A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

Discourage the client from expressing anger.

Reinforce how to use assertive communication techniques.

Set short-term and long-term goals for the client.

Schedule the client's daily self-care activities.

Answer and Explanation

The Correct Answer is B

Choice A reason: Discouraging the client from expressing anger is not therapeutic and can inhibit emotional expression, which is important in managing depression.

Choice B reason: Reinforcing assertive communication techniques is beneficial as it helps clients express themselves in a healthy way, which is a key aspect of depression management.

Choice C reason: Setting goals is important, but it should be done collaboratively with the client to empower them and ensure the goals are realistic and achievable.

Choice D reason: Scheduling daily self-care activities is helpful, but teaching the client how to manage their own schedule can promote independence and self-efficacy.

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Correct Answer is B

Explanation

Choice A reason: Encouraging adequate nutrition is important as patients with depression may have decreased appetite.

Choice B reason: Assuring the patient that everything will be fine may minimize their feelings and is not a therapeutic communication technique.

Choice C reason: Maintaining a safe milieu is essential for all patients, especially those with depression who may be at risk for self-harm.

Choice D reason: Using active listening skills is a key component of therapeutic communication and is essential in caring for patients with depression.

A. Have the patient sit in his room while you review all the rules of the unit. B. Reinforce previously learned coping mechanisms to calm the patient down. C. Place the patient in a room with another hyperactive patient. D. Administer antipsychotic medication as ordered and as needed by the physician.

Correct Answer is D

Explanation

Choice A reason: Having the patient sit alone while reviewing rules does not address the immediate risk of injury due to hyperactivity.

Choice B reason: Reinforcing coping mechanisms can help the patient manage hyperactivity and reduce the risk of injury.

Choice C reason: Placing the patient with another hyperactive patient could potentially exacerbate the situation and increase the risk of injury.

Choice D reason: While administering medication may be necessary, it should be done in conjunction with other interventions that address behavior management.

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A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing interventions for a patient with major depression would include all the following except:

Correct Answer is B

Explanation

A newly admitted patient in an acute manic state has a nursing diagnosis of at risk for injury related to hyperactivity. Which nursing intervention is most appropriate?

Correct Answer is D

Explanation

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