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 A
Explanation
Rationale:
A. Dental decay is a common result of frequent vomiting in bulimia nervosa due to exposure of teeth to stomach acid.
B. Bulimia nervosa often involves fluctuations in weight rather than a consistently lower weight, as it includes binge eating episodes.
C. Hypokalemia (low potassium) is more commonly associated with bulimia due to vomiting rather than hyperkalemia (high potassium).
D. Amenorrhea (absence of menstruation) may occur in bulimia nervosa but is less specific than dental decay for the condition.
Correct Answer is A
Explanation
Rationale:
A. Offering information about a support group is a supportive measure that can help the client manage their condition while parenting.
B. Encouraging children to visit the psychiatric unit may not be appropriate or therapeutic for the client or the children.
C. Suggesting that the children live with other relatives is a significant intervention that may not be necessary without further assessment.
D. Notifying child protective services is not warranted unless there is clear evidence of child neglect or abuse.
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