A nurse is evaluating the outcomes for a client who has depression following the death of his wife 3 months ago. Which of the following client statements indicates a need for further intervention?

"I can't help it but I am mad at my wife for leaving me alone."

"I feel better now that I have reestablished a relationship with my son."

"It is hard for me to be around others, but I make a point of going to the community center each week."

"I just don't feel like eating because I never liked to eat alone."

Answer and Explanation

The Correct Answer is A

Choice A reason: Anger towards a deceased spouse can be a sign of unresolved grief and may indicate complicated grief or depression, requiring further intervention.

Choice B reason: Reestablishing relationships is a positive step in coping with loss and suggests progress in managing grief.

Choice C reason: Although it's difficult, the effort to engage with the community is a positive sign of coping and does not typically indicate a need for further intervention.

Choice D reason: A lack of desire to eat due to the absence of a loved one can be a normal part of grieving, but if persistent, it may require intervention to address potential depression.

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Correct Answer is D

Explanation

Choice A reason: Encouraging the client to sleep during the day can disrupt the normal sleep-wake cycle and is not recommended for managing insomnia associated with depression.

Choice B reason: Scheduling a brisk physical activity before bedtime can be stimulating and may actually make it more difficult for the client to fall asleep.

Choice C reason: Monitoring for bouts of diarrhea is not directly related to the care of a client with severe depression unless the client is on specific medications that may cause gastrointestinal upset as a side effect.

Choice D reason: Offering frequent small snacks can help manage the weight loss and decreased appetite often seen in clients with severe depression, ensuring they receive adequate nutrition.

A. "You should rest in bed until you feel able to take part in unit activities." B. "You really need to follow the rules of the unit and get out of bed." C. "I will help you sit up and get your slippers on." D. "If you do not get out of bed, you will not receive your meal."

Correct Answer is C

Explanation

Choice A Reason:Encouraging the client to rest in bed until she feels able to participate in unit activities is appropriate. Depression often leads to fatigue, lack of motivation, and decreased interest in daily activities. Allowing the client to rest and regain energy while acknowledging her feelings is supportive and respectful.

Choice B Reason:Telling the client that she needs to follow the rules of the unit and get out of bed may come across as dismissive and unsupportive. It does not consider the client's emotional state or address her fatigue. A more empathetic approach is needed.

Choice C Reason:Offering assistance to help the client sit up and put on her slippers is a helpful action, but it does not directly address her feelings of tiredness or depression. While physical support is essential, emotional support and understanding are equally crucial.

Choice D Reason:Linking getting out of bed to receiving a meal may inadvertently pressure the client. It could worsen her feelings of guilt or hopelessness. Instead, focusing on her well-being and emotional state is more appropriate.

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A nurse is evaluating the outcomes for a client who has depression following the death of his wife 3 months ago. Which of the following client statements indicates a need for further intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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