A nurse who is working with a patient being treated for depression is using solution-focused brief therapy (SFBT) during the patient's brief psychiatric hospitalization. The nurse decides to use an 'exception question.' Which question would the nurse most likely use?

Correct Answer: B

Rationale: The correct answer is B: When do you not feel depressed? In Solution-Focused Brief Therapy, the focus is on identifying exceptions to the problem rather than exploring the problem itself. The nurse asking about when the patient does not feel depressed helps to highlight moments when the patient's depression is not as prevalent, allowing them to identify coping strategies and potential solutions. Choice A is incorrect because it focuses on the onset of depression rather than the exceptions. Choice C is incorrect as it delves into the contributing factors of depression rather than identifying moments of respite. Choice D is incorrect because it focuses on the conditions for feeling depressed rather than exploring when the depression is not present.

Correct Answer: C

Rationale: The least appropriate action for the nurse is to provide false reassurance that everything will be okay. This can invalidate the patient's feelings and minimize the severity of their crisis. It's crucial for the nurse to acknowledge the patient's emotions and provide support without making unrealistic promises. Supporting cultural beliefs (A) and clarifying misconceptions (D) are important for effective communication. Encouraging the patient to focus on one aspect at a time (B) can help in breaking down overwhelming situations.

Correct Answer: C

Rationale: The correct answer is C because the client stating that he feels better as he interacts more with other clients is a significant indicator of worsening suicidal risk. This change in behavior, from being consistently depressed to feeling better with social interaction, could indicate a sudden shift in mood, which may signal a potential spike in impulsivity and risk-taking behavior, including suicidal ideation. A, B, and D are incorrect: A: Expressing feeling more depressed can be a sign of deteriorating mental health, but it doesn't necessarily indicate an immediate increase in suicidal risk. B: Lethargy and isolation are common symptoms of depression and may not directly correlate with a sudden increase in suicidal risk. D: If the energy level and degree of depression remain the same, it may not indicate a worsening of suicidal risk unless other significant changes in behavior or mood are observed.

Correct Answer: B

Rationale: The correct answer is B: Risk for Injury. The priority nursing diagnosis in this scenario is based on the client's physical symptoms and potential harm to himself. The client's tremors, anxiety, elevated pulse and blood pressure, increased temperature, and diaphoresis indicate symptoms of alcohol withdrawal, which can lead to seizures or delirium tremens. The client is at risk for injury due to these physiological manifestations. Disturbed Thought Processes (A) may be present, but addressing the risk for injury takes precedence. Ineffective Coping (C) and Ineffective Denial (D) may be relevant, but they are not as urgent as ensuring the client's safety from potential harm during alcohol withdrawal.

Correct Answer: B

Rationale: The correct answer is B: Papaverine. Papaverine is administered by injection for the treatment of erectile dysfunction. It is a smooth muscle relaxant that helps increase blood flow to the penis, improving erections. Tadalafil, Alprostadil, and Vardenafil are all administered orally and do not require injection. Tadalafil and Vardenafil are phosphodiesterase type 5 inhibitors, while Alprostadil is available in various forms such as injectable, topical, and urethral suppository, but the question specifically asks for an injection, making B the correct choice.