Which client is at the highest risk for the diagnosis of major depressive disorder?
A 30 year-old rich man
A 70 year-old married man 2 income hose old
A 24-year-old married women in a single income home
A 64 year-old single women
The Correct Answer is D
A. A 30-year-old rich man: While anyone can develop depression, wealth and younger age generally lower the risk.
B. A 70-year-old married man in a two-income household: Having a supportive spouse and financial stability generally lower depression risk in older adults.
C. A 24-year-old married woman in a single-income home: While financial stress may be a risk factor, younger married individuals tend to have more social support, reducing their overall risk.
D. A 64-year-old single woman: Older women, especially those who are single, widowed, or lacking social support, have an increased risk for depression. The risk is compounded by potential health issues and isolation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The client has a pleasant affect: "Affect" refers to outward emotional expression, whereas "mood" is the client's internal emotional state.
B. The client appears happy with an elevated mood: The nurse should document objective data rather than interpreting the client’s emotions.
C. The client self-isolated today: While self-isolation may indicate mood disturbances, it does not directly document the client’s reported mood.
D. The client rates their mood 4 out of 10: This entry reflects the client’s subjective report using a measurable scale, making it the most accurate documentation.
Correct Answer is C
Explanation
A. Ibuprofen (NSAID): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not affect serotonin levels.
B. Acetaminophen (Antipyretic): Acetaminophen is used for fever and pain and does not impact serotonin metabolism.
C. Venlafaxine (SNRI): Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine increase serotonin levels and can contribute to serotonin syndrome, especially when combined with other serotonergic drugs.
D. Lisinopril (ACE inhibitor): Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and does not affect serotonin.
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