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?

"It'll be a long time before I'm happy again."

"I don't know how I could cope if I didn't have my family's support."

"I feel like I'm angry at the whole world right now."

"I don't feel anything but numbness anymore."

Answer and Explanation

The Correct Answer is D

A.   This statement reflects a realistic acknowledgment of the grieving process and does not necessarily indicate clinical depression.
B.   Expressing dependence on family support is a common coping mechanism during grief and does not necessarily indicate clinical depression.
C.   Feelings of anger are common during the grieving process and do not necessarily indicate clinical depression.
D.   Feeling numb or anhedonic, the inability to experience pleasure, is a symptom commonly associated with clinical depression and should be reported to the provider for further evaluation and intervention.

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Correct Answer is D

Explanation

A. Speaking in rhyming sentences can be a manifestation of mania but may not necessarily require immediate reporting unless it escalates to disruptive or harmful behavior.
B. Making inappropriate sexual comments can indicate impulsivity and lack of social boundaries. It does not however precede managing the risk of hypoglycemia.
C. Poor hygiene, such as not bathing, is common in mania due to increased energy and decreased need for sleep, but it may not require immediate reporting unless it poses a significant risk to the client's health.
D. Decreased appetite and irregular eating patterns are common during mania due to increased activity levels. Eating twice in teh past is not sufficient to meet energy requirements and the client might be at risk of hypoglycemia.

A. Assign the same staff members daily to provide care for the client. B. Explore feelings of abandonment. C. Avoid discussing maladaptive behaviors with the client. D. Encourage dependent behaviors.

Correct Answer is A

Explanation

A. Consistency in staffing helps establish a therapeutic relationship and promotes trust and predictability, which can improve social interactions for clients with borderline personality disorder.
B. Exploring feelings of abandonment may be appropriate in therapy sessions but is not specifically aimed at improving social interactions.
C. Discussing maladaptive behaviors and working towards behavior change is important in the treatment of borderline personality disorder and should not be avoided.
D. Encouraging dependent behaviors can perpetuate maladaptive patterns and hinder progress in treatment for clients with borderline personality disorder.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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