What expected outcomes should the nurse document for a client diagnosed with a depressive disorder? (Select all that apply)
The client does not express suicidal ideation.
The client returns to work or school.
The client reports no side effects from medication.
The client expresses hopefulness for the future.
The client sleeps for 8 hours each night.
Correct Answer : A,B,D,E
Choice A rationale
The absence of suicidal ideation is a positive outcome for a client diagnosed with a depressive disorder. This indicates that the client is not experiencing thoughts of self-harm or death, which is a common symptom of severe depression.
Choice B rationale
Returning to work or school signifies that the client is able to resume normal activities and responsibilities, indicating an improvement in their mental health.
Choice C rationale
While it’s important for the client to report no side effects from medication, it’s not necessarily an expected outcome for a client diagnosed with a depressive disorder. Antidepressant medications can often have side effects, and managing these is part of the treatment process.
Choice D rationale
Expressing hopefulness for the future is a positive sign as it indicates that the client is not experiencing feelings of hopelessness, a common symptom of depression.
Choice E rationale
Regular sleep patterns, such as sleeping for 8 hours each night, are beneficial for mental health and can help in the management of depressive symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The statement “Why did you get so angry when she ignored you?” indicates a need for further training in effective therapeutic communication techniques. Asking “why” can make patients defensive and is generally avoided in therapeutic communication.
Choice B rationale
The statement “It is doubtful the president is out to get you” is a reality-oriented response and can be appropriate in certain contexts, such as when a patient is experiencing delusions.
Choice C rationale
The statement “Tell me more about the day your child died” invites the patient to share more about their experiences and feelings, which is a key aspect of therapeutic communication.
Choice D rationale
The statement “I don’t understand what you mean. Can you give me an example?” is an appropriate therapeutic communication technique, as it seeks to clarify the patient’s message.
Correct Answer is A
Explanation
The management of delirium is indeed dependent on its cause, with the primary focus being to address the root cause. This could involve treating an underlying infection, adjusting a medication regimen, or addressing other factors that may have triggered the delirium.
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