A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?

Communicate to the client that it is acceptable to cry.

Determine the client's stage of grief.

Encourage the client to express feelings openly,

Enable the client to obtain spiritual support.

Answer and Explanation

The Correct Answer is B

A.   While crying may be a normal expression of grief, determining the client’s stage of grief is more important for assessing the client’s emotional needs.
B.   Determining the client’s stage of grief is the first step to understanding the client's emotional state
and providing appropriate support.
C.   Encouraging expression is important, but first, understanding the client’s grief stage will guide the
intervention.
D.   Spiritual support is valuable, but first, understanding the client's emotional response is necessary before offering this type of assistance.

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Correct Answer is C

Explanation

A. Asking why the client doesn't see the value of treatment is confrontational and dismisses the client’s
experience.
B. Suggesting a group home without addressing the client’s personal goals or preferences could be perceived as dismissive.
C. While complete symptom resolution is not guaranteed, focusing on improving the client’s quality of
life and continuing treatment is more realistic and supportive.
D. The medical model of recovery emphasizes symptom management, but suggesting it works to eliminate all symptoms may be overly optimistic for someone with schizophrenia.

A. Medication compliance B. Awareness of potential for self-harm C. Resources for group therapy in the community D. Information about insurance coverage

Correct Answer is B

Explanation

A. Medication compliance is important but does not address the most immediate concerns for individuals with borderline personality disorder, such as self-harm.
B. Awareness of the potential for self-harm is the priority because individuals with borderline personality disorder often engage in self-destructive behaviors.
C. Resources for group therapy in the community are valuable but secondary to ensuring immediate safety.
D. Insurance coverage is important but not urgent compared to the immediate need for safety and awareness of self-harm risks.

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A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

Correct Answer is B

Explanation

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