A nurse is evaluating a client who has major depressive disorder and their ability to adhere to the treatment plan. Which of the following findings is a positive indicator of adherence?
The client verbalizes difficulty coping.
The client frequently seeks reassurance.
The client has hygiene deficiencies.
The client has increased social engagement.
The Correct Answer is D
Choice A reason: Verbalizing difficulty coping reflects ongoing distress rather than adherence. While expressing feelings is important, it does not demonstrate improvement or engagement with treatment goals.
Choice B reason: Frequently seeking reassurance indicates dependence and persistent insecurity. This behavior suggests limited progress in self-efficacy and coping skills, which are essential for adherence.
Choice C reason: Hygiene deficiencies are a hallmark of depressive symptoms and indicate poor functioning. This finding suggests the client is not adhering to treatment or is still severely impaired.
Choice D reason: Increased social engagement is a strong positive indicator of adherence. Clients with major depressive disorder often isolate themselves. Re-engaging socially demonstrates improved mood, motivation, and participation in therapeutic activities, all of which reflect adherence to the treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Explaining the benefits of the procedure is the responsibility of the provider, not the nurse. The nurse should not provide detailed medical information that could misrepresent or replace the provider’s explanation.
Choice B reason: Describing alternatives to the procedure is also the provider’s responsibility. Informed consent requires that the provider explain risks, benefits, and alternatives. The nurse’s role is to support the client, not to provide medical decision-making information.
Choice C reason: Ensuring the client signs the form voluntarily is the correct action. Acting as a client advocate means confirming that the client is not coerced, understands their right to refuse, and is making the decision freely. This protects the client’s autonomy and ensures ethical practice.
Choice D reason: Informing the client of the purpose of vagus nerve stimulation is also the provider’s responsibility. The nurse can reinforce teaching after the provider has explained, but the initial explanation must come from the provider.
Correct Answer is C
Explanation
Choice A reason: In voluntary admission, the client retains the right to request discharge. They are not confined until the provider discharges them unless they are deemed unsafe, in which case the admission may be converted to involuntary. Therefore, this statement is inaccurate.
Choice B reason: Voluntary admission does not remove the client’s right to refuse treatment. Clients must still consent to interventions, and refusal must be respected unless there is a legal order or emergency situation.
Choice C reason: Informed consent is a fundamental principle of patient rights. Even after voluntary admission, the client must be educated about proposed treatments, risks, and alternatives, and must agree before interventions are carried out. This ensures autonomy and ethical care.
Choice D reason: Providers are not required to notify employers of a client’s admission. Confidentiality laws protect patient privacy, and disclosure without consent would violate ethical and legal standards.
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