A nurse is contributing to the plan of care for a client who has a major depressive disorder. Which of the following recommendations should the nurse include in the plan of care?

Recommend the client spend time alone in his room.

Suggest the client exercise before going to bed.

Offer the client low-protein snacks throughout the day.

Encourage the client to use positive self-talk.

Answer and Explanation

The Correct Answer is D

A.   Social isolation can exacerbate depressive symptoms, so it's not recommended for the client to spend time alone in his room.
B.   Exercise is generally beneficial for individuals with depression, but exercising before bedtime might interfere with sleep.
C.   There's no evidence to support the direct relationship between low-protein snacks and managing major depressive disorder.
D.   Correct. Encouraging the client to use positive self-talk can help counteract negative thought patterns that are often present in depression.

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Correct Answer is A

Explanation

A. Correct. Reducing salt intake is an important dietary modification for managing hypertension.
A limit of 2 grams per day is in line with recommended guidelines.
B. Incorrect. The recommended amount of exercise for managing hypertension is at least 150 minutes of moderate-intensity aerobic activity per week, not just 15 minutes twice a week.
C. Incorrect. Alcohol consumption should be limited or moderated, and the client should be cautious about alcohol interactions with blood pressure medication.
D. Incorrect. The blood pressure goal for individuals with hypertension is often set lower, around 130 over 80 or even lower, to reduce the risk of cardiovascular complications.

A. The client is assigned to a room with negative airflow. B. The client's meal tray includes ice cream with fresh fruit. C. The client has artificial flowers in the room. D. The client's meal tray contains hard-boiled eggs.

Correct Answer is B

Explanation

A. A room with negative airflow helps prevent the spread of airborne pathogens, which is helpful for immunocompromised clients like those with HIV, but it doesn't directly increase the risk of infection.
B. Correct. Neutropenic clients have reduced immune responses, and consume fresh fruit (which might carry bacteria. can increase the risk of infection.
C. Artificial flowers might be removed due to infection control concerns, but their presence doesn't significantly increase infection risk.
D. Hardboiled eggs are not necessarily a high-risk food for infection in neutropenic clients.

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A nurse is contributing to the plan of care for a client who has a major depressive disorder. Which of the following recommendations should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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