A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

Use systematic desensitization to help prevent relapse.

Your antidepressant medication will make you feel better in a few days.

You should identify how you react to stressful events.

Try snapping a rubber band on your wrist when depressive thoughts occur.

Answer and Explanation

The Correct Answer is C

Choice A reason: Systematic desensitization is a technique primarily used for anxiety disorders and phobias, rather than for preventing relapse in depression. This method involves gradually exposing a person to anxiety-provoking stimuli while teaching them relaxation techniques to cope with the anxiety. While it is an effective therapeutic tool, it is not specifically aimed at preventing relapse in depression. Instead, it is more suitable for conditions where anxiety and avoidance behaviors are predominant issues.

Choice B reason: Antidepressant medications typically take several weeks to begin showing their full therapeutic effects, not just a few days. Telling a client that they will feel better in a few days can lead to unrealistic expectations and potential disappointment if the medication does not work immediately. Clients should be informed that it might take a few weeks to notice significant improvements and that they should continue taking the medication as prescribed and follow up with their healthcare provider.

Choice C reason: Identifying how one reacts to stressful events is crucial in managing depression and preventing relapse. Stressful events can trigger or exacerbate depressive episodes. By understanding their responses to stress, clients can develop coping strategies and seek appropriate support when needed. This proactive approach helps in recognizing early signs of relapse and implementing measures to mitigate the impact of stress on their mental health. Therefore, this advice is practical and directly applicable to preventing depression relapse.

Choice D reason: Snapping a rubber band on the wrist as a way to interrupt depressive thoughts is a behavioral technique that might work for some individuals in the short term. However, it is not a comprehensive strategy for preventing depression relapse. This method is more of a distraction technique and does not address the underlying issues or equip the client with long-term coping strategies. Effective relapse prevention in depression involves a more holistic approach, including cognitive-behavioral techniques, medication adherence, and lifestyle changes.

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Correct Answer is ["A","B"]

Explanation

Choice A reason: Weight gain is a common manifestation after cessation of nicotine use. Nicotine is an appetite suppressant, and its absence can lead to increased appetite and caloric intake. Additionally, some individuals may turn to food as a substitute for smoking, leading to weight gain. Understanding this can help in planning strategies to manage weight during the cessation process.

Choice B reason: Difficulty concentrating is another common symptom experienced during nicotine withdrawal. Nicotine has stimulant effects on the brain, enhancing concentration and alertness. When a person stops using nicotine, they may experience cognitive difficulties, including trouble focusing and memory issues. These symptoms are typically temporary but can be challenging during the withdrawal period.

Choice C reason: Diarrhea is not a common manifestation of nicotine cessation. Gastrointestinal symptoms like constipation are more frequently reported during nicotine withdrawal. The body's digestive system adjusts to the absence of nicotine, which can result in changes in bowel habits, but diarrhea is less typical.

Choice D reason: Restlessness is a well-documented symptom of nicotine withdrawal. The body and mind are accustomed to the stimulant effects of nicotine, and its absence can lead to increased agitation and restlessness. This symptom can contribute to the difficulty of quitting smoking, as it creates a sense of discomfort and unease.

Choice E reason: Decreased appetite is not typically associated with nicotine cessation. Instead, increased appetite is more commonly observed due to the removal of nicotine's appetite-suppressing effects. Therefore, decreased appetite is not a typical manifestation of nicotine withdrawal.

A. This medication is known to cause dependence. B. Avoid consuming large amounts of leafy, green vegetables while taking this medication. C. It can take several weeks before you notice an effect from the medication. D. If a dose is missed, you can take the missed dose along with the next scheduled dose.

Correct Answer is C

Explanation

Choice A reason: This statement is incorrect. Buspirone is not known to cause dependence, which is one of the reasons it is often preferred for the treatment of generalized anxiety disorder. Unlike benzodiazepines, which can lead to dependence and withdrawal symptoms, buspirone does not have these effects, making it a safer long-term option for managing anxiety.

Choice B reason: There is no specific dietary restriction regarding the consumption of leafy green vegetables when taking buspirone. This statement might confuse the client unnecessarily. Dietary interactions are more commonly associated with certain other medications, such as MAO inhibitors, which require patients to avoid tyramine-rich foods to prevent hypertensive crises. However, this does not apply to buspirone.

Choice C reason: This statement is accurate and important for the client to understand. Buspirone typically takes several weeks to achieve its full therapeutic effect. Clients should be advised to continue taking the medication as prescribed and not to expect immediate relief of anxiety symptoms. This information helps set realistic expectations and encourages adherence to the treatment plan.

Choice D reason: This statement is incorrect and could lead to improper medication administration. If a dose of buspirone is missed, it should not be doubled up with the next dose. Instead, clients should take the missed dose as soon as they remember unless it is almost time for their next scheduled dose. Doubling up on doses can increase the risk of side effects and is not a safe practice.

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A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who reports cessation of nicotine use. Which of the following manifestations should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following information should the nurse include?

Correct Answer is C

Explanation

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