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 {"dropdown-group-1":"E","dropdown-group-2":"A"}

Explanation

Blood pressure: The client's blood pressure is significantly low (86/50 mm Hg), indicating hypovolemia and potential cardiovascular instability. Low blood pressure is a priority concern as it can lead to further complications such as dizziness, fainting, or even shock. Restoring normal fluid volume and improving circulation will be essential for stabilizing the client's condition.

Heart rate: The client's heart rate is also abnormally low (44/min), which could be a sign of bradycardia due to malnutrition, dehydration, and electrolyte imbalances. This poses a risk to the client's cardiac function and overall health, and addressing it is critical to prevent arrhythmias or further complications.

A. "I will stay in bed on days when I feel exhausted." B. "I will avoid talking about events that upset me." C. "I will use the coping mechanisms that helped me in the past." D. "I will rely on my partner to plan out my schedule each day."

Correct Answer is C

Explanation

A. While rest is important, staying in bed all day can contribute to worsening depression. The client should be encouraged to engage in mild activities and establish a daily routine, even on difficult days.
B. Avoiding difficult topics may delay the healing process. Discussing emotions in a supportive environment can help the client process their feelings and reduce isolation.
C. Using past coping mechanisms that were effective is an excellent way for the client to manage their symptoms. This statement shows an understanding of the importance of utilizing established self-care strategies.
D. While support from a partner is helpful, relying completely on another person to plan the schedule can lead to dependency. The client should work toward increasing independence in managing daily activities.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is initiating the plan of care for a client who has anorexia nervosa. Exhibits Complete the following sentence by using the lists of options. The nurse should first address the client's dropdown followed by the client's dropdown

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"A"}

Explanation

A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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