The nurse is planning care for a client demonstrating symptoms of depression. When assessing this client, which should the nurse use?
A) More time talking with the client
B) The client's family members, for answering the assessment questions
C) Beck Depression Inventory
D) Glasgow Coma Scale
Answer: C
The Beck Depression Inventory is a series of 21 questions that the client answers in order to self-rate the level of depression. It takes approximately 10 minutes for the client to complete. The nurse can use it to help with the assessment of this client. The Glasgow Coma Scale is not used to assess depression but rather level of responsiveness for neurological conditions. The nurse should not ask family members to answer assessment questions for the client. Assessment of clients with depression is often done in 15- to 20-minute increments because the client usually does not have the energy to talk much longer. For that reason, the nurse should not plan more time with the client to complete the assessment.
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