A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?
"My elevated heart rate could be the cause of my depressed mood."
"My renal dysfunction could be the cause of my depressed mood."
"My high blood pressure could be the cause of my depressed mood."
"The stress from my new job could be the cause of my depressed mood."
The Correct Answer is D
Rationale:
A. An elevated heart rate alone is not commonly associated with depression.
B. While renal dysfunction can impact mood, the direct link between it and depression is not as strong as other factors.
C. High blood pressure is not a direct cause of depression, though it can contribute to overall health issues.
D. Stress from a new job is a common and recognizable factor that can lead to or exacerbate depressive symptoms, showing an understanding of how situational stress can impact mood.
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Correct Answer is B
Explanation
Rationale:
A. This statement undermines the importance of therapeutic communication, which is essential in building trust and understanding with clients.
B. Therapeutic communication is indeed a fundamental part of mental health nursing and plays a crucial role in establishing a therapeutic relationship that supports the client's emotional and psychological well-being.
C. Therapeutic communication is vital in nurse-client interactions and is integral to effective mental health care, not just nurse-to-nurse communication.
D. Therapeutic communication in healthcare requires specific skills and approaches that differ from everyday conversation, emphasizing the need for sensitivity, empathy, and active listening.
Correct Answer is D
Explanation
Rationale:
A. Platelets at 150,000/mm3 are within the lower range of normal but not immediately concerning.
B. A positive Western blot test is confirmatory for HIV but is not an immediate concern compared to other lab values.
C. A WBC count of 5,000/mm3 is within normal limits and not a primary concern for an HIV-positive client.
D. A CD4-T-cell count of 180 cells/mm3 indicates advanced immunosuppression, which is critical to monitor in HIV-positive clients to assess the progression of the disease and the risk for opportunistic infections.