Practice Question
A nurse is caring for a client with severe major depressive disorder. The client speaks very slowly and occasionally remains mute. The nurse feels uncomfortable with the silence during the interaction. Which of the following actions demonstrates the most therapeutic approach in this situation?
Answer Choices:
Correct Answer:
Sitting quietly with the client, allowing them time to respond or remain silent
Rationale:
🟢 Therapeutic silence: Demonstrates acceptance and presence, allowing the client to process and feel supported.
🟢 Depressive psychomotor slowing: Clients with severe depression need extra time to respond due to slowed thinking.
🟢 Avoid pressure: Forcing speech increases anxiety and guilt; silence communicates respect and empathy.
🟢 Nonverbal support: A calm, nonjudgmental presence strengthens trust.
🟢 Nursing action: Use simple statements and allow pauses; silence can be healing.
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This question is from NUR1220 Mental Health Fall 2025 Wednesday Evening Class Week 9 Quiz 5 Battery 2 (MRU) (ATI LOCKDOWN) which contains 15 questions.
More Questions from This Exam
A nurse is assessing a 38-year-old client diagnosed with major depressive disorder (MDD). The client states: "I am worthless and a failure. Nothing good ever happens to me, and I will never feel better." Which concept of Beck's cognitive triad is demonstrated in this client's statements?
Answer Choices:
A. Excessive worry about potential future events
B. Negative view of the self, the world, and the future
C. Hallucinations and delusions related to depressive thinking
D. Physical symptoms of depression, such as fatigue and sleep disturbances
A nurse educator is discussing the prevalence of major depressive disorder (MDD) with a group of MRU nursing students. Recent studies show an increase in reported cases compared with previous decades. Which of the following statements demonstrates a correct understanding of prevalence indicators and trends?
Answer Choices:
A. "Prevalence indicators are irrelevant; only individual symptoms matter for nursing care."
B. "The prevalence of MDD has increased over time because fewer people experience stress in modern life."
C. "Children as young as 3 years of age have been diagnosed with depression."
D. "MDD prevalence is static and unaffected by societal, cultural, or diagnostic changes."
A nurse is caring for a 28-year-old client experiencing a manic episode related to bipolar disorder. The client is hyperactive, talks rapidly, displays poor judgment, and engages in risky behaviors. Which of the following interventions reflects the nurse's understanding of physical, safety, personal, and legal considerations during a manic phase?
Answer Choices:
A. Display a firm, calm approach.
B. Hear and act upon all client's complaints
C. Allow client unrestrictive access to valuables
D. Express long, concise explanations or statements.
A nurse is caring for a 45-year-old client diagnosed with major depressive disorder who has been taking Sertraline (Zoloft) for the past 3 weeks. Which of the following treatments or medications would be contraindicated for this client? (Select all that apply.)
Answer Choices:
A. Concurrent use of St. John's wort
B. Scheduling electroconvulsive therapy (ECT)
C. Initiating phenelzine (Nardil)
D. Administration of Robitussin Cough Medicine
A nurse is caring for a 28-year-old client experiencing a manic episode related to bipolar disorder. The client is hyperactive, talks rapidly, displays poor judgment, and engages in risky behaviors. Which of the following interventions reflects the nurse's understanding of physical, safety, personal, and legal considerations during a manic phase? (Select all that apply.)
Answer Choices:
A. Ensuring the client has a safe environment by removing potentially harmful objects.
B. Encouraging the client to rest and eat regularly, monitoring hydration and nutrition.
C. Documenting the client's behavior thoroughly, including any impulsive or aggressive actions, to meet legal requirements.
D. Allowing the client unrestricted access to valuables or personal finances to maintain autonomy.
E. Using calm, concise communication, setting clear limits, and explaining consequences of unsafe behaviors.
F. Ignoring the client's personal hygiene needs, as focusing on safety is more important.
From Exam
NUR1220 Mental Health Fall 2025 Wednesday Evening Class Week 9 Quiz 5 Battery 2 (MRU) (ATI LOCKDOWN)
15 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4