Feelings of worthlessness, guilt, and despair are expressed in a female client’s every thought, movement, and activity. Her physical health has declined and she is often unable to eat.

What is the client experiencing?

Mild depression.

Normal emotional state.

Severe depression.

Moderate depression.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C.

The feelings of worthlessness, guilt, and despair expressed in every thought, movement, and activity, along with a decline in physical health and often being unable to eat, indicate that the client is experiencing severe depression.

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Correct Answer is A

Explanation

The management of delirium is indeed dependent on its cause, with the primary focus being to address the root cause. This could involve treating an underlying infection, adjusting a medication regimen, or addressing other factors that may have triggered the delirium.

A. Teach the client techniques for coping with the mother’s anger. B. Ask if the mother could come in for a hearing evaluation. C. Tell the client it appears the mother has a hearing loss. D. Inform the client to ignore the behavior and treat the mother with love.

Correct Answer is B

Explanation

Choice A rationale
While teaching the client techniques for coping with the mother’s anger might be helpful, it does not address the root cause of the problem. The mother’s anger and inappropriate responses could be due to frustration from not being able to hear properly.
Choice B rationale
The mother’s behavior of not responding when her back is turned and becoming increasingly angry could be signs of hearing loss. A hearing evaluation would help determine if this is the case and appropriate interventions can be put in place.
Choice C rationale
Telling the client that it appears the mother has a hearing loss is not the best intervention because it is based on assumption without any professional evaluation. It is important to have a professional evaluation before making such conclusions.
Choice D rationale
Informing the client to ignore the behavior and treat the mother with love does not address the potential issue of hearing loss. Ignoring the problem does not solve it and could lead to further frustration and misunderstanding.

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Feelings of worthlessness, guilt, and despair are expressed in a female client’s every thought, movement, and activity. Her physical health has declined and she is often unable to eat. What is the client experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

True or False: The management of delirium is dependent on its cause, with the primary focus being to address the root cause.

Correct Answer is A

Explanation

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

Correct Answer is B

Explanation

The home health aide reports to the practical nurse that the client has been trying to give away possessions. When the nurse asks the client about this behavior, the client says, “With my spouse dead, there’s no reason for me to go on.”. What is the best priority response by the nurse?

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An adult patient assaulted another patient and was subsequently restrained. One hour later, which statement by the restrained patient requires the nurse’s immediate attention?

A patient has been admitted due to severe depression. What symptoms should the nurse anticipate during the assessment?

Feelings of worthlessness, guilt, and despair are expressed in a female client’s every thought, movement, and activity. Her physical health has declined and she is often unable to eat.

What is the client experiencing?