A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

Encourage the client to sleep during the day to make up for insomnia.

Schedule a brisk physical activity before bedtime to facilitate sleep.

Monitor the client for bouts of diarrhea.

Offer the client frequent small snacks during waking hours.

Answer and Explanation

The Correct Answer is D

Choice A reason: Encouraging the client to sleep during the day can disrupt the normal sleep-wake cycle and is not recommended for managing insomnia associated with depression.

Choice B reason: Scheduling a brisk physical activity before bedtime can be stimulating and may actually make it more difficult for the client to fall asleep.

Choice C reason: Monitoring for bouts of diarrhea is not directly related to the care of a client with severe depression unless the client is on specific medications that may cause gastrointestinal upset as a side effect.

Choice D reason: Offering frequent small snacks can help manage the weight loss and decreased appetite often seen in clients with severe depression, ensuring they receive adequate nutrition.

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Correct Answer is D

Explanation

Choice A reason: This statement is not entirely true because not all bipolar disorders include periods of major depression. For example, in cyclothymic disorder, individuals experience hypomanic episodes with milder episodes of depression.

Choice B reason: This statement is incorrect because bipolar disorders can manifest in various patterns and behaviors, and there is no single pattern that applies to all individuals with the condition.

Choice C reason: This statement is false. Manic depression, now known as bipolar disorder, is characterized by episodes of mania, which are more severe than the hypomanic episodes seen in hypomanic disorder.

Choice D reason: This is the most accurate statement. Patients with bipolar II disorder experience major depressive episodes along with hypomanic episodes, which are less severe than the manic episodes seen in bipolar I disorder.

A. Administer daily stool softener. B. Provide bedside commode. C. Advocate for rest periods with no visitors. D. Provide regular diet. E. Ambulate four times a day. F. Maintain bedrest.

Correct Answer is ["A","B","C","F"]

Explanation

Choice A reason: Administering a daily stool softener can help prevent straining during bowel movements, which can increase cardiac workload.

Choice B reason: Providing a bedside commode reduces the effort required to go to the bathroom, thus reducing cardiac workload.

Choice C reason: Advocating for rest periods with no visitors can help reduce emotional stress and physical exertion, which can increase cardiac workload.

Choice D reason: A regular diet is not specifically an intervention to reduce cardiac workload and may not be appropriate immediately following a myocardial infarction.

Choice E reason: Ambulating four times a day is not recommended immediately following a myocardial infarction as it can increase cardiac workload.

Choice F reason: Maintaining bedrest can help reduce the workload on the heart by minimizing physical activity.

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A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

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Which statement is most true about bipolar disorder?

Correct Answer is D

Explanation

The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

Correct Answer is ["A","B","C","F"]

Explanation

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A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

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