A nurse at a primary care clinic is assessing a client for manifestations of depression.
Which of the following client statements should the nurse identify as being consistent with depression?.
"I can't sit still. I feel like I need to be doing things around the house.”.
"I can't get my mind to stop racing at night.
"When I went to my provider, they told me I have high blood pressure.”.
"Lately, I feel like I am more alert than usual and can focus better.”.
The Correct Answer is B
Choice A rationale:
This statement indicates restlessness, which is not typically associated with depression.
Choice B rationale:
This statement indicates insomnia, which is a common symptom of depression.
Choice C rationale:
High blood pressure is not a symptom of depression.
Choice D rationale:
Increased alertness and focus are not typical symptoms of depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
Choice B rationale:
This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
Choice C rationale:
Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
Choice D rationale:
The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.
Correct Answer is A
Explanation
Choice A rationale:
ECT does cause brief seizures, which is a correct understanding of the procedure.
Choice B rationale:
One ECT treatment is usually not enough to effectively treat depression.
Choice C rationale:
A pre-ECT workup is typically required before the procedure.
Choice D rationale:
Patients are usually required to fast before ECT due to the use of general anesthesia.
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