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 A

Explanation

A. "Placing your child on her back when sleeping will decrease the risk of SIDS." This statement is accurate. The American Academy of Pediatrics (AAP) recommends that infants be placed on their backs to sleep to reduce the risk of SIDS. This sleep position has been associated with a significant decrease in the incidence of SIDS since it was introduced in the 1990s. It's essential to educate parents about safe sleep practices to protect their newborns.

B. "Sleep apnea is the main cause of SIDS." This statement is incorrect. Sleep apnea is a separate condition characterized by pauses in breathing during sleep. SIDS, on the other hand, is the sudden and unexplained death of an otherwise healthy infant, usually during sleep. While the exact cause of SIDS is unknown, it is not related to sleep apnea.

C. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines." This statement is incorrect. There is no direct correlation between SIDS and the diphtheria, tetanus, and pertussis (DTaP) vaccines. Extensive research has shown that vaccines, including the DTaP vaccine, do not cause SIDS. In fact, vaccines are essential for preventing serious infectious diseases and protecting infants' health.

D. "SIDS rates have been rising over the last 10 years." This statement is incorrect. SIDS rates have actually been declining over the past few decades due to public health campaigns promoting safe sleep practices, including placing infants on their backs to sleep. While there may be fluctuations in rates from year to year, the overall trend has been a decrease in SIDS rates, not an increase.

A. Use touch to calm the client during periods of anxiety B. Rotate staff assignments for this client. C. Check the client's mouth after the client takes medication. D. Assign assistive personnel to feed the client at mealtimes.

Correct Answer is C

Explanation

A. Using touch to calm the client during periods of anxiety: Clients with paranoid schizophrenia may have heightened sensitivity to touch and may interpret it as threatening or intrusive. Therefore, using touch to calm the client may exacerbate their anxiety rather than alleviate it.

B. Rotating staff assignments for this client: Consistency in staff assignments can help establish trust and rapport with clients with paranoid schizophrenia. Rotating staff may disrupt this continuity and potentially increase the client's paranoia and suspicion.

C. Checking the client's mouth after the client takes medication: Clients with paranoid schizophrenia may exhibit medication non-compliance due to distrust or suspicion of medications. Checking the client's mouth after medication administration ensures that the client has ingested the medication and helps prevent hoarding or hiding of medication.

D. Assigning assistive personnel to feed the client at mealtimes: Clients with paranoid schizophrenia may have difficulty trusting others, particularly with personal activities such as feeding. Assigning assistive personnel to feed the client may increase the client's paranoia and resistance to care. It's essential to promote the client's autonomy and independence while providing support as needed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A nurse is planning care for a client who has paranoid schizophrenia. Which of the following interventions should be included in the plan of care?

Correct Answer is C

Explanation

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