Patient Data

The client returns to the clinic for his four week follow up appointment.
Which 3 statements made by the client indicate his depression is improving?

My sister came over and helped me clean my apartment. She is coming over for dinner this week.

There were several people in the support group who lost a parent, too. We were sad together.

I went back to work the day after my last appointment and have not missed any work since my appointment.

I have switched from drinking beer to vodka.

Sometimes friends are hard to get a hold of, so I have not spoken with them for a while.

Answer and Explanation

Correct Answer : A,B,C

A. This option is correct because it demonstrates multiple indicators of improvement in depression. The client is accepting help from his sister, which reflects decreased withdrawal and increased openness to support. Cleaning his apartment suggests improved motivation and energy, as individuals with depression often struggle with activities of daily living. Additionally, planning for his sister to return for dinner shows future orientation and willingness to engage socially, both of which are strong signs of recovery.

B. This option is correct because it reflects appropriate emotional processing and social engagement. The client is attending a support group, which indicates active participation in treatment and use of healthy coping mechanisms. Sharing sadness with others who have had similar losses shows the ability to connect emotionally rather than isolate. Feeling sadness in this context is appropriate and therapeutic, not a sign of worsening depression.

C. This option is correct because it indicates significant improvement in functional status. Returning to work and maintaining consistent attendance demonstrates increased energy, concentration, and responsibility. Since the client previously missed multiple days of work, this change reflects meaningful progress in managing depressive symptoms and resuming normal daily functioning.

D. This option is incorrect because it reflects continued maladaptive coping through substance use. Switching from beer to vodka does not represent improvement; in fact, vodka has a higher alcohol concentration, which may indicate worsening substance use. Ongoing alcohol use can exacerbate depressive symptoms, interfere with sleep, and impair recovery.

E. This option is incorrect because it indicates persistent social withdrawal and isolation, which are hallmark symptoms of depression. The client is not maintaining contact with friends and is rationalizing the lack of communication, suggesting continued disengagement rather than improvement.

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Correct Answer is B

Explanation

A. Most contraceptives, such as hormonal methods or intrauterine devices, do not protect against STIs, including HPV. Only barrier methods, such as condoms, offer partial protection. Counseling that contraceptives protect against infection would be inaccurate.

B. Remaining non-judgmental and assuring confidentiality is the most appropriate response. Clients with STIs may feel embarrassment, shame, or fear of stigma. Providing a supportive, professional, and confidential environment encourages open communication, promotes adherence to treatment, and facilitates preventive education.

C. Not all STIs are transmitted exclusively through sexual intercourse. Some infections, like HPV, can also be transmitted through skin-to-skin genital contact, and others can be transmitted perinatally or through blood exposure. Overgeneralizing STI transmission is misleading.

D. Reassuring the client that complications will not occur if the infection is treated is inaccurate. HPV can lead to long-term complications such as cervical dysplasia, genital warts, or increased cancer risk even after treatment. Providing accurate education about potential risks and follow-up is essential.

A. Leave the client's room so she can act out her anxiety. B. Ignore the client's inappropriate behavior. C. Change to less anxiety-promoting questions. D. State it is unacceptable to undress during the interview.

Correct Answer is D

Explanation

A. Leaving the client alone while she is undressing is unsafe and could escalate the situation. It may also violate the client’s dignity and safety, as well as facility policies regarding supervision of clients with acute psychiatric symptoms.

B. Ignoring the client’s inappropriate behavior is not appropriate in this situation. While some behaviors may be selectively ignored, sudden disrobing can indicate escalating mania, impulsivity, or psychosis and requires immediate intervention to ensure safety and reduce anxiety.

C. While reducing environmental stressors is helpful in the long term, this is not the first action. The immediate priority is the client’s current behavior and lack of clothing. Addressing the content of the interview before addressing the immediate behavioral crisis is an ineffective use of the nursing process.

D. The nurse should provide immediate, calm, and firm "limit-setting." By stating that the behavior is unacceptable and directing the client to put their clothes back on (or providing a gown/blanket), the nurse helps the client regain control and maintains a professional, therapeutic boundary. This approach also protects the client from the future embarrassment that often follows a manic episode.

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Patient Data The client returns to the clinic for his four week follow up appointment. Which 3 statements made by the client indicate his depression is improving?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with the sexually transmitted infection (STI) human papillomavirus (HPV). The client reports having had prior sexually transmitted infections. Which response should the nurse provide?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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Patient Data

The client returns to the clinic for his four week follow up appointment.
Which 3 statements made by the client indicate his depression is improving?