A nurse on a mental health unit is caring for clients who have various d Bryant traction. When determining that the traction is the following client diagnoses as presenting the greatest risk for suicide?

Seasonal affective disorder

Persistent depressive disorder

Major depressive disorder

Premenstrual dysphoric disorder

Answer and Explanation

The Correct Answer is C

A. Seasonal affective disorder (SAD): While individuals with SAD experience depressive symptoms that tend to occur seasonally, typically in the winter months, the severity of symptoms is generally less severe compared to MDD. While suicide risk can still be present in individuals with SAD, it is usually lower compared to those with MDD.

B. Persistent depressive disorder (PDD): Persistent depressive disorder, formerly known as dysthymia, is characterized by chronic depressive symptoms that are less severe than those seen in MDD. While individuals with PDD may experience prolonged feelings of sadness and hopelessness, their symptoms may not reach the severity seen in MDD. Therefore, the risk of suicide may be lower in individuals with PDD compared to those with MDD.

C. Major depressive disorder (MDD): Major depressive disorder is characterized by persistent feelings of sadness, hopelessness, and worthlessness, along with a loss of interest or pleasure in activities. Individuals with MDD are at significant risk of suicide, especially if their depressive symptoms are severe. The presence of traction may exacerbate feelings of hopelessness or helplessness in individuals with MDD, further increasing the risk of suicide.

D. Premenstrual dysphoric disorder (PMDD): PMDD is a severe form of premenstrual syndrome (PMS) characterized by significant mood disturbances and other symptoms that occur in the luteal phase of the menstrual cycle. While PMDD can cause distressing symptoms, including depressive mood, irritability, and anxiety, it is typically limited to the premenstrual period and does not carry the same chronicity or severity as MDD. Therefore, the risk of suicide may be lower in individuals with PMDD compared to those with MDD.

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Correct Answer is C

Explanation

A. Restrain the child physically: Physically restraining a toddler during a temper tantrum can escalate the situation and may lead to the child feeling scared or more frustrated. It's important to avoid physical force as it can be traumatic for the child and potentially harmful.

B. Ignore the temper tantrums: Ignoring temper tantrums might work in some situations, but it's not always the most effective strategy. Toddlers often tantrum to seek attention or express frustration, and ignoring them entirely may not address the underlying issue. Additionally, consistent ignoring can lead to feelings of abandonment or exacerbate the behavior.

C. Distract the child by offering to play a game: Distraction can be an effective technique for managing temper tantrums in toddlers. Offering to engage the child in a fun activity or game can redirect their focus away from the source of frustration, helping to de-escalate the situation and promote positive behavior.

D. Tell the child that temper tantrums are not acceptable: While it's important to set boundaries and teach appropriate behavior, telling a toddler that temper tantrums are not acceptable may not effectively address the immediate situation. Toddlers may not fully understand or be able to control their emotions, so simply telling them that tantrums are unacceptable without providing alternative coping strategies is unlikely to be effective.

A. "You are being unreasonable, and I will not call your doctor at this hour." B. "I can't call a doctor in the middle of the night unless it's an emergency C. "You must be very upset about something." D. "Go back to your room, and I'll try to get in touch with your doctor"

Correct Answer is C

Explanation

A. "You are being unreasonable, and I will not call your doctor at this hour."

This response may escalate the situation by invalidating the client's feelings and refusing to address their request. It fails to recognize the client's distress and could lead to increased agitation or frustration.

B. "I can't call a doctor in the middle of the night unless it's an emergency."

While it's true that non-urgent matters may be deferred until regular hours, this response comes across as dismissive and may exacerbate the client's distress. It does not validate the client's feelings or offer support.

C. "You must be very upset about something."

This response acknowledges the client's emotions and shows empathy. It opens the door for the client to express their concerns, allowing the nurse to assess the situation further and address any immediate needs. It also avoids dismissing the client's request outright and maintains a therapeutic relationship.

D. "Go back to your room, and I'll try to get in touch with your doctor."

This response instructs the client to return to their room without addressing their emotional state or concerns. It lacks empathy and fails to engage with the client's needs effectively.

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A nurse on a mental health unit is caring for clients who have various d Bryant traction. When determining that the traction is the following client diagnoses as presenting the greatest risk for suicide?

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