The client is a 26-year-old female who was in a car accident 6 months ago that killed her mother, husband, and 2-year-old
She and her father were the only survivors of the crash. She is seeking care for depression.
Click to highlight the areas that the nurse should react to immediately.
The client has returned to work at an accounting firm and has started going to a grief support group. She states she is seeking care from a healthcare professional because her father is worried about her. The client states she only gets 2-3 hours of sleep due to nightmares about the crash.
She states that exercising right after work helps her get better sleep and to relax. She feels that she is "jumpy after the accident, especially when she is in the car. She also stated, " feel so sad that I can't seem to feel anything at all." In addition to her father, the client has a large family and friend support system. She denies alcohol or drug use.
she only gets 2-3 hours of sleep due to nightmares about the crash
She feels that she is "jumpy after the accident
especially when she is in the car
feel so sad that I can't seem to feel anything at all
The Correct Answer is ["A","B","C","D"]
Insufficient sleep, particularly due to nightmares, can exacerbate depression and should be addressed promptly.
Feeling "jumpy" or experiencing heightened anxiety, especially in situations reminiscent of the trauma, indicates a possible post-traumatic stress disorder (PTSD symptom.
A profound sense of sadness and numbness can be indicative of severe depression, requiring immediate attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Knowledge deficit: While the client may benefit from more information, the immediate concern is the emotional response to the anticipated pain.
B. Anxiety: This is the correct answer as the client is expressing worry about the ability to cope with future pain.
C. Pain (acute): Acute pain is not currently an issue; the client is anxious about future pain.
D. Anticipatory grieving: There is no indication that the client is experiencing a loss, which is required for anticipatory grieving. The concern is about managing future pain.
Correct Answer is A
Explanation
A. A quiet, non-stimulating environment helps reduce sensory overload and agitation, which are common in alcohol withdrawal delirium.
B. While hydration and nutrition are important, they are not as immediately critical as managing environmental stimuli.
C. Confronting the client's denial is a part of psychological therapy but not the most immediate concern during acute withdrawal delirium.
D. Group participation may be too stimulating for a client in acute withdrawal and can exacerbate symptoms.
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