Author Question: The nurse is caring for a client with major depression. The client tells the nurse that she just ... (Read 66 times)

theo · **on:** Jul 19, 2018

The nurse is caring for a client with major depression. The client tells the nurse that she just isn't sure that life is worth living. The most appropriate nursing diagnosis for the client is:

A) Self-esteem, Low, related to depressive episode.
B) Hopelessness related to symptoms of depression.
C) Anxiety related to lack of energy for self-care activities.
D) Thought Processes, Disturbed, related to memory loss and depression.

Question 2

The nurse observes a client sitting alone at a table, looking sad and preoccupied. The nurse sits down and says, I saw you sitting alone and thought I might keep you company. The client turns away from the nurse.

Which of the following is the most therapeutic response by the nurse? A) Move to another chair closer to the client and say, The staff is here to help you.
B) Move to a chair a little further away and say, We can just sit together quietly.
C) Remain in place and say, How are you feeling today?
D) Say, I'll visit with you a little later, and leave the client alone for a while.

Loise Hard · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B

Answer to Question 2

B
Feedback: Moving away gives the client more personal space; staying with the client indicates acceptance and genuine interest. It is not necessary for the nurse to talk to the client the entire time; rather, silence can convey that clients are worthwhile even if they are not interacting.