A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?
"I can't sit still. I feel like I need to be doing things around the house."
"Lately, I feel like I am more alert than usual and can focus better."
"When I went to my provider, they told me I have high blood pressure."
"I can't get my mind to stop racing at night. I'm only sleeping a couple of hours.”
The Correct Answer is D
Rationale:
A. Feeling restless and needing to be active can be more indicative of anxiety or agitation rather than depression.
B. Increased alertness and improved focus are not typical symptoms of depression; rather, depression often involves decreased energy and focus.
C. High blood pressure is not directly related to depressive symptoms.
D. Difficulty sleeping and racing thoughts at night are consistent with depression, particularly when accompanied by poor sleep quality.
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Correct Answer is D
Explanation
Rationale:
A. Self-stigma refers to the internalized negative beliefs a person may have about their own mental illness, not external fears about others.
B. Institutional stigma involves policies or practices within organizations that discriminate against those with mental illness, not individual fears.
C. Cultural stigma refers to societal attitudes and beliefs about mental illness within a specific culture, not individual fears about safety.
D. Public stigma involves widespread negative beliefs and stereotypes about mental illness, which can contribute to fears that individuals with schizophrenia are dangerous to others.
Correct Answer is A
Explanation
Rationale:
A. Cognitive Behavioral Therapy (CBT) is designed to help individuals manage grief by addressing and altering maladaptive thought patterns and behaviors related to their loss. This approach helps clients adapt to living with the loss and cope with their emotions.
B. Making funeral and burial arrangements is not within the scope of CBT; it focuses on managing emotional and cognitive responses to grief.
C. CBT does not focus on understanding specific events or details of a partner’s medical treatment but rather on the emotional and cognitive processing of grief.
D. CBT does not aim to answer questions about the reasons for a partner’s death but rather helps individuals cope with the emotional impact of the loss.