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 A

Explanation

A. Checking the patient's baseline blood pressure helps to determine if the current reading of 98/66 mm Hg is normal for them or if it represents a significant change.
B. This may not be necessary if the blood pressure is normal for the patient. Hypotension is relative, and what is considered low for one person might be normal for another.
C. While this is a good practice, it should be done after determining if there is a significant change from the baseline. The irregular pulse could be due to various factors, including medications, but the first step is to understand the patient's normal range.
D. The patient's pulse is 76 beats/min, which is not bradycardic (bradycardia is defined as a heart rate less than 60 beats/min). Therefore, notifying the doctor of bradycardia is not appropriate in this case.

A. Unable to identify with the feelings of others. B. Views self as inferior to others. C. Manipulates others for personal gain. D. Uses physical appearance to gain attention.

Correct Answer is D

Explanation

A. People with histrionic personality disorder do not have difficulty identifying with the feelings of others; instead, they seek attention through dramatic or exaggerated behavior.
B. A person with histrionic personality disorder does not typically view themselves as inferior. They tend to overvalue their attractiveness and seek admiration.
C. Manipulating others for personal gain is more characteristic of narcissistic personality disorder, not histrionic personality disorder.
D. Clients with histrionic personality disorder often use physical appearance and behavior to draw attention to themselves. This is a key characteristic of the disorder.

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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?

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Naxlex Comprehensive Predictor Exams

A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing intervention is to:

Correct Answer is A

Explanation

A nurse is collecting data from a client who has histrionic personality disorder. Which of the following characteristics should the nurse expect?

Correct Answer is D

Explanation

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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?