A nurse is caring for a client who has depression. When the nurse encourages the client to join an activity the client states, "What's the use?" Which of the following is an appropriate nursing intervention?

Tell the client that she has a self-defeating attitude and it will only make her feel worse.

Sit down with the client and ask her why she doesn't want to participate

Convince the client how helpful it will be to engage in the activity

Tell the client that it is time for the activity, and accompany her to the activity.

Answer and Explanation

The Correct Answer is B

A.   This response is accusatory and invalidates the client's feelings. It's important to approach the client with empathy and understanding.
B.   It shows the nurse's interest and willingness to understand the client's perspective. By asking open- ended questions, the nurse can explore the reasons behind the client's reluctance and offer support accordingly.
C.   While it may be beneficial for the client to participate in activities, pressuring them or convincing them might not be effective. It's important to respect the client's feelings and work with them to find ways to overcome their reluctance.
D.   This approach is directive and dismissive of the client's feelings. It's essential to involve the client in the decision-making process and address their concerns before expecting them to participate in an activity.

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Correct Answer is D

Explanation

A. This is an inappropriate and potentially harmful response. Restraints should only be used as a last resort and under strict protocols.
B. While it might be tempting to address the behavior, it's unlikely to be effective in this situation. The client is agitated and not receptive to reason.
C. Seclusion is a restrictive measure that should be avoided if possible. It's not appropriate in this situation where the client is verbally abusive but not physically threatening.
D. This is the most appropriate response. It sets a clear boundary, de-escalates the situation, and gives the client and nurse time to calm down.

A. Increasing B. has no effect at all C. decreasing D. has little effect

Correct Answer is A

Explanation

A. Severe, prolonged depression has been shown to increase a person's risk for physical illness. Chronic depression can lead to or exacerbate a range of health issues, including cardiovascular disease, weakened immune function, and gastrointestinal problems. The stress and physiological changes associated with depression can contribute to poorer health outcomes and a higher incidence of physical illnesses.
B. Severe, prolonged depression does have an effect on physical health, and the impact is generally detrimental rather than neutral. Ignoring the link between mental health and physical health overlooks the extensive evidence showing how chronic depression can affect physical well-being.
C. Severe, prolonged depression does not typically decrease the risk of physical illness. Instead, it generally increases the risk due to the negative effects on the body’s systems and overall health.
D. Severe, prolonged depression has more than just a little effect on physical health. Its impact is significant and can lead to a range of physical health problems, including increased susceptibility to infections, chronic diseases, and other health complications.

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A nurse is caring for a client who has depression. When the nurse encourages the client to join an activity the client states, "What's the use?" Which of the following is an appropriate nursing intervention?

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