The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?

Fear

Compulsions

Euphoria

Extreme sadness

Answer and Explanation

The Correct Answer is D

Choice A reason: Fear is a common emotion but is not a defining symptom of major depression.

Choice B reason: Compulsions are more characteristic of obsessive-compulsive disorder, not major depression.

Choice C reason: Euphoria is typically not associated with major depression, which is characterized by a persistent feeling of sadness or loss of interest.

Choice D reason: Extreme sadness is a hallmark symptom of major depression, often accompanied by a loss of interest in activities that were once enjoyed.

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Correct Answer is D

Explanation

Choice A reason: While it may be beneficial for the client's mood, taking the client out of the facility does not directly address the sudden change in behavior.

Choice B reason: Rewarding the client for a change in behavior does not address the potential risks associated with a sudden change in mental status.

Choice C reason: Asking the client why their behavior has changed could be part of an assessment, but it is not an immediate safety intervention.

Choice D reason: Monitoring the client's whereabouts at all times is important as a sudden lift in depressive symptoms can sometimes precede a suicide attempt, and close observation is necessary.

A. Spaghetti B. Soup C. Peanut butter sandwich D. Oatmeal

Correct Answer is D

Explanation

Choice A reason: Spaghetti, while a source of carbohydrates, may not be the best option for someone experiencing acute mania who might benefit from simpler, less stimulating foods.

Choice B reason: Soup can be a good choice but may not provide the necessary energy and nutrient density needed for someone in a manic state.

Choice C reason: A peanut butter sandwich could be a good option, but it might be too complex for a client to focus on eating during a manic episode.

Choice D reason: Oatmeal is an excellent choice as it is a whole grain that can have a calming effect on the mind and is easy to consume.

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The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

Correct Answer is D

Explanation

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the following is an appropriate food choice for this client?

Correct Answer is D

Explanation

The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

The nursing interventions for a patient with major depression would include all the following except:

Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat, I'm not hungry." What would be your best therapeutic response?

A nurse is assisting in the care of a client who has acute onset pulmonary edema and is experiencing dyspnea with low oxygen saturation rates. The nurse should recognize the client is at risk for which of the following acid-base imbalances?

A nurse is caring for a client who has a spinal cord injury and is at risk for depression. Which of the following findings should the nurse identify as an indication that the client is developing depression?

A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority?

A nurse is collecting data from a newly-admitted client who has bipolar disorder and is displaying manic behavior. Which of the following findings should the nurse expect? (Select all that apply.)