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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Verifying the information with the patient's family members at the bedside: While family members can provide insight, the most critical step is gathering information directly from the patient about the reaction.

B. Placing an alert bracelet on the patient before leaving the unit: While this is necessary, the nurse should first confirm the details of the allergy.

C. Asking the patient to describe the reaction that occurs: The nurse must determine whether the reaction is a true allergy (e.g., anaphylaxis, rash, difficulty breathing) or an intolerance (e.g., nausea, drowsiness). This ensures appropriate precautions are taken.

D. Documenting the information on the patient's medical record: Documentation is crucial but should follow verification of the allergy details.

A. Chest physiotherapy (CPT) every 4 hours while awake B. Oxygen therapy via nasal cannula at 3 to 4 L/min C. Add humidification to the oxygen source D. Raise the head of the patient's bed

Correct Answer is A

Explanation

A. Chest physiotherapy (CPT) every 4 hours while awake. CPT is used to mobilize secretions but may be too aggressive for a patient with infiltrates and respiratory distress, as it can increase fatigue and worsen respiratory status.

B. Oxygen therapy via nasal cannula at 3 to 4 L/min. Low-flow oxygen therapy is often used in COPD to prevent hypoxemia while avoiding CO₂ retention.

C. Add humidification to the oxygen source. Humidified oxygen helps prevent airway dryness and improves secretion clearance, which is beneficial for COPD patients.

D. Raise the head of the patient's bed. Elevating the head of the bed promotes lung expansion and improves oxygenation, making this an appropriate intervention.

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Which client is at the highest risk for the diagnosis of major depressive disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the priority action by the nurse when a patient discloses a medication allergy during the health history before a surgical procedure?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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