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 A

Explanation

Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.

Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.

Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.

Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.

A. Fresh vegetables B. Canned soups C. Hot dogs D. Milk and cheese

Correct Answer is A

Explanation

Choice A reason: Fresh vegetables are typically low in sodium and are a healthy choice for someone on a low-sodium diet.

Choice B reason: Canned soups often have high sodium content and are not recommended for a low-sodium diet.

Choice C reason: Hot dogs are processed meats that are usually high in sodium and should be avoided on a low-sodium diet.

Choice D reason: Milk and cheese can vary in sodium content; some cheeses are high in sodium and should be consumed in moderation or avoided. Fresh vegetables are the safest recommendation as they are naturally low in sodium and fit within a low-sodium diet.

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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

Which statement made by a patient indicates a possible exacerbation of heart failure (HF)?

Correct Answer is A

Explanation

After hospitalization for a myocardial infarction, a patient is placed on a low-sodium diet. In discussing foods allowed on this diet, the nurse would inform the patient that this includes which of the following?

Correct Answer is A

Explanation

The healthcare provider (HCP) informs the licensed practical nurse/licensed vocational nurse (LPN/LVN) that the patient has cor pulmonale. The patient asks what this means. Which explanation by the nurse is most appropriate?

When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

The nursing interventions for a patient with major depression would include all the following except:

A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)

A nurse is collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor?

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?

Your patient, who is manic, says, "Everything I do is great." How should you respond?