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.

Discourage the client from expressing feelings of anger.

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

Encourage physical activity for the client during the day.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

"Identify and schedule alternative group activities for the client.”. This is the most appropriate response as it focuses on engaging the client in alternative group activities. Social isolation is a common issue in individuals with major depressive disorder, and offering alternative group activities can help the client to socialize and find enjoyment in different ways, potentially improving their mood.

Choice B rationale:

"Discourage the client from expressing feelings of anger.”. This choice is not suitable because it discourages the client from expressing feelings of anger. While it's essential to guide the client in managing their anger appropriately, discouraging the expression of emotions can be counterproductive and may lead to emotional suppression, which is not recommended.

Choice C rationale:

"Keep a bright light on in the client's room at night.”. This option is not directly related to managing major depressive disorder. While light therapy can be beneficial for certain conditions like seasonal affective disorder, it may not be the most appropriate intervention for every client with major depressive disorder.

Choice D rationale:

"Encourage physical activity for the client during the day.”. This is a valid intervention for managing major depressive disorder. Regular physical activity has been shown to have a positive impact on mood and can be an effective part of a treatment plan for individuals with depression. However, choice A is more specific to addressing social isolation, which is a common concern in major depressive disorder.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale:

"The client asked me to go on a date with him, but I refused.”. This statement does not demonstrate countertransference. It is a clear example of professional boundaries being maintained, as the staff nurse refused the client's request for a date, which is appropriate in the context of the nurse-client relationship.

Choice B rationale:

"The client needs to accept responsibility for his substance use.”. This statement does not indicate countertransference. It reflects a common and appropriate therapeutic goal, which is to help clients take responsibility for their actions and substance use disorder.

Choice C rationale:

"The client is just like my brother who finally overcame his habit.”. This statement represents countertransference. Countertransference occurs when a healthcare professional's emotions, attitudes, or past experiences influence their perceptions and interactions with a client. In this case, the staff nurse is making a connection between the client and their own brother, suggesting a personal bias based on past experiences. This can hinder the staff nurse's ability to provide objective care.

Choice D rationale:

"The client generally shares his feelings during group therapy sessions.”. This statement does not demonstrate countertransference. It is a straightforward observation of the client's behavior during group therapy sessions and does not involve any emotional or personal bias on the part of the staff nurse.

A. Report suspected abuse to Child Protective Services. B. Determine the immediate safety needs of the child. C. Request that the parent leave the room while interviewing the child. D. Ask the child how the injury occurred.

Correct Answer is B

Explanation

Choice A rationale:

Reporting suspected abuse to Child Protective Services is important when there are concerns of child abuse. However, in this scenario, the nurse's first priority should be to ensure the immediate safety and well-being of the child. Without assessing the child's safety, it would be premature to report abuse. Child Protective Services can be involved later if necessary.

Choice C rationale:

Requesting that the parent leave the room while interviewing the child can be a useful strategy when there are concerns about abuse or when the child needs to speak freely. However, this should not be the first action. Ensuring the child's immediate safety takes precedence.

Choice D rationale:

Asking the child how the injury occurred is important in gathering information, but it should not be the first action. Ensuring the child's safety is of primary importance, and this information can be gathered after immediate safety needs are addressed.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse.Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

Correct Answer is C

Explanation

A nurse in a provider's office is assessing a school-age child who has a spiral fracture.The parent of the child provides different accounts of the cause of the injury.Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD.Which of the following statements by the client indicates an accurate understanding of this medication's effects?

A nurse in a long-term care facility is caring for a client.The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?

A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?

A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?

A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer?

A nurse is assessing a client who has delirium.Which of the following findings requires immediate intervention by the nurse?

An older adult client is brought to the mental health clinic by her daughter.The daughter reports that her mother is not eating and seems uninterested in routine activities.The daughter states, "I'm so worried that my mother is depressed.”. Which of the following responses should the nurse make?

A nurse is caring for a client who has depression following a recent job loss.Which of the following questions should the nurse ask to assess the client's personal coping skills?

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?