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 C

Explanation

Choice A reason: Physically restraining the patient is not appropriate unless the patient is at immediate risk of harm to themselves or others.

Choice B reason: Walking the patient to the bathroom may not be safe if the patient has been prescribed bedrest due to heart failure.

Choice C reason: Obtaining a bedside commode respects the patient's autonomy and dignity while adhering to the prescribed bedrest.

Choice D reason: While obtaining a bedpan is an option, a bedside commode may be more comfortable and dignified for the patient.

A. Frothy sputum B. Orthopnea C. Peripheral edema D. Dyspnea

Correct Answer is C

Explanation

Choice A reason: Frothy sputum is more commonly associated with left-sided heart failure.

Choice B reason: Orthopnea, or difficulty breathing when lying flat, is also more commonly associated with left-sided heart failure.

Choice C reason: Peripheral edema, which is swelling in the lower limbs, is a classic symptom of right-sided heart failure.

Choice D reason: Dyspnea, or shortness of breath, can occur in right-sided heart failure but is more characteristic of left-sided heart failure. Peripheral edema is the most specific symptom to right-sided heart failure among the options provided.

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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 patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

What is cyclothymic disorder?

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?

A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

A patient who has been scheduled for an exercise stress electrocardiogram asks why this test is needed. Which of the following is the nurse's best response?

Your patient, who is manic, says, "Everything I do is great." How should you respond?

The nurse reinforces teaching to the patient on left heart failure (HF). The nurse would evaluate the patient as understanding if the patient stated which of these occurs to blood flow through the heart?

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

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?