A nurse is caring for a white man age 30 years whose wife has ...

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A nurse is caring for a white man age 30 years whose wife has recently died. The client has been diagnosed with clinical depression and is demonstrating insufficient coping skills. Which action by the nurse would be most important?
 
  A) Refer the client for long-term psychotherapy.
  B) Determine the client's risk of psychosis.
  C) Determine whether anyone in the client's family has had depression.
  D) Ask the client whether he is thinking about killing himself.

Question 2

After educating a group of nursing students on Alzheimer's disease and appropriate nursing care, the instructor determines that the education was successful when the students identify
 
  which of the following as the foundation for providing care to the client and family?
 
  A) Therapeutic relationship
  B) Medication therapy
  C) Injury prevention
  D) Functional independence

[aprice35067]

Answer to Question 1

Ans: D
The nurse should first ask whether the client is thinking about killing himself, because statistics show that among young, recently widowed white men between the ages of 20 and 34 years, the suicide risk is 17 times higher than that of married men in that same age group. Social isolation and access to firearms play important roles in this group. Information related to psychosis, psychotherapy, or family history would be less of a priority at this time.

Answer to Question 2

Ans: A
A therapeutic relationship is the basis for interventions for clients with dementia and their families. Care of the client entails a long-term relationship needing much support and expert nursing care. Interventions should be delivered within the relationship context. Medication therapy, injury prevention, and promoting independent functioning within the limits of the disorder are important components of care, but the therapeutic relationship is critical.

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TYSM

[EAN94]

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