A nurse is caring for a patient with a history of depression. Which of the following interventions is most appropriate to help the patient manage their symptoms?

Correct Answer: C

Rationale: The correct answer is C because regular exercise and engaging in enjoyable activities have been shown to improve mood and reduce symptoms of depression. Exercise releases endorphins, which are natural mood lifters, and engaging in activities the patient enjoys can provide a sense of purpose and fulfillment. A: Avoiding social interaction can worsen symptoms of depression by increasing feelings of isolation and loneliness. B: While reassurance is important, it is not as effective as engaging in active interventions like exercise and enjoyable activities. D: Providing a list of medications without considering non-pharmacological interventions may not address the root causes of the patient's depression.

Correct Answer: B

Rationale: The correct answer is B: Physical or sexual abuse. Dissociative identity disorder is often linked to a history of trauma, such as physical or sexual abuse. Trauma can lead to the development of different identities as a coping mechanism. Choices A, C, and D are unlikely to be directly related to dissociative identity disorder as they do not align with the typical characteristics or etiology of the disorder.

Correct Answer: B

Rationale: Step 1: Western worldview emphasizes individualism, self-reliance, and planning for the future. Step 2: The client's statement about saving for old age aligns with Western values. Step 3: This worldview values science, rationality, and personal responsibility. Step 4: Therefore, the nurse would anticipate a Western worldview from the client. Summary: Choice B is correct because the client's emphasis on self-reliance and personal financial planning aligns with Western values. Choices A, C, and D are incorrect because they do not reflect the individualistic and future-oriented characteristics of the Western worldview.

Correct Answer: A

Rationale: The correct answer is A: decision making. The nursing process involves assessment, diagnosis, planning, implementation, and evaluation. Decision making is crucial at each step to determine the best course of action for patient care. It involves critical thinking, prioritizing, and choosing the most appropriate interventions. Problem solving (choice B) is a component of decision making but not the primary focus of the nursing process. The interview process (choice C) is important for gathering patient information but is just one step in the nursing process. Intellectual standards (choice D) are criteria for evaluating the quality of thinking but are not directly related to the nursing process steps.

Correct Answer: D

Rationale: The correct answer is D because after the patient has met the goals set for improvement of ambulatory status, the next step is to reassess the patient's response to care and evaluate the implementation step of the nursing process. This ensures that the progress is sustained, identifies any new issues, and determines if the care plan needs modification. A: Modifying the care plan may not be necessary if the goals have been met. B: Discontinuing the care plan abruptly without reassessment may lead to regression. C: Creating a new nursing diagnosis is not required as the current goals have been achieved. In summary, reassessing the patient's response to care is essential to ensure continued progress and address any new needs that may arise.