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The nurse observes a new diagnosis of seasonal affective disorder (SAD) in the client's electronic medical record. The client asks about available treatment options for SAD.

Choose the most likely options for the information missing from the statements by selecting from the lists of options provided.

The nurse recognizes that the highest priority concern is the client's

as evidenced by client's
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

Rationales for Correct Answers:

  • Safety: According to Maslow’s Hierarchy of Needs and the nursing process, safety is always the highest priority for a psychiatric patient. While the client is not currently expressing suicidal ideation, the presence of worsening depressive symptoms over three years places her at a high risk for a safety crisis.
  • Report of hopelessness: In psychiatric nursing, hopelessness is a primary red flag and a major risk factor for suicide. It is a subjective state where the individual sees no alternative or way out of their current pain. Because the client describes a "growing sense of hopelessness" that has progressively worsened, it serves as the most critical evidence requiring safety-related follow-up.

Rationales for Incorrect Answers

  • Self-care deficit: While the client clearly has a self-care deficit (oily, matted hair; stained clothing), hygiene is considered a "lower-level" need compared to the immediate risk of self-harm or psychological collapse associated with safety.
  • Nutritional imbalance: The client's weight gain and carbohydrate cravings are characteristic of SAD, but they are not life-threatening. Metabolic needs are prioritized after safety and stability have been established.
  • Matted hair: This is objective evidence of a self-care deficit. While significant, it does not provide evidence for a safety priority as directly as a psychological report of hopelessness does.
  • Six-pound weight gain in 2 weeks: This is objective evidence of nutritional imbalance and is a physical manifestation of her depression. It does not indicate an immediate safety risk.


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Related Questions

Correct Answer is A

Explanation

A. This is the most critical report to explore. Facial swelling after eating shellfish may indicate a food allergy or a risk for anaphylaxis, especially if the client has a history of reactions to seafood. Cardiac catheterization often involves contrast dye administration, which can trigger severe allergic reactions. Identifying potential allergies prior to the procedure is essential for patient safety and may require premedication or alternative contrast agents.

B. Claustrophobia is important to address for client comfort and cooperation, but it is not immediately life-threatening. This concern can often be managed with pre-procedure education or anxiolytic medication.

C. While chest pain is relevant to the client’s cardiac condition, it has already been assessed and led to the decision for angioplasty. Unless new or worsening pain is reported, it is not the immediate safety concern before the procedure.

D. Fasting status is important, but drinking water is generally less risky than potential allergic reactions. Some labs allow small sips of water before angiography, and this can usually be clarified with the provider.

Correct Answer is C

Explanation

A. 1,360 – Too small; likely represents a miscalculation.
B. 70,720 – Represents only productive hours, does not include nonproductive time.
C. 141,440 – Correct total hours including both productive and nonproductive time. To calculate the total hours of productive and nonproductive time for the unit annually, use the formula: Total hours = Number of FTEs × hours per FTE per year. A standard FTE is typically based on 40 hours per week for 52 weeks, which equals 2,080 hours per year. calculation: Number of FTEs = 34. Hours per FTE per year = 40 × 52 = 2,080 hours. Total hours = 34 × 2,080. Calculate: 34 × 2,000 = 68,000. 34 × 80 = 2,720. Add them together: 68,000 + 2,720 = 70,720. This 70,720 hours represents productive time. To account for both productive and nonproductive time (which includes vacation, sick leave, holidays, and training), the total hours are usually doubled, because nonproductive time roughly equals productive time. 70,720 × 2 = 141,440 hours. Therefore, the unit is accountable for 141,440 hours annually.
D. 20,720 – Too small; not relevant to this calculation.

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