Substance Abuse and Abuse Q 13
A depressed client is ready for discharge. The nurse feels comfortable that the client has a good understanding of the disease process when the client states:
A. “I’ll never let this happen to me again. I won’t let my boss or my job or my family get to me!”
B. “It’s important for me to eat well, exercise, and to take my medication. If I begin to lose my appetite or not sleep well, I’ve got to get in to see my doctor.”
C. “I’ve learned that I’m a good person and that I am worthy of giving and receiving love. I don’t need anyone; I have myself to rely on!”
D. “I don’t know what happened to me. I’ve always been able to make decisions for myself and for my business. I don’t ever want to feel so weak or vulnerable again!”
Correct Answer: B. “It’s important for me to eat well, exercise, and to take my medication. If I begin to lose my appetite or not sleep well, I’ve got to get in to see my doctor.”
The exact cause of depression is not known but is believed to be related to the biochemical disruption of neurotransmitters in the brain. Diet, exercise, and medication are recognized treatments for the disease process. Nursing care plan goals for patients with major depression include determining a degree of impairment, assessing the client’s coping abilities, assisting the client to deal with the current situation, providing for meeting psychological needs, and promoting health and wellness.
Option A: The patient should be able to identify two unrealistic self-expectations and reformulate more realistic life goals with a nurse by the end of the day. The patient will demonstrate a zest for life and ability to enjoy the present, and identify one or two strengths by the end of the day.
Option C: The patient will be able to verbalize that he/she enjoys interacting with others in activities and one-on-one interactions to the extent they did before becoming depressed. The patient will state and demonstrate progress in the resumption of sustaining relationships with friends and family members within one month.
Option D: The patient will be able to identify negative thoughts and rationally counter them and/or reframe them in a positive manner within 2 weeks. He will remember to keep appointments, attend activities, and attend to grooming with minimal reminders from others within 1 to 3 weeks.