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 D

Explanation

Choice A reason: Creatine kinase can be elevated in heart failure but is not as specific as BNP for this condition.

Choice B reason: Myoglobin is a muscle protein that can be released into the bloodstream after muscle injury, including heart muscle, but it is not as specific for heart failure as BNP.

Choice C reason: Troponin is a marker of heart muscle injury and can be elevated in heart failure, but BNP is more directly related to the diagnosis and severity of heart failure.

Choice D reason: Serum B-type natriuretic peptide (BNP) is specifically released by the ventricles in response to excessive stretching of heart muscle cells, making it a key marker for heart failure. Elevated levels of BNP are directly correlated with the severity of heart failure and are important for both diagnosis and management.

A. Ask the client if she has a plan to commit suicide. B. Notify the client's family and request a visitor to stay with the client until thoughts of suicide are gone. C. Recognize the attempt at manipulation and escort the client back to her activity. D. Assist the client to her room and allow her to rest before resuming activity.

Correct Answer is A

Explanation

Choice A reason: Directly asking the client about suicidal plans is a critical step in assessing risk and determining the need for immediate intervention.

Choice B reason: While involving the family is important, it does not address the immediate risk the client may pose to herself.

Choice C reason: Recognizing the statement as a manipulation attempt is inappropriate; all expressions of suicidal ideation should be taken seriously.

Choice D reason: Allowing the client to rest does not address the immediate risk of suicide and the need for urgent assessment and intervention.

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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

The nurse reviews the lab test results of a patient who has heart failure (HF). Which test result would be most important for the nurse to report to the healthcare provider (HCP)?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

A nurse is caring for a client who has a spinal cord injury and is at risk for depression. Which of the following findings should the nurse identify as an indication that the client is developing 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.)

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The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

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?

A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?