Teacher Flora, 52 years old, with severe depression, was admitted to the hospital. The past history revealed she has suicidal ideations and has expressed feelings of helplessness.
91. One of the following statements is true with regards to the care of a depressed patient like Flora:
A. Only mentally ill persons commit suicide
B. A depressed patient is considered potentially suicidal
C. Most suicidal persons give no warning
D. The chance of suicide lessens as depression lessens
92. The client with severe depression uses this defense mechanism:
A. Projection
B. Suppression
C. Repression
D. Introjection
93. In the initial stage of hospitalization, the most appropriate nursing intervention in scheduling activities for Flora is:
A. Schedule one activity per day to give her time to rest
B. Observe for signs which will indicate her willingness to participate in any activity
C. Provide daily scheduled activities for her to follow
D. Allow her to choose what she wants to do each day
94. One morning, Flora says to the nurse, "Go away and leave me alone. All I want to do is to rest." The nurse responds therapeutically when she replies:
A. "Since you say you are tired, I'll check on your later."
B. "Why do you want to leave me?"
C. "When would you like to return?"
D. "I am going to stay with you for a while."
95. Flora is being prepared for discharge. However, she says, "I am afraid to go home. No one wants to live with me." One of the following would be the appropriate nursing intervention:
A. Discourage her from thinking that no one wants to live with her
B. Accept her appraisal of the situation and explore other alternatives
C. Encourage her to discuss discharge plans with her family
D. Involve the family in planning for discharge of Flora
