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. The medication administration record is important for verifying the order but should be used in conjunction with the patient’s identification.
B. The order sheet provides the details of the blood product to be administered but is not the primary source for verifying patient identity.
C. The chart includes medical history and orders but does not provide direct patient identification for blood administration.
D. The identification wristband is the primary and most direct method for verifying the patient’s identity to ensure that the correct blood product is administered to the correct patient.
Correct Answer is D
Explanation
Rationale:
A. Dementia related to HIV infection typically involves more neurological symptoms and may include other systemic symptoms.
B. Prion disease (e.g., Creutzfeldt-Jakob disease) usually involves rapid progression and severe neurological decline rather than just sleep and appetite issues.
C. Traumatic brain injury can cause various cognitive issues but is not specific to a particular type of dementia with these symptoms.
D. Frontotemporal lobar dementia often presents with changes in behavior, personality, and difficulty with concentration and can include symptoms like lack of sleep and appetite changes.