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 A
Explanation
Rationale:
A. The primary criterion for removing restraints is that the client must be calm and cooperative, indicating that the immediate safety concern has been addressed.
B. Verbalizing remorse is not a requirement for removing restraints; the focus is on the client's behavior and cooperation.
C. The provider does not need to be present for the nurse to assess the client's readiness for removal of restraints, although provider orders and assessments are important.
D. Simply verbalizing anger does not indicate that the restraints can be removed; the client must demonstrate appropriate behavior and cooperation.
Correct Answer is D
Explanation
Rationale:
A. Contacting the provider for directions may be necessary in some cases, but it does not directly demonstrate grief-informed care, which involves understanding and addressing the emotional needs of the grieving client.
B. Supporting the client's privacy is important, but avoiding discussions about the loss may prevent the client from processing their grief, which is not aligned with grief-informed care.
C. Standing while speaking and keeping the door open can make the client feel uncomfortable or unsupported during a vulnerable time. Grief-informed care emphasizes creating a supportive and empathetic environment.
D. Acknowledging and recognizing that the client has experienced a loss is a key component of grief-informed care. It validates the client's feelings and opens the door for further support and therapeutic interventions.