little thought and provides gratification
Assign a staff member to be with the
and satisfaction.
C. This would be helpful for a person with
depression as well as for the
cognitively impaired.
36. When caring for the extremely depressed
client, the staff should set specific goals
directed toward helping the client:
a. Set realistic life goals
b. Develop trust in others
c. Express hostile feelings
d. Get involved in activities
37. When developing a nursing care plan for a
depressed client, the approach that would be
most therapeutic would be:
a. Allowing time for the client’s slowness
when planning activities
b. Helping the client focus on family
strengths and support systems
c. Encouraging the client to perform menial
tasks to meet the need for punishment
d. Repeating again and again that the staff
views the client as worthwhile and
important
38. The activity that would be most appropriate
for a depressed client during the early part of
hospitalization would be a:
a. Game of trivial pursuit
b. Project involving drawing
c. Small dance-therapy group
d. Card game with three other clients
39. A withdrawn client refuses to go out of bed
and becomes upset. It would be most
therapeutic for the nurse to:
a. Require the client to get out of bed at
once
b. Stay with the client until the client calms
down
c. Give the client the PRN neuroleptic that is
ordered
d. Allow the client to stay in bed for the
present without company
40. A client is place on suicide precautions. The
most therapeutic way to provide these
precautions would be to:
a. Remove all sharp and cutting objects
b. Not allow the client to leave his/her room
c. Give the client the opportunity to ventilate
feelings
St. Louis Review Center, Inc-Davao Tel. no. (082) 224-2515 or 222-8732
d.
client at all times
36. Answer C Depressed clients find it
difficult to express anger and hostility
because they have internalized these
feelings and turned them on themselves.
A. There is nothing to indicate that the
client has unrealistic goals.
B. This would develop in time; it is not
really a goal of therapy.
D. This would be part of the intervention,
not a goal.
37. Answer A Routines should be kept
simple and no demands should be made
that the client cannot meet. The client is
depressed and all actions are slow.
Putting pressure on the client will only
increase anxiety and feelings of
worthlessness.
B. The client will have to focus on
personbal strenghts, not on family
strenghts.
C. This would feed into the client’s
feelings of unwothiness and
frustrations.
D. Feelings of worth must come from
within the individual; the nurse must
reassure the client through actions,
not words.
38. Answer B An art-type project that could
be worked on successfully at one’s own
pace would be important.
A. This would require too much
concentration and increase the client’s
feelings of despair.
C. This is used mostly for severely
regressed clients, and at this point it
may not be appropriate for this client.
D. Same as Answer A
39. Answer B This provides support and
security without rejecting the client or
placing value judgments on behavior.
A. Limits will have to be set in giving care
but staying with the client and showing
acceptance are immediate nursing
actions.
C. This would only calm the client down;
it does not try to deal with the problem
D. This would be ignoring the problem;
isolation would imply punishment.
40. Answer D Emotional support and close
surveillance can demonstrate the staff’s
caring and their attempt to preventing
acting out of suicidal ideation.
A. This would be routinely done; by itself
it is not necessarily therapeutic
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