Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat, I'm not hungry." What would be your best therapeutic response?
"You aren't hungry?"
"If you can't eat, what is that candy bar wrapper doing under your bed?"
"You really should try to eat some real food."
"Why aren't you hungry?"
The Correct Answer is D
Choice A reason: This response is a closed-ended question that might not encourage further discussion or reveal the underlying issues.
Choice B reason: This confrontational approach could make the patient defensive and is not conducive to building a therapeutic relationship.
Choice C reason: While encouraging the patient to eat is important, this directive does not address the patient's feelings or concerns.
Choice D reason: Asking an open-ended question invites the patient to share more about their feelings and can lead to a better understanding of their lack of appetite.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: PregnancyWhile pregnancy can be associated with mood changes (such as postpartum depression), it is not considered a primary risk factor for depression. Pregnancy-related mood disorders are specific to the perinatal period and may not apply to all individuals.
Choice B reason: Male genderAlthough depression affects both men and women, research suggests that women are more likely to be diagnosed with depression. However, this does not make male gender a primary risk factor. Other factors play a more significant role.
Choice C reason: Chronic illnessThis is the correct answer. Chronic illnesses (such as diabetes, cardiovascular disease, autoimmune disorders, etc.) are associated with an increased risk of depression. The stress, lifestyle changes, and impact on overall well-being related to chronic illness contribute to this risk.
Choice D reason: Being marriedBeing married is not necessarily a primary risk factor for depression. Relationship status alone does not determine depression risk. Factors such as marital satisfaction, social support, and individual coping mechanisms play a more significant role.
Correct Answer is D
Explanation
Choice A reason: While rest may help alleviate nausea, it is not the first action a nurse should take when a client on digoxin reports nausea, as it could be a sign of toxicity.
Choice B reason: A dietary consult may be beneficial in the long term but is not the immediate priority when a client reports nausea, which could be a symptom of digoxin toxicity.
Choice C reason: Requesting an order for an antiemetic is not the first step without assessing whether the nausea is due to digoxin toxicity, which can be life-threatening.
Choice D reason: Checking the client's vital signs is the correct first action because nausea can be a sign of digoxin toxicity, and vital signs may reveal other symptoms of toxicity.
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