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    HESI RN Psychiatric and Mental Health Proctored Exam

    A client with a major depressive disorder is admitted to the inpatient psychiatric unit. Which intervention should the nurse use to demonstrate support of the client?

    Explanation & Rationale

    Choice A reason: Journaling and self-reflection are useful but may overwhelm a depressed client who lacks motivation. Regular nurse-client interaction provides consistent support, fostering trust and engagement, which is more immediate for inpatient care. This intervention is secondary, making it incorrect for demonstrating primary support.Choice B reason: Animated communication may be inappropriate for depression, where clients often feel withdrawn. Regular interaction with a calm, supportive presence better addresses the client’s need for connection. Animated techniques risk alienating the client, making this incorrect for demonstrating effective support in major depressive disorder.Choice C reason: Identifying depression symptoms is part of assessment, not ongoing support. Scheduled interactions build therapeutic rapport, directly addressing the client’s emotional needs in depression. Symptom identification is less supportive than consistent presence, making this incorrect for the primary intervention to demonstrate support.Choice D reason: Scheduling regular interactions demonstrates support by providing consistent, empathetic engagement, countering the isolation of depression. This fosters trust and therapeutic alliance, critical for inpatient psychiatric care, aligning with nursing principles for major depressive disorder management, making it the most effective intervention for support.

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