Author Question: A nurse working with a severely depressed client who displays withdrawn behavior and marked ... (Read 99 times)

Kikoku · **on:** Jul 19, 2018

A nurse working with a severely depressed client who displays withdrawn behavior and marked
psychomotor retardation is at risk for feelings of

a. overinvolvement.
b. guilt and despair.
c. interest and pleasure.
d. incompetence and frustration.

Question 2

A client with bipolar disorder who became hyperactive after discontinuing lithium has not eaten or
slept for 3 days. Which of the following nursing diagnoses would be of priority importance?

a. Ineffective coping
b. Risk for injury
c. Caregiver role strain
d. Impaired social interaction

gabrielle_lawrence · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Nurses may have expectations for self and clients that are not wholly realistic, especially regarding
the client's progress toward health. Unmet expectations result in feelings of incompetence, anger, or
frustration. Option A: Nurses rarely become overinvolved with depressed clients because of the
client's resistance. Option B might be seen when the nurse experiences client feelings as a result of
empathy. Option C: Interest is possible, but most nurses do not find working with depressed clients a
pleasurable experience.

Answer to Question 2

B
Although each of the nursing diagnoses listed is appropriate for a client having a manic episode, the
priority lies with the client's physiological safety. Hyperactivity and poor judgment put the client at
high risk for injury.