During the admission assessment of a new client, which factors ...

[RYAN BANYAN]

During the admission assessment of a new client, which factors should alert the nurse to possibility that the client is depressed and further evaluation is necessary?
 
  Select all that apply.
  1. The client reports a history of rheumatoid arthritis and type 2 diabetes, which are both well controlled.
  2. The client has been late for work several times due to oversleeping during the last month.
  3. The client reports a family history of depression.
  4. The client has had difficulty falling asleep for the last 7 days.
  5. The client reports a generalized feeling of muscle aches that have occurred over the last 3 weeks.

Question 2

Based on the Health Promotion Model, which adult client is demonstrating an activity-related affect variable for choosing to no longer attend a class on stress-reduction techniques?
 
  1. The client whose family members are nonsupportive of the techniques the client has learned during the class.
  2. The client who reflects on the last session of the class and feels that she is not benefitting from the techniques learned.
  3. The client who resents that there is a no-smoking policy for participants during the class session.
  4. The client who feels that the homework given during class is taking too much time.

[reversalruiz]

Answer to Question 1

Correct Answer: 2, 3, 5

Depression is indicated if a client reports a series of symptoms that have persisted for more than 2 weeks and have caused impairment in social and/or work functioning. Being late for work several times over the last month, a family history of depression, and generalized muscle aches over 3 weeks could indicate depression and warrants further evaluation. Two or more chronic illnesses that cause social or work impairment are one of the symptoms of depression. This client reports these illnesses are well controlled with no indication of social or work impairment. Difficulty falling asleep for 1 week is not a symptom of depression.

Answer to Question 2

Correct Answer: 2

The premise of the Health Promotion Model is that individual characteristics, behaviors, and other variables impact the motivation for an individual to participate in health promoting activities. The client who determines that the techniques are not beneficial after reflecting on the last session of the stress-reduction technique class is demonstrating subjective feelings about the activity, which is referred to as an activity-related affect variable. Quitting the class based on lack of family support refers to the variable on interpersonal influence; the client who quits the course based on resentment of the no-smoking policy represents a situational influence variable; and perceived barriers to action is the variable described by the client who feels the class homework is taking too much time.

[RYAN BANYAN]

Thank you

[reversalruiz]

Happy to help you