Nokea
A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply.)
- A. Anxiety
- B. Obsessive-compulsive disorder
- C. Schizophrenia
- D. Breathing-related sleep disorder
- E. Depression
Correct Answer: A, B, E
Rationale: Anxiety, OCD, and depression frequently co-occur with eating disorders.
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A nurse is caring for a client who is hospitalized and says to the nurse, "My partner called and told me my boss hired someone to take my place." Which of the following responses should the nurse make?
- A. "You should call your boss and ask if you can have your job back."
- B. "I don't understand why your partner would upset you with news like that."
- C. "There really isn't much you can do about that until you are discharged."
- D. "You must feel very concerned and disappointed by that information."
Correct Answer: D
Rationale: Acknowledging the client’s emotions promotes therapeutic communication.
A nurse on a mental health unit is caring for clients who have various depressive disorders. The nurse should identify which of the following client diagnoses as presenting the greatest risk for suicide?
- A. Premenstrual dysphoric disorder
- B. Seasonal affective disorder
- C. Major depressive disorder
- D. Persistent depressive disorder
Correct Answer: C
Rationale: The correct answer is C: Major depressive disorder. Clients with major depressive disorder are at the highest risk for suicide due to the severity of their symptoms, including feelings of hopelessness, worthlessness, and suicidal ideation. This diagnosis is associated with a higher rate of completed suicides compared to other depressive disorders. Clients with premenstrual dysphoric disorder (A) experience mood changes related to their menstrual cycle but do not typically have an increased risk of suicide. Seasonal affective disorder (B) is characterized by seasonal changes in mood and energy levels but is not typically associated with a high risk of suicide. Persistent depressive disorder (D) involves chronic depressive symptoms but does not necessarily indicate an increased risk of suicide.
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don't know what I will do if they find I have cancer.' Which of the following responses should the nurse make?
- A. Why do you think you might have cancer when your diagnosis is a benign condition?'
- B. I'm looking at your chart here and I don't see any reason for you to worry about that.'
- C. I think that's something you need to discuss with your provider.'
- D. I'm hearing that you are concerned that it might turn out that you have cancer.'
Correct Answer: D
Rationale: Rationale: The correct response is D because it acknowledges the client's fear and validates their emotions. By reflecting back the client's statement, the nurse shows empathy and understanding. This approach helps build trust and rapport with the client, fostering open communication. Choice A is dismissive and does not address the client's feelings. Choice B is invalidating and can increase the client's anxiety. Choice C deflects the client's emotions instead of addressing them directly. In summary, option D is the best response as it demonstrates active listening and empathy, promoting a therapeutic nurse-client relationship.
A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?
- A. "Your husband is making really good progress."
- B. "Crying helps us let things out and we feel better."
- C. "Did your husband say something to upset you?"
- D. "Tell me what’s concerning you."
Correct Answer: D
Rationale: Encouraging the spouse to verbalize concerns supports therapeutic communication.
A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression?
- A. Being married
- B. Pregnancy
- C. Male gender
- D. Chronic illness
Correct Answer: D
Rationale: The correct answer is D: Chronic illness. Chronic illnesses can lead to feelings of hopelessness and helplessness, contributing to the development of depression. Individuals facing long-term health challenges may experience significant emotional distress, impacting their mental health. Other choices are incorrect because being married (A) can provide social support, which is protective against depression; pregnancy (B) can lead to mood changes but is not a consistent risk factor for depression; and male gender (C) does not inherently increase the risk of depression as much as other factors.