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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale
While fostering a social relationship can be a part of therapeutic communication, it is not the primary goal. Therapeutic communication in nursing is patient-centered and should involve a holistic approach, including aspects of psychological, physiological, spiritual, and environmental care of the patient.
Choice B rationale
Focusing on the attitude of the client is not the main goal of therapeutic communication. While understanding the client’s attitude can provide valuable insights into their feelings and perspectives, the primary goal is to build a rapport and focus on the client.
Choice C rationale
Focusing on the client and building a rapport is the main goal of therapeutic communication in nursing. It helps nurses build trust with patients while also helping establish collaborative efforts to promote efficient and effective patient care, improving patient outcomes.
Choice D rationale
Focusing on the staff member and building rapport is not the primary goal of therapeutic communication. The focus should be on the client, their needs, and their experiences.

A. Hypertensive crisis. B. Increased prolactin levels in the bloodstream. C. Central nervous system stimulation. D. Anticholinergic reactions.

Correct Answer is D

Explanation

Choice A rationale
Hypertensive crisis is a severe increase in blood pressure that can lead to a stroke. The symptoms of a hypertensive crisis can include a severe headache, nausea, and vomiting, but not typically dry mouth and constipation.
Choice B rationale
Increased prolactin levels in the bloodstream can cause symptoms such as breast enlargement, production of breast milk, and menstrual changes, but not typically dry mouth and constipation.
Choice C rationale
Central nervous system stimulation can cause symptoms such as restlessness, insomnia, and tremors, but not typically dry mouth and constipation.
Choice D rationale
Anticholinergic reactions can cause a wide range of symptoms, including dry mouth and constipation. These are common side effects of many medications, including Risperdal.

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What expected outcomes should the nurse document for a client diagnosed with a depressive disorder? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are the goals of therapeutic communication?

Correct Answer is C

Explanation

A client taking Risperdal complains of dry mouth and constipation. The nurse understands that these symptoms are caused by:

Correct Answer is D

Explanation

The home health aide reports to the practical nurse that the client has been trying to give away possessions. When the nurse asks the client about this behavior, the client says, “With my spouse dead, there’s no reason for me to go on.”. What is the best priority response by the nurse?

In a psychiatric unit, how are bright colors in the client’s environment often perceived?

During the assessment of a mental health client, it is crucial for the nurse to thoroughly check for symptoms of depression. Which symptom is indicative of Depression?

During the mental status examination, the nurse observes that the client rapidly shifts from one idea to another related thought. Which disordered thinking process is the client displaying?

Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan assessment. Which of the following are purposes of the treatment plan? (Select all that apply)

An adult patient assaulted another patient and was subsequently restrained. One hour later, which statement by the restrained patient requires the nurse’s immediate attention?

A patient with cognitive impairment, who has been a widow for 30 years, is desperately trying to leave the facility, stating, “I have to go home to cook dinner before my husband gets home from work.”. How should the nurse intervene using validation therapy?