The nurse observes signs of depression in a client who has been hospit

The nurse observes signs of depression in a client who has been hospitalized for several weeks because of injuries sustained in an automobile accident. The client confirms his fears of never,

1. Offer to arrange for him to speak with the facility’s chaplain
2. Assure the client that physical therapy will help him tremendously
3. Revise his care plan to include interventions to assist him with coping
4. Tell his health care provider of his need for antidepressant medication

ANSWER

ANS: 3
In the course of providing care, a nurse is able to observe changes in the client’s self-concept (or in the self-concepts of family members) and develop a care plan to help them adjust to the changes resulting from the illness.
This option is appropriate only when the client shows an interest in such a referral. The initial most therapeutic intervention is to revise his care plan to address the issue of depression and grieving over his current situation.
Although this may be appropriate in some cases, the nurse should not offer false or unrealistic hope to the client. The initial most therapeutic intervention is to revise his care plan to address the issue of depression and grieving over his current situation.
Although the health care provider should be informed of the client’s signs, the initial intervention is to revise his care plan to address the issue of depression and grieving over his current situation.