Author Question: The nurse is caring for a client with major depressive disorder who has been admitted to a ... (Read 113 times)

strangeaffliction

  • Hero Member
  • *****
  • Posts: 660
The nurse is caring for a client with major depressive disorder who has been admitted to a psychiatricmental health facility.
 
  After assessing the client, the nurse has developed a nursing diagnosis of Risk for violence toward others related to agitation and low tolerance level. Which of the following would be an appropriate intervention for this client?
  A) Encourage the client to engage in calming group activities.
  B) Remove all dangerous items from the client's room.
  C) Provide antianxiety medication to prevent an incident.
  D) Encourage the client to act on thought that are leading to aggression.

Question 2

The nurse is conducting an admission assessment for a client with major depressive disorder. Which of the following is the highest priority assessment for the nurse?
 
  A) Violence risk assessment
  B) Medication compliance assessment
  C) Suicide risk assessment
  D) Mental status assessment



vseab

  • Sr. Member
  • ****
  • Posts: 323
Answer to Question 1

Ans: B
Feedback:
Establishing geographic boundaries, such as room restriction or half-hall restriction, is part of ongoing monitoring. Also, clients likely will have as-needed medications ordered; nurses use them if aggressive or agitated behavior escalates. Other environmental approaches include reducing stimuli and opportunities for interaction with other clients in the milieu. Nurses remove all dangerous items from the client's room and monitor closely for use of any dangerous items. Nurses help clients learn to recognize what triggers violent thoughts and behaviors. They teach clients not to act on these thoughts but to leave the situation and find a staff member to talk to about them.

Answer to Question 2

Ans: C
Feedback:
Safety is a priority for clients suffering from depression. The focus of interventions may differ slightly depending on the client's specific problems. Suicide is a primary concern for all clients with depression.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Russia has the highest death rate from cardiovascular disease followed by the Ukraine, Romania, Hungary, and Poland.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

Pubic lice (crabs) are usually spread through sexual contact. You cannot catch them by using a public toilet.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

For a complete list of videos, visit our video library