As a nurse evaluating your client's progress in managing ...

[CQXA]

As a nurse evaluating your client's progress in managing depression, you would first do which of the following?
 
  a. Check with the night shift regarding sleep patterns and changes in patterns since admission.
  b. Ask the provider if the client has made progress in lessening depressive symptoms.
  c. Check with the family, and ask what they think about the client's progress.
  d. Ask the client to give his or her view of changes that have come about since therapy began.

Question 2

As a nurse working with a depressed client, which of the following interventions would MOST likely contribute to a lessening of the depression?
 
  a. pointing out behaviors the client needs to improve
  b. helping the client identify dysfunctional behaviors in his or her family
  c. helping the client identify personal strengths
  d. pointing out the rules and consequences for the unit

[Meganchabluk]

Answer to Question 1

D
In evaluating a client's progress in managing depression, the nurse should first ask the client to give his or her view of changes that have come about since therapy began. Specific indicators such as stronger sleep patterns, return of appetite, renewed or increasing sense of control and self-worth, and renewed interest in previous or new activities are all good signs of progress. Speaking with family members and other health care providers will not provide an adequate perspective since the client is the only person who can determine if the feelings of depression have reduced.

Answer to Question 2

C
The nurse helping the client identify personal strengths would contribute to lessening of the client's depression. This would help the client develop a more positive view of self and reduce feelings of inadequacy and isolation.

[CQXA]

Thanks for the timely response, appreciate it

[tandmlomax84]

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