A nurse is reinforcing education to a client about the possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?
The stress from my new job could be the cause of my depressed mood."
"My renal dysfunction could be the cause of my depressed mood."
"My high blood pressure could be the cause of my depressed mood."
"My elevated heart rate could be the cause of my depressed mood."
The Correct Answer is A
A. This demonstrates correct understanding. Environmental stressors, life changes, and psychosocial pressures are well-recognized contributors to depressive symptoms. Stress can trigger or exacerbate depression by affecting mood, sleep, appetite, and motivation.
B. While chronic illness can influence mood indirectly, renal dysfunction is not a direct cause of depression. Depression may co-occur in clients with chronic medical conditions but is typically mediated through psychosocial stress, fatigue, or illness burden.
C. Hypertension is generally not a direct cause of depression. However, some antihypertensive medications can contribute to mood changes, but the disease itself is not a primary causative factor.
D. An elevated heart rate is a physiological sign that may accompany anxiety or stress, but it is not a direct cause of depression.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dehydration caused by excessive crying is not the primary mechanism of injury in Shaken Baby Syndrome. While excessive crying may be a trigger for a caregiver to shake an infant, dehydration does not explain the severe neurological injuries associated with SBS. Therefore, this option is incorrect.
B. Pulmonary embolism due to poor circulation is unrelated to the mechanism of injury in Shaken Baby Syndrome. SBS primarily affects the brain due to violent shaking forces, not the pulmonary vascular system. There is no evidence that embolic events are responsible for the characteristic findings of SBS.
C. Cerebral hypoxia due to brain swelling is correct. In Shaken Baby Syndrome, violent shaking causes the infant’s brain to move back and forth within the skull. This leads to tearing of blood vessels, subdural hematomas, retinal hemorrhages, and cerebral edema. The brain swelling increases intracranial pressure, reducing cerebral perfusion and oxygen delivery, resulting in cerebral hypoxia. Hypoxic-ischemic injury is the primary reason for the severe neurologic damage seen in SBS.
D. External trauma due to hitting surfaces is not the primary cause of injury in SBS. Although impact may occur in some cases, the defining injury mechanism is the acceleration-deceleration forces from shaking, not direct external trauma. Many infants with SBS may not have visible external injuries.
Correct Answer is D
Explanation
A. This would provide 300 mg, which is double the prescribed dose.
B. This error often occurs if a student divides 150 by 300 but forgets to multiply by the quantity (2 mL). This would only provide 75 mg.
C. This value is mathematically unrelated to the variables and would result in an overdose of 450 mg.
D. Step 1: Use the formula- Volume to administer (mL) = Desired dose ÷ Concentration. Step 2: Determine the concentration in mg/mL. Concentration = 300 mg ÷ 2 mL = 150 mg/mL. Step 3: Insert known values (Desired dose = 150 mg, Concentration = 150 mg/mL). Volume to administer = 150 ÷ 150= 1 mL.
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