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

Identify and schedule alternative group activities for the client.

Keep a bright light on in the client's room at night.

Encourage physical activity for the client during the day.

Discourage the client from expressing feelings of anger.

Answer and Explanation

The Correct Answer is C

A.   Group activities may be beneficial later, but initially, the focus should be on more individual forms of support for clients with major depressive disorder.
B.   Keeping a bright light on at night could disrupt the client's sleep and worsen their symptoms. Light therapy should be used during the day for the treatment of depression.
C.   Encouraging physical activity is important for clients with major depressive disorder, as exercise can improve mood by increasing serotonin and endorphin levels, which can help reduce depressive symptoms.
D.   It is important for clients with depression to express their feelings, including anger, in a therapeutic environment. Suppressing emotions can hinder the healing process.

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Correct Answer is D

Explanation

A. Although extending the client's stay may allow for further treatment, it is not the most immediate or necessary action in this situation. The priority is ensuring safety, which requires reporting the threat to appropriate authorities.
B. Confidentiality is essential in healthcare, but it does not override the obligation to report threats of harm to others. The nurse must prioritize the safety of the potential victim, which requires breaching confidentiality to report the threat.
C. While risk management may be involved later, the nurse’s first responsibility is to report the imminent threat of harm to the appropriate authorities to prevent harm to the partner.
D. The nurse has a legal and ethical obligation to report any threats of harm to others. By notifying local authorities, the nurse helps prevent potential harm to the partner, ensuring their safety.

A. Clients cannot refuse to take prescribed medications. B. Clients have the right to the least restrictive environment. C. Clients maintain the right to an attorney. D. Clients cannot withdraw consent after signing an informed consent form. E. Clients continue to have the right to privacy and confidentiality.

Correct Answer is ["B","C","E"]

Explanation

A. Clients have the right to refuse medications unless they are a danger to themselves or others. Informed consent is required for medication administration.
B. This is a fundamental right of clients in mental health care. The least restrictive environment promotes autonomy and allows clients to engage in care in the least intrusive way possible.
C. Clients have the right to legal representation, especially if they are facing involuntary admission or treatment. This is an important legal right in ensuring due process.
D. Clients can withdraw consent at any time, and it must be respected. This is a basic principle of client autonomy and rights in healthcare.
E. Privacy and confidentiality are core principles of healthcare. Clients in mental health facilities still have the right to keep their personal information confidential, except in cases where safety is at risk.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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