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 B

Explanation

A. Inquiring about the mother's other children might not directly address her current emotional distress and might not be an immediate concern.
B. Asking if the mother has ever thought about harming herself or her child is essential to assess the severity of her depressive thoughts and the risk of harm.
C. Encouraging journaling can be helpful as part of coping, but in this context, addressing immediate concerns about self-harm is more crucial.
D. Reassurance is important, but in this case, providing false hope or assurance about achieving milestones may not be realistic and might not address the mother's current distress.

A. Increased talkativeness and pressure to keep talking. B. Illogical response to questions asked. C. Poor concentration and slow thought process. D. Ritual daily breast exams for fear of cancer.

Correct Answer is D

Explanation

A. Increased talkativeness and pressure to keep talking might be seen in conditions like mania or anxiety, not specifically illness anxiety disorder.
B. Illogical responses could be indicative of thought disorders but are not characteristic of illness anxiety disorder.
C. Poor concentration and slow thought processes might suggest cognitive issues but are not specifically linked to illness anxiety disorder.
D. Ritualistic behaviors such as daily breast exams due to fear of cancer are characteristic of illness anxiety disorder (previously known as hypochondriasis).

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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

The mother of an 8-month-old infant with profound mental and physical disabilities tells the nurse how depressed she is because she realizes that her child will never achieve normal growth and development milestones. How should the nurse respond to this mother?

Correct Answer is B

Explanation

The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

Correct Answer is D

Explanation

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