Which statement provides the best rationale for why a nurse should closely monitor a severely depressed client during antidepressant therapy?

"As depression lifts, physical energy becomes available to carry out suicide."

"Suicide may be precipitated by a variety of internal and external events."

"Suicidal clients have difficulty using social supports."

"Suicide is an impulsive act that has no warning."

Answer and Explanation

The Correct Answer is A

A. "As depression lifts, physical energy becomes available to carry out suicide." This statement highlights a critical consideration in the care of severely depressed clients. When a client's depression starts to improve due to antidepressant therapy, there may be a period where they have increased energy but have not yet gained full relief from their depressive thoughts. This can potentially increase the risk of carrying out suicidal thoughts or plans.

B. "Suicide may be precipitated by a variety of internal and external events." While this statement is true, it does not specifically address the importance of monitoring a client during antidepressant therapy.

C. "Suicidal clients have difficulty using social supports." This statement acknowledges a potential challenge for clients who are experiencing suicidal thoughts, but it does not directly relate to the need for close monitoring during antidepressant therapy.

D. "Suicide is an impulsive act that has no warning." This statement is not entirely accurate. While some suicides can be impulsive, many individuals give warning signs or exhibit changes in behavior before attempting suicide.

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Correct Answer is B

Explanation

A. These symptoms are not characteristic of alcohol withdrawal delirium.
B. Alcohol withdrawal delirium is characterized by symptoms such as hypertension, disorientation, and hallucinations.
C. Hypotension and bradycardia are not typically associated with alcohol withdrawal delirium. They may be seen in other types of alcohol withdrawal.
D. These symptoms are not specific to alcohol withdrawal delirium. They may be present in other forms of alcohol withdrawal.

A. Brain atrophy B. Overabundance of plaques (amyloid beta) C. Overabundance of tangles (tau protein) D. Enlargement of the hippocampus E. Enlarged cerebral cortex

Correct Answer is ["A","B","C"]

Explanation

A. Brain atrophy is a common physiological change in the brain of individuals with Alzheimer's disease.
B. An overabundance of plaques, specifically amyloid beta, is a characteristic feature of Alzheimer's disease.
C. An overabundance of tangles, specifically tau protein, is also a characteristic feature of Alzheimer's disease.
D. Enlargement of the hippocampus is not typically associated with Alzheimer's disease; rather, it tends to shrink.

E. Enlarged cerebral cortex is not a typical physiological change in Alzheimer's disease; it actually tends to shrink.

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Which statement provides the best rationale for why a nurse should closely monitor a severely depressed client during antidepressant therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse would monitor for which symptoms?

Correct Answer is B

Explanation

What are the possible physiological changes in the brain of a client diagnosed with Alzheimer's disease? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

The nurse is obtaining the mental health history of a newly admitted client diagnosed with schizophrenia. The client's family reports the client is hearing voices and cannot stay focused on the topic of a discussion. Which thought disturbance is the client demonstrating?

A client diagnosed with bipolar II disorder has a problem statement of impaired social interactions related to egocentrism. Which short-term correctly written outcome is an appropriate expectation for this client problem?

A client is hospitalized following a suicide attempt after breaking up with her significant other. The client says to the nurse, "When I get out of here, I'm going to try this again, and next time I'll get it right?" Which is the best response by the nurse?

The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

While caring for a depressed client, a nurse would evaluate the need for suicide precautions under which circumstance?

A nurse is caring for a client diagnosed with schizophrenia following a recent suicide attempt. Which of the following actions should the nurse take?

The nurse is caring for a client diagnosed with premenstrual dysphoric disorder. What is the primary manifestation of this disorder?

An adolescent tells the school nurse, "My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicide threat. What is the most critical question for the nurse to ask?