A nurse is caring for a client who has depression following a recent job loss.
Which of the following questions should the nurse ask to assess the client's personal coping skills?
"How have you dealt with similar situations in the past?".
"Can you describe how you are currently feeling?".
"Do you see your current situation affecting your future?".
"How does this situation affect your life?".
The Correct Answer is A
Choice A rationale:
The nurse should ask the client, "How have you dealt with similar situations in the past?" This question is essential to assess the client's personal coping skills. By inquiring about the client's previous experiences in handling similar situations, the nurse can gain insight into the client's coping mechanisms and identify potential strengths and weaknesses. Understanding how the client has coped in the past can help tailor interventions and support to their specific needs.
Choice B rationale:
While asking, "Can you describe how you are currently feeling?" is a valuable question, it primarily focuses on the client's current emotional state and may not provide a comprehensive assessment of their coping skills. It is crucial to understand the client's emotions, but it does not directly address their coping strategies.
Choice C rationale:
"Do you see your current situation affecting your future?" is a forward-looking question that explores the client's perception of how their current situation might impact their future. While this question is relevant, it does not directly assess the client's coping skills and strategies. It focuses more on the client's expectations and outlook.
Choice D rationale:
"How does this situation affect your life?" is a broad question that can provide insights into the client's life and the impact of their current situation. However, it does not specifically address the client's coping skills and strategies. It may provide information about the consequences of their situation but not their ability to cope.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Blood pressure.
Choice A rationale:
Bowel sounds. While assessing bowel sounds can be a part of a comprehensive physical assessment, it is not directly related to the interaction between phenelzine and pepperoni pizza. Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat depression. It does not have a known interaction with the digestive system that would necessitate monitoring bowel sounds after eating pepperoni pizza.
Choice B rationale:
Blood pressure. This is the correct choice. Phenelzine can interact with tyramine, a substance found in certain foods like pepperoni. This interaction can lead to a hypertensive crisis, a sudden and severe increase in blood pressure. Therefore, after the client reports eating pepperoni pizza, the nurse should assess the client’s blood pressure to monitor for this potential reaction.
Choice C rationale:
Oxygen saturation. While oxygen saturation is an important vital sign, it is not directly affected by the interaction between phenelzine and pepperoni pizza. Therefore, it would not be the most relevant assessment in this situation.
Choice D rationale:
Pupil response. Pupil response can be an indicator of neurological status, but it is not directly related to the interaction between phenelzine and pepperoni pizza. Therefore, it would not be the most relevant assessment in this situation.
Correct Answer is A
Explanation
Choice A rationale:
The statement "I don't feel anything but numbness anymore" is indicative of anhedonia, which is a core symptom of clinical depression. Anhedonia is the inability to experience pleasure or interest in previously enjoyed activities. Reporting this statement to the provider is important as it suggests a significant emotional disturbance.
Choice B rationale:
While the statement "It'll be a long time before I'm happy again" does indicate a sense of hopelessness or prolonged sadness, it is not as specific to clinical depression as the presence of anhedonia. Clinical depression involves a range of symptoms, and the absence of pleasure or emotions (anhedonia) is a more concerning sign.
Choice C rationale:
Feeling angry at the world is a common emotional response to grief and loss and is not a direct indication of clinical depression. It is important to consider the context of grief when assessing client statements.
Choice D rationale:
Expressing reliance on family support is a healthy coping mechanism in response to grief and loss. It does not necessarily indicate clinical depression but rather a natural response to seeking support during a difficult time.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.