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A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, "I feel unmotivated and don't feel like leaving my home." Which of the following recommendations should the nurse make to address the client's social isolation?

A. Enroll in an online self-help course.

B. Join a low-impact exercise class.

The rationale is that exercise can improve mood, energy, and self-esteem, as well as provide social interaction and support for clients who have depression.

C. Practice guided imagery each morning.

D. Write in a journal daily.

This question is an excerpt from Nurse Dive's nursing test bank - RN Mental Health 2019 With NGN Proctored Exam. Take the full exam now


Full Explanation

The rationale is that exercise can  improve mood, energy, and self-esteem, as well as provide social interaction and support  for clients who have depression.


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A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups?

A. Co-dependents support group

B. Dual diagnosis treatment group

C. Desensitization therapy

D. Dialectical behavior treatment group

Dialectical behavior therapy (DBT) is an evidence-based intervention that helps clients who have borderline personality disorder and self-harm behaviors to develop coping skills, emotional regulation, and interpersonal effectiveness.

Full Explanation

Dialectical behavior therapy (DBT) is an evidence-based intervention that helps  clients who have borderline personality disorder and self-harm behaviors to develop coping  skills, emotional regulation, and interpersonal effectiveness. 

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A nurse is assessing a client who has a history of substance use disorder and states, "People are out to get me." The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?

A. Opium

B. Heroin

C. Alcohol

D. Cocaine

Cocaine is a stimulant that can cause paranoia, increased heart rate, and elevated blood pressure in high doses or during acute intoxication.

Full Explanation

Cocaine is a stimulant that can cause paranoia, increased heart rate, and  elevated blood pressure in high doses or during acute intoxication. 

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A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

A. Ask the charge nurse to obtain informed consent.

B. Contact the facility social worker to obtain the consent.

C. Explain implied consent to the client's family.

D. Request that the client's guardian sign the consent.

The client's guardian is the legal representative who can provide informed consent for the client who is incompetent. The nurse should ensure that the guardian understands the risks, benefits, and alternatives of the proposed treatment or procedure.

Full Explanation

The client's guardian is the legal representative who can provide informed  consent for the client who is incompetent. The nurse should ensure that the guardian  understands the risks, benefits, and alternatives of the proposed treatment or procedure.