An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds within the last month. Which client goal is most important to achieve within the first three days of treatment?

Understands the purpose of the medication regimen.

Sleeps at least six hours a night.

Describes the reasons for hospitalization.

Meets scheduled appointment with the dietitian.

Answer and Explanation

The Correct Answer is B

A.   Understanding the purpose of the medication regimen is important but might not be the most immediate concern.
B.   Improving sleep to at least six hours a night addresses the client's reported insomnia and supports their physical well-being.
C.   Describing the reasons for hospitalization might be essential for the client's understanding but might not have the immediate urgency.
D.   Meeting the scheduled appointment with the dietitian is important for nutritional concerns but might not directly address the client's reported sleep and weight loss within the first three days of treatment.

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Correct Answer is D

Explanation

A. Involving another nurse might not necessarily address the client's guarded and suspicious behavior.
B. Documenting the behavior is important for the client's records, but it doesn't address the immediate need for assessment.
C. Postponing the interview might not resolve the client's guarded behavior and could delay necessary assessment.
D. Attempting to ask the client simple questions allows for a non-threatening approach and might gradually build rapport, encouraging the client to engage in conversation.

A. A hyperactive 4-year-old who has recently been tested for autism. B. An adolescent who is depressed over not being accepted by peers. C. An older adult resident of a long-term care facility who sometimes takes other residents' belongings. D. An adult with schizophrenia who often refuses to take prescribed antipsychotic medications.

Correct Answer is B

Explanation

A. Role-playing might not be suitable for a hyperactive 4-year-old with potential autism, as their attention span and ability to engage in structured activities might be limited.
B. Adolescents often benefit from role-playing to navigate social situations and address feelings of rejection or lack of acceptance from peers.
C. Role-playing might not be as effective for an older adult in a long-term care facility who takes others' belongings, as this behavior may require different interventions.
D. While role-playing can be helpful for individuals with schizophrenia, their tendency to refuse medications might not necessarily be addressed through this method.

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An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds within the last month. Which client goal is most important to achieve within the first three days of treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the mental health unit and sits in the corner of the day room. When the nurse begins the admission assessment interview, the client is guarded, suspicious, and resists talking. Which action should the nurse implement?

Correct Answer is D

Explanation

The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?

Correct Answer is B

Explanation

A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?

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