A nurse is trying to determine whether a client is exhibiting symptoms of depression or of her medical illness. Which of the following group of symptoms would indicate to the nurse that the client may be experiencing depression in addition to being medically ill?

Correct Answer: C

Rationale: The correct answer is C because feeling guilty, difficulty making decisions, and low self-esteem are classic symptoms of depression that are not typically associated with medical illnesses. Feeling guilty and low self-esteem are emotional symptoms commonly seen in depression, while difficulty making decisions is a cognitive symptom often linked with depression. This combination of symptoms suggests a psychological component beyond just the physical manifestations of the medical illness. Choice A is incorrect because frequent crying is not specifically indicative of depression and can occur in response to physical pain or distress related to the medical illness. Choice B is incorrect because low self-esteem alone is not enough to conclusively suggest depression in this context, as it can also be a response to the challenges of dealing with a medical condition. Choice D is incorrect because loss of energy can be a symptom of both depression and medical illness, making it less specific to identifying depression in this case.

Correct Answer: C

Rationale: Step 1: Lithium toxicity commonly presents with gastrointestinal distress, such as nausea and vomiting. Step 2: Thirst is a common symptom due to lithium-induced nephrogenic diabetes insipidus. Step 3: Nystagmus is an ocular manifestation seen in severe cases of lithium toxicity. Step 4: Therefore, choice C is correct as it includes all three typical assessment findings for lithium toxicity. Summary: Choices A, B, and D do not include the specific assessment findings associated with lithium toxicity.

Correct Answer: C

Rationale: Rationale: 1. Alcohol consumption affects psychomotor skills similarly to sleep deprivation. 2. Both can impair cognitive functions, reaction times, and decision-making abilities. 3. Alcohol disrupts sleep patterns, leading to similar impairments as sleep deprivation. 4. Excessive alcohol consumption can result in accidents and fatalities, similar to sleep-deprived individuals. Summary: A: Sleeping in excess of 10 hours does not typically lead to psychomotor impairments like sleep deprivation. B: Misuse of caffeine products may cause alertness but does not mimic the psychomotor impairments of sleep deprivation. D: Working more than 40 hours per week may lead to fatigue but does not directly cause psychomotor impairments similar to sleep deprivation.

Correct Answer: B

Rationale: The correct answer is B because acceptance of the terminal nature of the illness is a key criterion for hospice care eligibility. By acknowledging that there is no cure for their illness and accepting this fact, the patient demonstrates understanding and readiness for the supportive care provided by hospice. Choices A, C, and D focus on personal preferences and concerns rather than acceptance of the terminal condition, making them incorrect in the context of hospice care criteria.

Correct Answer: B

Rationale: The correct answer is B: Nurse Practice Act. This legislation is enacted by each state and territory to define the scope of nursing practice, standards of care, licensure requirements, and regulations. It is the primary legal framework that governs nursing practice within a specific jurisdiction. Research function (A) and evidence-based practice guidelines (C) focus on guiding clinical practice but do not have the same legal authority as the Nurse Practice Act. Building a nursing database (D) may support research and practice, but it does not establish legal nursing practice.