Nokea
Which individual is at highest risk for committing suicide?
- A. A 71-year-old male, alcohol user, independent minded
- B. A 16-year-old female, diabetic, two best friends
- C. A 47-year-old male, schizophrenic, unemployed
- D. A 57-year-old female, depression, active in church
Correct Answer: A
Rationale: Older men, especially with alcohol use and independence, are at higher suicide risk due to demographic and behavioral factors.
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Which variables represent the highest risk for developing major depressive disorder? Select all that apply.
- A. Male gender
- B. Mood disorder in first-degree relatives
- C. Substance abuse
- D. Divorced
- E. Older adult
Correct Answer: B,D
Rationale: Family history of mood disorders and being single or divorced increase the risk of major depressive disorder.
A client asks the nurse why he has to go to therapy and cannot just take his prescribed antidepressant medication. Which would be the most therapeutic nursing intervention?
- A. Stating, 'The effects of medications will not last forever. You will need to eventually learn to function without them.'
- B. Stating, 'Medications help your brain function better, but the therapy helps you achieve lasting behavior change.'
- C. Stating, 'Both are recommended. Since your insurance covers both, that is the best plan for you.'
- D. Asking, 'Do you have reservations about going to therapy?'
Correct Answer: B
Rationale: Therapy complements medication by fostering lasting behavioral changes, addressing underlying issues.
A client is being discharged on lithium. The nurse encourages the client to follow which health maintenance recommendations? Select all that apply.
- A. Weigh self weekly at the same time of day.
- B. Drink a 2-L bottle of decaffeinated fluid daily.
- C. Do not alter dietary salt intake.
- D. See the doctor if you get the flu.
- E. Restrict involvement in intense exercise.
Correct Answer: B,C,D
Rationale: Maintaining fluid intake, stable salt levels, and monitoring for illness prevent lithium toxicity and ensure therapeutic levels.
The wife of a client with bipolar disorder calls the nurse expressing distress about recent spending. The nurse's action would be considered
- A. inappropriate; the nurse should not give advice to the wife.
- B. inappropriate; the husband has the legal right to spend personal money.
- C. appropriate; the wife is responsible for the husband's actions since he has a mental illness.
- D. appropriate; the wife needs support in setting boundaries.
Correct Answer: D
Rationale: Supporting the wife in setting boundaries is appropriate, as it empowers her to manage the client's manic behavior.
A client who is depressed begins to cry and states, 'I'm just really sick of feeling this way. Nothing ever seems to go right in my life.' Which would be the most appropriate response by the nurse?
- A. Don't cry. Try to look at the positive side of things.
- B. You are feeling really sad right now. It's a hard time.
- C. Hang in there. Your medication will start helping in a few days.
- D. Nothing ever goes right?
Correct Answer: B
Rationale: Acknowledging the client's sadness validates their feelings, fostering a therapeutic connection without dismissing emotions.