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.

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Correct Answer is C

Explanation

Choice A rationale:

"I'm struggling with altered motor function.”. This statement is more in line with a description of conversion disorder or functional neurological symptom disorder, where clients may experience symptoms like paralysis or altered motor function, but these symptoms are typically not intentionally produced for attention-seeking purposes.

Choice B rationale:

"I don't know why I'm feeling this way.”. This statement does not specifically indicate a deliberate intent to falsify psychological symptoms for attention. It could be related to other emotional or psychological issues, but it doesn't directly relate to the behavior described in the question.

Choice D rationale:

"I'm worried about having a serious illness.”. This statement reflects concerns about actual medical conditions and does not align with the behavior of repeatedly falsifying psychological symptoms for attention. People with factitious disorder may feign physical symptoms but not necessarily express concerns about having a serious illness themselves. Now, let's address the last question.

A. Withhold the next dose of the medication. B. Ask the client about a recent change in laundry detergent. C. Apply hydrocortisone cream on the client's rash. D. Explain that the medication causes a temporary rash.

Correct Answer is A

Explanation

The correct answer is: A. Withhold the next dose of the medication.

Choice A rationale: Lamotrigine can cause serious skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis. Any rash should be taken seriously, and the medication should be withheld immediately to prevent potential severe reactions1.

Choice B rationale: While a change in laundry detergent could cause a rash, it is less likely to be the cause if the rash appeared after starting lamotrigine.

Choice C rationale: Applying hydrocortisone cream may help with mild skin irritations, but it does not address the potential severity of a drug-induced rash.

Choice D rationale: Explaining that the medication causes a temporary rash is not appropriate without first assessing the severity of the rash and withholding the medication.

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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

A nurse is assessing a client who repeatedly falsifies psychological symptoms to assume the role of a sick person.What statement is commonly associated with this behavior?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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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?