A patient with major depressive disorder is struggling to cope. Which intervention is most appropriate to help the patient develop better coping skills?

Correct Answer: D

Rationale: The correct answer is D: Providing the patient with a structured daily routine. This intervention is most appropriate as it helps the patient establish a sense of stability, predictability, and purpose in their daily life, which can be beneficial in managing depressive symptoms. By having a routine, the patient can develop a sense of accomplishment and control, improve sleep patterns, and reduce feelings of hopelessness and helplessness. Encouraging the patient to express their feelings through art (A) may be helpful as a supplementary intervention, but it may not provide the necessary structure and consistency needed for coping skills development. Providing information about the diagnosis (B) is important but may not directly address coping skills. Keeping a journal of thoughts and feelings (C) can be beneficial, but a structured routine provides more tangible support for developing coping skills.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates an understanding that medication adherence is vital for managing schizophrenia symptoms. Taking medication regularly helps maintain stability and prevent symptom recurrence. Choice A indicates inconsistent medication use, C suggests premature discontinuation, and D implies erratic dosing. Overall, choice B aligns with evidence-based treatment guidelines for schizophrenia.

Correct Answer: B

Rationale: The correct answer is B: Diazepam. Diazepam is a benzodiazepine commonly used to treat panic disorder due to its anxiolytic properties. It works by enhancing the effects of GABA in the brain, reducing anxiety and promoting relaxation. Lithium (A) is typically used to treat bipolar disorder, not panic disorder. Haloperidol (C) and Clozapine (D) are antipsychotic medications primarily used for schizophrenia and other psychotic disorders, not panic disorder. Diazepam is the most suitable choice for treating panic disorder due to its anxiolytic effects and quick onset of action.

Correct Answer: B

Rationale: The correct answer is B: Monitoring the patient's weight daily. This intervention is crucial in managing anorexia nervosa as it helps track the patient's progress and identify any concerning weight fluctuations promptly. Daily weight monitoring allows healthcare providers to adjust treatment plans accordingly and ensure the patient's safety. Choice A: Allowing the patient to eat alone to reduce stress is incorrect because isolation during meals can exacerbate the patient's disordered eating behaviors and hinder the recovery process. Choice C: Encouraging the patient to exercise daily is incorrect as excessive exercise is a common symptom of anorexia nervosa and can further contribute to the patient's physical and psychological health risks. Choice D: Providing the patient with a high-calorie diet is incorrect without proper monitoring as it can lead to refeeding syndrome and other complications. Monitoring the patient's weight is essential before implementing dietary changes.

Correct Answer: D

Rationale: The correct answer is D: Negative self-talk. In major depressive disorder, negative self-talk is a common cognitive symptom known as cognitive distortions. This includes thoughts of worthlessness, guilt, or self-criticism. This symptom is a key aspect of the cognitive triad in depression. Hallucinations and delusions are more indicative of psychotic disorders, while lack of appetite is a physical symptom commonly seen in depression but not a cognitive symptom. In summary, negative self-talk is the correct answer as it directly relates to the cognitive distortions commonly seen in major depressive disorder.