A nurse is discussing mental health with a client. Which of the following statements by the client requires follow-up by the nurse?
"My boss often asks me to work overtime, but I have to refuse the extra hours due to my responsibilities at home."
"The demands of raising two young children by myself are often overwhelming, and I sometimes need some alone time to recharge."
"On the weekends when my kids are with their other parent, I often just lay in bed all day and cry, because I feel hopeless."
"Work can be extremely stressful at times, so I often need to take a walk during my lunch break."
The Correct Answer is C
Rationale:
A. This statement reflects a healthy boundary-setting behavior, where the client recognizes their limits and makes decisions accordingly.
B. This reflects a healthy coping mechanism, where the client acknowledges their stress and takes time to recharge, which is important for mental health.
C. This statement indicates a possible depressive symptom, as feeling hopeless and withdrawing from activities (like staying in bed and crying) can be signs of depression. This requires follow-up to assess the client's mental health and provide appropriate support.
D. Taking a walk during stressful times is a positive coping strategy that helps manage stress and maintain mental health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Keeping a heating pad on the leg for extended periods can lead to burns or skin damage. Heat therapy should be applied intermittently with breaks to prevent overheating.
B. Wrapping a warm, wet towel and applying it intermittently is appropriate for localized heat therapy and can help reduce inflammation and promote healing.
C. Using a heat lamp may not provide consistent or controlled heat application and is not the standard approach for treating cellulitis.
D. Soaking the leg in a tub is not recommended as it may introduce bacteria and potentially worsen the infection.
Correct Answer is C
Explanation
Rationale:
A. Reporting the incident to other RNs on the shift does not ensure that the appropriate actions will be taken to address the issue.
B. Agreeing not to report the incident in exchange for the coworker seeking treatment is unethical and does not follow the correct reporting protocol.
C. Reporting the incident to the appropriate person in the chain of communication, such as a supervisor or nurse manager, is the correct course of action. This ensures that the situation is handled according to hospital policy and legal requirements, protecting patient safety and addressing the coworker's substance use disorder.
D. Agreeing not to report the incident if the coworker promises to report themselves is also unethical and fails to meet professional responsibilities.
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