A client diagnosed with depression has reported fatigue and poor concentration. When she is told that the results of her sleep study show that she has excessive REM sleep cycles, the client asks the nurse to explain what those results mean. The nurse best answers the client's concerns by replying:

Correct Answer: C

Rationale: The correct answer is C: "Too much REM sleep deprives you of deep restoring sleep." This is the best answer because excessive REM sleep can disrupt the normal sleep cycle, leading to a deprivation of deep, restorative sleep stages like slow-wave sleep. During REM sleep, the brain is active, but the body remains mostly immobile. This can result in poor sleep quality and contribute to symptoms of fatigue and poor concentration reported by the client. Choice A is incorrect because excessive REM sleep does not necessarily mean the client is sleep deprived. Choice B is an oversimplification and does not address the potential negative impact of excessive REM sleep on sleep quality. Choice D is also incorrect because while depressed individuals may have alterations in their sleep patterns, not all depressed individuals experience prolonged periods of REM sleep.

Correct Answer: B

Rationale: The correct answer is B: Discuss what the client believes is the cause of his or her illness. This is the best initial step to address cultural variations in perceptions of wellness and disease because it allows the nurse to understand the client's perspective and tailor care accordingly. By exploring the client's beliefs, the nurse can identify any cultural factors that may impact treatment decisions. A: Agree to respect each other's beliefs and values - While important, this is a broader concept and may not directly address the specific cultural beliefs influencing the client's health views. C: Agree that treatment planning will include family members when possible - Involving family members is valuable but may not directly address the immediate need to understand the client's beliefs about illness. D: Discuss the incorporation of both traditional nursing practice and culturally based practices - This is important but may be premature without first understanding the client's specific beliefs about illness.

Correct Answer: C

Rationale: The correct answer is C because offering a depression screening at a local school for students in grades 8 through 12 addresses the number one psychiatric cause of disability in the world today, according to the World Health Organization study. Depression screening in schools can help identify mental health issues early, leading to timely intervention and support for students. This proactive approach aligns with the WHO's focus on addressing mental health challenges globally. Choices A, B, and D are incorrect because they do not directly address the number one psychiatric cause of disability as identified by the WHO study. Arranging transportation to Alcoholics Anonymous meetings, helping a family understand OCD, and providing nursing care for the schizophrenic population are important activities but do not specifically target the primary psychiatric cause of disability worldwide.

Correct Answer: C

Rationale: The correct answer is C because surveying the targeted community helps identify specific mental health needs and high-risk groups. This information is crucial for tailoring services effectively. Securing funding (A) is important but comes after understanding community needs. Identifying key providers (B) is necessary but should follow community assessment. Recruiting leaders (D) is helpful but not as essential as understanding community needs. In summary, option C is correct as it lays the foundation for designing appropriate mental health services.

Correct Answer: C

Rationale: The correct answer is C: A depression support group for adolescent children. This population is largely underserved due to stigma, lack of resources, and limited awareness. Adolescents are at a vulnerable stage in their lives and may struggle to express their emotions and seek help. Providing a support group specifically tailored to address their mental health needs can offer a safe space for them to share experiences, receive guidance, and build coping skills. Stress management classes for new mothers (A) target a specific demographic but not as underserved as adolescent children. A support group for recovering male alcoholics (B) and socialization therapy for adults with schizophrenia (D) also address important mental health issues but are not focused on as an underserved population as adolescent children struggling with depression.