Which activity would be best for a depressed patient?

Correct Answer: B

Rationale: In addressing the question of which activity would be best for a depressed patient, the correct answer is B) Drawing. Drawing can be a beneficial activity for a depressed patient as it allows for creative expression, serves as a form of emotional release, and can promote mindfulness and stress reduction. Engaging in art therapy through drawing can help individuals explore and communicate their emotions in a non-verbal way, which can be particularly helpful for those struggling with depression. Option A) A puzzle may provide some mental stimulation, but it may not offer the same emotional outlet and expression that drawing can provide. Option C) Crossword puzzles focus more on cognitive skills and may not tap into the emotional needs of a depressed individual. Option D) Television, while providing passive entertainment, does not actively engage the individual in a meaningful way that can help address their emotional well-being. In an educational context, it is crucial to understand the therapeutic benefits of different activities for individuals experiencing mental health challenges like depression. By recognizing the value of creative outlets like drawing in promoting emotional well-being, educators and healthcare professionals can tailor interventions to better support the holistic needs of patients struggling with depression.

Correct Answer: C

Rationale: In this scenario, the most likely explanation for the sudden change in behavior exhibited by the patient is that she is experiencing a manic episode as part of her illness. This is indicated by the increased talkativeness, decreased need for sleep, and inappropriate behaviors such as being seductive with other patients. The incorrect options can be explained as follows: A) The antidepressants are effective: This option is unlikely because the sudden change in behavior is not typical of a positive response to antidepressants. Manic episodes are not a common side effect of antidepressant medication. B) The patient was diagnosed incorrectly: While misdiagnosis is always a possibility, the symptoms described are more indicative of a manic episode rather than a completely incorrect diagnosis of major depression. D) She is recovering from her depression: This option is incorrect because the symptoms described are not consistent with a typical trajectory of recovery from depression. Instead, they align more closely with manic symptoms. Educationally, it is crucial for healthcare providers, especially those working with psychiatric patients, to be able to recognize the signs and symptoms of various mental health conditions, including manic episodes. Understanding these distinctions is essential for accurate diagnosis and appropriate treatment planning to ensure the safety and well-being of patients.

Correct Answer: C

Rationale: In this scenario, the most therapeutic response by the nurse would be option C, "Let's walk and talk." This response is appropriate because it engages Toni in physical activity, which can help release some of her excess energy due to the manic episode. Walking also provides a non-confrontational environment for communication, allowing Toni to express her feelings while being physically active. This approach can help to de-escalate her agitation and provide a more calming and supportive interaction. Option A, "Would you like to watch TV?" may not be as effective because it does not actively involve Toni in addressing her current state or provide an outlet for her excess energy. Option B, "Would you like me to talk with you?" is also less effective as it does not offer a practical solution to help Toni manage her agitation and pacing behavior. Option D, "Avoid giving attention to the patient by not responding to her behavior," is not recommended as it can be perceived as neglectful and may escalate Toni's feelings of frustration and isolation. In a mental health setting, it is crucial to address and acknowledge the patient's behavior in a supportive and therapeutic manner to promote their well-being and recovery. Educationally, this scenario highlights the importance of understanding and responding appropriately to individuals experiencing manic episodes in bipolar disorder. It emphasizes the significance of engaging patients in activities that can positively impact their emotional state and help manage their symptoms effectively. By choosing the most therapeutic response, nurses can build rapport, establish trust, and create a supportive environment for individuals with mental health challenges.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Moderate. This choice is correct because the patient exhibits multiple risk factors for suicide, including limited social support (only one person to call in times of need), frequent thoughts of suicide, and a history of a previous suicide attempt. These factors indicate an increased risk for suicide that should not be ignored. Option A) Low is incorrect because the presence of multiple risk factors as described above elevates the patient's risk beyond low. Option C) None is incorrect as the patient does exhibit suicide risk factors that need to be addressed. Option D) Imminent is incorrect as there is no immediate indication that the patient is actively planning or about to attempt suicide, but the risk is still significant. Educationally, it is important to understand that suicide risk assessment is a critical skill for healthcare professionals, especially those working with individuals on psychotropic medications. Identifying and addressing risk factors like social isolation, suicidal thoughts, and previous attempts are crucial in preventing suicide. This case highlights the importance of thorough assessment and intervention in managing suicide risk in patients.

Correct Answer: B

Rationale: In this scenario, the best initial response to the 15-year-old neighbor is option B: "I have some time. Tell me a little about this friend." This response demonstrates active listening, empathy, and a non-judgmental approach, which are crucial when addressing issues of mental health and suicide. By encouraging the neighbor to share more about their friend, you open up a safe space for communication and provide an opportunity to gather more information about the situation. Option A ("Who is it? Another neighbor?") is not the best response as it focuses on identifying the friend rather than understanding the situation and offering support. This question may come off as intrusive and does not prioritize the emotional well-being of the friend in distress. Option C ("Who else knows? Has this friend told anyone else?") is also not the most appropriate response initially as it shifts the focus away from the immediate concern of the friend's suicidal ideation. While knowing who else is aware of the situation is important, it is secondary to actively listening to the neighbor and ensuring the friend's safety. Option D ("Your friend needs help right away!") is too directive and may not be the most effective approach at the beginning of the conversation. While it is important to address the urgency of the situation, starting with a more supportive and empathetic response like option B can help build trust and rapport, making it more likely that the friend will accept help. Educationally, this question highlights the importance of active listening, empathy, and building rapport when addressing mental health concerns, especially those related to suicide. By starting with a supportive and open response, healthcare professionals can create a safe environment for individuals to express their feelings and seek help. This approach aligns with best practices in mental health nursing and crisis intervention, emphasizing the significance of communication and empathy in suicide prevention.