A nurse is providing teaching for a client diagnosed with depression.
Which of the following should the nurse identify as a primary risk factor for this disorder?
Recent history of stressful, positive life events.
Being male and over the age of 80.
Being an only child.
Having elevated levels of serotonin.
The Correct Answer is B
Choice A rationale
A recent history of stressful, positive life events is not a primary risk factor for depression. While any significant life change can trigger stress and potentially contribute to depression, it is typically negative or traumatic events that are most strongly associated with an increased risk of depression.
Choice B rationale
Being male and over the age of 80 is a primary risk factor for depression. Older adults, particularly those with chronic medical conditions, are at an increased risk of depression. Additionally, while women are more likely than men to experience depression at younger ages, the gender gap narrows with age.
Choice C rationale
Being an only child is not a primary risk factor for depression. While family history can play a role in depression risk, it is typically a history of depression in first-degree relatives that is most strongly associated with an increased risk.
Choice D rationale
Having elevated levels of serotonin is not a primary risk factor for depression. In fact, it is typically low levels of serotonin that are associated with an increased risk of depression. Informed consent Explore
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Magnesium sulfate is used in preterm labor to suppress contractions and delay the birth of a preterm baby. It works by lowering the amount of calcium in the uterine muscles, which in turn encourages muscle relaxation. This effect can help slow or inhibit contractions, allowing more time for the administration of corticosteroids before birth. Corticosteroids can improve a baby’s lung function and reduce the risk of dying by 40 percent if given within 48 hours. Therefore, magnesium sulfate is used to stop preterm labor contractions.
Choice B rationale
Magnesium sulfate does not directly increase the fetal heart rate. Its primary role in the context of preterm labor is to inhibit contractions.
Choice C rationale
While magnesium sulfate is used in the context of preterm labor, it does not directly promote fetal lung maturity. However, by delaying delivery, it allows more time for the administration of corticosteroids, which can enhance the baby’s lung function.
Choice D rationale
While magnesium sulfate can have a muscle-relaxing effect, its primary use in the context of preterm labor is not to promote relaxation or alleviate anxiety in the mother. Its main role is to inhibit uterine contractions.
Correct Answer is C
Explanation
Choice A rationale
While an elevated WBC count can indicate an infection, it is not the most important symptom to monitor in a patient with idiopathic thrombocytopenic purpura (ITP). ITP is primarily a platelet disorder, and while infection can trigger or exacerbate the condition, an elevated WBC count is not a direct symptom of ITP78.
Choice B rationale
Fever can be a sign of infection, which can trigger or exacerbate ITP. However, it is not the most important symptom to monitor in a patient with ITP78.
Choice C rationale
Ecchymosis, or bruising, is a key symptom of ITP. Because ITP involves a decrease in platelets, which are necessary for clotting, patients with this condition are prone to bruising and bleeding. Therefore, monitoring for ecchymosis is crucial.
Choice D rationale
Fatigue can be a symptom of ITP, but it is not the most important symptom to monitor. While fatigue can impact a patient’s quality of life, it does not directly indicate the severity of the condition.
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