A client experiencing situational depression after losing a good job tells the nurse, "I am tired of always having to start over." Which actions by the nurse are appropriate based on this data? Select all that apply
A) Ask what the client has done in the past to make "starting over" so successful.
B) Suggest the client talk with the physician about medications to help his mood.
C) Remind the client that an alcoholic beverage with the evening meal could help with stress.
D) Encourage the client to take the time to rest and relax.
E) Encourage the client to maintain a consistent exercise plan.
Answer: A, D, E
The nurse needs to assess the client's resiliency by finding out what he was able to do in the past, in similar situations, to be successful. Exercise has been shown to improve cognitive function, elevate mood, and relieve stress and anxiety. Suggesting that the client needs medication is inappropriate without further assessment. The nurse should not encourage the client to rest and relax because this could lead to a major depressive episode. The nurse should not encourage the client to ingest alcohol because this can be a self-destructive behavior.
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