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

Encouraging adequate nutrition.

Assuring the patient everything will be fine.

Maintaining a safe milieu.

Using active listening skills.

Answer and Explanation

The Correct Answer is B

Choice A reason: Encouraging adequate nutrition is important as patients with depression may have decreased appetite.

Choice B reason: Assuring the patient that everything will be fine may minimize their feelings and is not a therapeutic communication technique.

Choice C reason: Maintaining a safe milieu is essential for all patients, especially those with depression who may be at risk for self-harm.

Choice D reason: Using active listening skills is a key component of therapeutic communication and is essential in caring for patients with depression.

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Correct Answer is B

Explanation

Choice A reason: Informing the client about the potential use of restraints could be perceived as threatening and may not be therapeutic.

Choice B reason: Assisting the client to practice social interaction in a structured setting like a community meeting can provide a safe environment for interaction and can be part of a therapeutic plan.

Choice C reason: Escorting the client to her room could be isolating and may not address the need for social interaction, which is important for clients with bipolar disorder.

Choice D reason: Allowing the client to interact freely might not be appropriate if the behavior is disturbing others. It's important to find a balance that respects both the client's needs and those of others.

A. "I can't help it but I am mad at my wife for leaving me alone." B. "I feel better now that I have reestablished a relationship with my son." C. "It is hard for me to be around others, but I make a point of going to the community center each week." D. "I just don't feel like eating because I never liked to eat alone."

Correct Answer is A

Explanation

Choice A reason: Anger towards a deceased spouse can be a sign of unresolved grief and may indicate complicated grief or depression, requiring further intervention.

Choice B reason: Reestablishing relationships is a positive step in coping with loss and suggests progress in managing grief.

Choice C reason: Although it's difficult, the effort to engage with the community is a positive sign of coping and does not typically indicate a need for further intervention.

Choice D reason: A lack of desire to eat due to the absence of a loved one can be a normal part of grieving, but if persistent, it may require intervention to address potential depression.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is evaluating the outcomes for a client who has depression following the death of his wife 3 months ago. Which of the following client statements indicates a need for further intervention?

Correct Answer is A

Explanation

When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

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

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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 newly licensed nurse is assisting with the involuntary admission of a client who has depression to an acute care mental health facility. Which of the following guidelines should the nurse follow when caring for the client?