Question

the nurse should include which interventions in the plan of care for a severely depressed client with neurovegetative symptoms? (select all that apply.)

select all that apply

• permit rest periods as needed.
• speak slowly and simply.
• place the client on suicide precautions.
• observe and encourage food and fluid intake.
• encourage vigorous exercise and long walks on the unit.

Explanation:

Analyze neurovegetative symptoms and client energy levels

Clients with severe depression and neurovegetative symptoms experience extreme fatigue, psychomotor retardation, and low energy. Rest periods are essential to prevent exhaustion, while vigorous exercise is inappropriate and unrealistic for their current physical and emotional state.

Evaluate communication and physiological needs

Psychomotor retardation slows cognitive processing, making slow, simple communication necessary. Decreased appetite and neglect of basic needs require the nurse to actively monitor and encourage adequate nutritional and fluid intake.

Assess safety requirements

Severe depression carries a high risk of self-harm or suicide. Placing the client on suicide precautions is a standard, critical safety intervention during acute depressive episodes.

Answer:

• Permit rest periods as needed. (Correct answer)
• Speak slowly and simply. (Correct answer)
• Place the client on suicide precautions. (Correct answer)
• Observe and encourage food and fluid intake. (Correct answer)
• Encourage vigorous exercise and long walks on the unit.