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 B

Explanation

A. Postpartum depression occurs after childbirth and is usually treated with a combination of psychotherapy, antidepressant medication, and support. While light therapy might have some benefits for mood disorders, it is not the primary treatment for postpartum depression.
B. Seasonal affective disorder is a type of depression that typically occurs at certain times of the year, usually in the winter months when there is less natural sunlight. Phototherapy, or light therapy, is considered an effective treatment for SAD as it helps to mimic natural sunlight and improve mood by influencing circadian rhythms and serotonin levels.
C. While light therapy can have effects on mood, it is generally not used as a primary treatment for bipolar disorder. Bipolar disorder is often managed with mood stabilizers and other medications to prevent mood swings.
D. While light therapy can be beneficial for some types of depression, it is not typically the first-line treatment for moderate depression. Moderate depression is usually treated with antidepressants, psychotherapy, or a combination of both.

A. Depression B. Bipolar disorder C. Psychotic behavior D. Dysthymic disorder

Correct Answer is B

Explanation

A. Depression is characterized by persistent feelings of sadness, loss of interest or pleasure in activities, changes in sleep and appetite, and difficulties with daily functioning. However, depression alone might not fully explain the abrupt change if there were no prior context of mood swings or manic behavior.
B. Bipolar disorder is marked by extreme mood swings that include manic or hypomanic episodes and depressive episodes. The observed behaviors—active participation and high energy followed by a
sudden shift to tearfulness and withdrawal—are consistent with the mood cycling seen in bipolar disorder. The manic or hypomanic phase could explain the previous high level of activity, while the depressive phase explains the sudden refusal to engage and withdrawal.
C. Psychotic behavior involves a loss of touch with reality, including hallucinations, delusions, and disorganized thinking. The behaviors described (active participation and then sudden withdrawal) do not specifically indicate psychosis.
D. Dysthymic disorder (now referred to as Persistent Depressive Disorder in the DSM-5) is characterized by a chronic, mild depression lasting for at least two years. It typically involves a more consistent, persistent low mood rather than the abrupt shifts seen in bipolar disorder.

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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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Explanation

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Explanation

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