A patient is diagnosed with obstructive sleep apnea. Which assessment is the priority?

Choice A reason: Family relocation can cause stress or adjustment issues but is not a primary driver of developmental problems. It may temporarily affect social or academic progress, but its impact is less consistent than prolonged poverty, which has broader, long-term effects on development, making this an incorrect choice.

Choice B reason: Prolonged poverty is strongly linked to developmental problems, as it limits access to nutrition, healthcare, and education, impacting cognitive, physical, and emotional growth. Chronic socioeconomic stress can lead to developmental delays or behavioral issues, making this a critical sociocultural finding for the nurse to assess.

Choice C reason: Childhood obesity may indicate health issues like poor diet or inactivity, but its link to developmental problems is less direct than poverty. It can affect self-esteem or physical mobility but is not a primary sociocultural driver of broad developmental delays, making this a less critical finding.

Choice D reason: Loss of stamina is a vague symptom, often age-related or due to medical conditions, not a sociocultural factor. It does not directly indicate developmental problems, especially Dalin children, where poverty has a stronger impact on growth and milestones, making this an incorrect choice.

Choice A reason: The nurse promotes hope by helping the depressed patient identify activities to look forward to, fostering optimism and purpose. Hope, a spiritual concept, counteracts despair, enhancing mental health per psychological resilience models. This intervention supports emotional recovery, critical for patients with severe depression facing existential challenges.

Choice B reason: Time management is a practical skill, not a spiritual concept, and unrelated to identifying positive activities in depression. The nurse’s focus is hope, not organization. Assuming time management misaligns with the intervention, risking neglect of the patient’s spiritual need for meaning, critical for addressing depressive hopelessness and recovery.

Choice C reason: Reminiscence involves recalling past experiences, not future-oriented activities, as the nurse encourages. Hope targets forward-looking optimism, not reflection. Assuming reminiscence misguides the intervention, potentially missing the patient’s need for hope to combat depression, delaying emotional recovery and engagement in meaningful activities for mental health.

Choice D reason: Faith involves religious or spiritual beliefs, not specifically identifying future activities, as the nurse does to foster hope. While faith may support hope, the intervention targets optimism broadly. Assuming faith risks narrowing the focus, potentially overlooking non-religious patients’ need for hope, critical for depression management and emotional resilience.