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?"

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: While disintegration indicates a pill is no longer stable, it is not specific to nitroglycerin tablets.

Choice B reason: The absence of a tingling sensation may not necessarily indicate that nitroglycerin tablets need to be replaced, as this sensation can vary.

Choice C reason: Nitroglycerin tablets should be replaced if they smell like vinegar, as this indicates that the medication may have degraded and may not be effective.

Choice D reason: Discoloration can occur due to various reasons and does not specifically indicate that nitroglycerin tablets have lost potency.

A. Pregnancy B. Male gender C. Chronic illness D. Being married

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements by a patient demonstrates to the nurse that the patient understands when to replace prescribed nitroglycerin tablets?

Correct Answer is C

Explanation

A nurse is assisting in the development of a staff educational inservice about depression. Which of the following factors should the nurse identify as a primary risk factor for depression?

Correct Answer is C

Explanation

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?

Which of the following is not true about depression?

A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)

A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?