A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
"I feel like I'm angry at the whole world right now."
"I don't feel anything but numbness anymore."
"I don't know how I could cope if I didn't have my family's support."
"It'll be a long time before I'm happy again."
The Correct Answer is B
Choice A reason:
Feeling angry at the world is a common reaction to grief and loss. Anger is one of the stages of grief and does not necessarily indicate clinical depression. While it is important to monitor the client's emotional state, anger alone is not a definitive sign of depression.
Choice B reason:
Expressing a sense of numbness and an inability to feel emotions is a significant indicator of clinical depression. This symptom, known as anhedonia, reflects a loss of interest or pleasure in most activities and is a core feature of major depressive disorder. It is crucial to report this to the provider for further evaluation and intervention.
Choice C reason:
Acknowledging the importance of family support is a positive coping mechanism. This statement indicates that the client recognizes their support system, which is beneficial for managing grief. It does not suggest clinical depression.
Choice D reason:
Feeling that it will take a long time to be happy again is a normal part of the grieving process. Grief can be prolonged, and it is natural for clients to feel that their happiness is distant. This statement alone does not indicate clinical depression
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Discussing relaxation techniques with the caregiver is a beneficial action that can help manage stress. However, it may not be the most immediate need for a caregiver who is in the midst of an emotional crisis. Relaxation techniques are more preventive and are best introduced when the caregiver is receptive and not overwhelmed by acute distress.
Choice B reason:
Referring the caregiver to a local support group is an excellent long-term strategy for providing support and resources. Support groups can offer a sense of community and shared experience, which is invaluable. Nonetheless, this action does not address the caregiver's immediate emotional needs and should follow after providing immediate emotional support.
Choice C reason:
Consulting social services to explore counseling options is an important step in supporting the caregiver's mental health. Counseling can provide professional assistance and coping strategies for the caregiver's stress and emotional burden. However, this is a step that should be taken after addressing the caregiver's immediate emotional distress.
Choice D reason:
Offering to talk with the caregiver about their feelings is the most immediate and direct way to provide support. It addresses the caregiver's current emotional state and provides an outlet for their feelings. Active listening and empathetic communication can help alleviate the caregiver's distress and serve as a bridge to further support and resources.
Correct Answer is A
Explanation
Choice A reason:
Implementing seizure precautions is a critical intervention for a client with a history of alcohol use disorder who is admitted while intoxicated. Alcohol withdrawal can lead to seizures, which can be life-threatening. Seizure precautions include maintaining a safe environment, having emergency medication and equipment ready, and monitoring the client closely for signs of seizure activity.
Choice B reason:
Monitoring for orthostatic hypotension is important, especially if the client is experiencing withdrawal symptoms, as dehydration and electrolyte imbalances can occur. However, it is not as immediately critical as implementing seizure precautions for a client who is currently intoxicated.
Choice C reason:
Administering methadone hydrochloride is not an appropriate intervention for alcohol intoxication or withdrawal. Methadone is used for opioid use disorder, not alcohol use disorder, and could be harmful if given to a client with alcohol intoxication.
Choice D reason:
Acidifying the client's urine is not a standard intervention for alcohol intoxication or withdrawal. This intervention is more commonly associated with managing certain drug overdoses or poisonings to increase the elimination of the substance.
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