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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.
Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.
Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.
Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.
Correct Answer is C
Explanation
Choice A reason: Cheddar cheese is high in tyramine, which can interact with MAOIs and cause hypertensive crises, so it should be avoided.
Choice B reason: Corned beef and sauerkraut are also high in tyramine and should be avoided by clients taking MAOIs.
Choice C reason: Cottage cheese and oranges are generally considered safe for clients taking MAOIs as they are low in tyramine.
Choice D reason: Beer and red wine are high in tyramine and should be avoided by clients taking MAOIs due to the risk of severe hypertension.
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