Your patient with major depressive disorder isolates herself in her room for the whole day. You find her sitting and staring out the window. What is your best therapeutic response when you walk into her room?

Make frequent short visits to her room and just sit there.

"Come with me. It's time for group therapy."

"I'd like to introduce you to the other patients."

"What are you thinking about?"

Answer and Explanation

The Correct Answer is D

Choice A reason: This approach is non-intrusive and allows the patient to become accustomed to the presence of others without feeling pressured to interact, which can be beneficial for someone with major depressive disorder who is isolating themselves.

Choice B reason: While group therapy is important, insisting that the patient comes with you when they are isolating themselves might be too forceful and could lead to increased resistance or distress.

Choice C reason: Introducing the patient to others is a good step, but it should not be the first approach if the patient is actively isolating and may not be ready for social interaction.

Choice D reason: Asking "What are you thinking about?" can be a good way to start a conversation, but it might be too direct for a patient who is not yet ready to open up and could feel invasive.

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Correct Answer is C

Explanation

Choice A reason: This statement is not appropriate as it may sound condescending and does not acknowledge the client's effort in a respectful manner.

Choice B reason: This question could be perceived as intrusive and might make the client feel defensive about their self-care activities.

Choice C reason: This response is appropriate as it is a neutral observation that acknowledges the client's effort without making judgments or assumptions.

Choice D reason: While this statement is positive, it may not be the best choice as it could be interpreted as patronizing rather than a simple acknowledgment.

A. Schizophrenia B. Auditory hallucinations C. Delusions of grandeur D. Delusions of persecution

Correct Answer is C

Explanation

Choice A reason: Schizophrenia is a diagnosis, not a symptom, and involves a range of symptoms including delusions, hallucinations, and disorganized thinking.

Choice B reason: Auditory hallucinations involve hearing voices or sounds that are not there and are not described in the scenario.

Choice C reason: Delusions of grandeur involve beliefs of having more power, wealth, smarts, or other grand traits than is true, which fits the description of Marge's belief about advising the mayor.

Choice D reason: Delusions of persecution involve beliefs that others are out to harm or harass the individual, which is not indicated in Marge's behavior.

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Your patient with major depressive disorder isolates herself in her room for the whole day. You find her sitting and staring out the window. What is your best therapeutic response when you walk into her room?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Marge is a 68-year-old woman with a long history of bipolar disorder. She is brought to the ED by her sister, who reports that Marge has been increasingly agitated, unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:

Correct Answer is C

Explanation

Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat, I'm not hungry." What would be your best therapeutic response?

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Which statement regarding the treatment of a myocardial infarction is incorrect?

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