The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?

Position a table between the client and the nurse for extra personal space.

Reduce the noise level in the room by turning off the television and radio.

Sit within two feet of the client to enhance the level of safety and security.

Dim the lights in the room to help the patient feel calm.

Answer and Explanation

The Correct Answer is B

A.   Positioning a table might create a barrier and hinder rapport-building during the interview.
B.   Reducing noise levels helps create a more conducive environment for communication and allows better focus during the interview.
C.   Sitting too close might invade the client's personal space and could be uncomfortable or threatening.
D.   Dimming the lights might not be suitable as it can hinder communication and create a less engaging environment for the interview.

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Correct Answer is B

Explanation

A. Understanding the purpose of the medication regimen is important but might not be the most immediate concern.
B. Improving sleep to at least six hours a night addresses the client's reported insomnia and supports their physical well-being.
C. Describing the reasons for hospitalization might be essential for the client's understanding but might not have the immediate urgency.
D. Meeting the scheduled appointment with the dietitian is important for nutritional concerns but might not directly address the client's reported sleep and weight loss within the first three days of treatment.

A. Suggest that the client develop a list of pleasurable activities. B. Encourage the client to exercise. C. Provide education on methods to enhance sleep. D. Teach the client to develop a plan for daily structured activities. E. Teach the client to develop a plan for daily structured activities.

Correct Answer is D

Explanation

A. Developing a list of pleasurable activities might be beneficial but might not directly address the lack of motivation and psychomotor retardation.
B. Encouraging exercise is generally helpful but might be challenging for someone experiencing hypersomnia and lack of motivation.
C. Providing education on methods to enhance sleep is important, but it might not directly address psychomotor retardation or motivation.
D. Teaching the client to develop a plan for daily structured activities can provide a sense of purpose, routine, and help combat psychomotor retardation and lack of motivation commonly seen in depression.

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The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds within the last month. Which client goal is most important to achieve within the first three days of treatment?

Correct Answer is B

Explanation

A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and lack of motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?

Correct Answer is D

Explanation

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The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

Following the visit, what are appropriate actions for the nurse? Select all that apply.