A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder.
Which of the following recommendations should the nurse include in the plan?

A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines? The correct answer is Choice D: Psychomotor retardation.

Choice A rationale:

Significant weight loss may be a concerning symptom in a client with major depressive disorder, but it is not the top priority. Major depressive disorder can lead to changes in appetite, which may result in weight loss. However, psychomotor retardation, which is a significant slowing of physical and mental activities, is a more critical finding. It can be a sign of severe depression and even potential suicidal ideation. Reporting psychomotor retardation to other disciplines allows for a prompt evaluation of the client's safety.

Choice B rationale:

Markedly neglected hygiene is an important observation and may indicate the client's inability to perform self-care activities. While this should be addressed, psychomotor retardation takes precedence as it can indicate more severe symptoms associated with major depressive disorder.

Choice C rationale:

Poor problem-solving skills are a common cognitive symptom of major depressive disorder, but they are not an immediate priority. Clients with depression often struggle with decision-making and problem-solving, but psychomotor retardation is a more severe and concerning symptom that warrants immediate attention.

Choice D rationale:

Psychomotor retardation is the top priority finding in this scenario. It can be a sign of severe depression and may be associated with an increased risk of self-harm or suicide. Reporting psychomotor retardation allows the interprofessional team to assess the client's safety and initiate appropriate interventions promptly.

The most appropriate recommendation for the client experiencing social isolation due to depression is:

d. Join a low-impact exercise class.

Here's why:

• a. Enroll in an online self-help course:While this can be beneficial for learning coping skills,it doesn't directly address the social isolation aspect.
• b. Practice guided imagery each morning:This could be helpful for emotional regulation but doesn't necessarily promote socialization.
• c. Write in a journal daily:Though journaling can be therapeutic,it's a solitary activity and may not address social withdrawal.
• d. Join a low-impact exercise class:Participating in a group activity like a low-impact exercise class provides several benefits:
  • Physical activity:Improves mood and energy levels,reducing depression symptoms.
  • Social interaction:Creates opportunities to connect with others with similar interests,combating isolation.
  • Structure and routine:Provides a sense of purpose and accomplishment,which can be difficult with depression.
  • Reduced stress:Exercise releases endorphins,which have mood-boosting effects.

Furthermore, a low-impact class caters to the client's potential lack of motivation and energy.

Therefore, encouraging participation in a low-impact exercise class is the most suitable recommendation for this client's social isolation in the context of depression.

Remember, it's crucial to consider the client's individual preferences and tailor recommendations accordingly.