: Telling a manic patient that no one can be great at everything may be confrontational and could escalate the situation.

Choice C reason: Encouraging the patient to "keep it up" may reinforce potentially harmful manic behavior.

Choice D reason: Asking the patient to recall a time when things didn't go as planned can help ground their thoughts and is a therapeutic communication technique used to address potential grandiosity in mania.

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A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

Your patient, who is manic, says, "Everything I do is great." How should you respond?

Correct Answer is D

Explanation

What is cyclothymic disorder?

A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?

The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

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?

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