Difficulty: Medium
Average Score: 71%
Simulated
A client with depression is not attentive to personal hygiene, uses television watching as a means of escape from responsibilities. and describes an inability to enjoy the things that once gave them pleasure. Which coping strategy should the nurse include in the plan of care?
Correct answer
B
Rationale
The client's current coping (escapism, withdrawal) is maladaptive. Guiding the client to recall and re-implement strategies that were previously successful encourages the use of proven, healthy coping mechanisms and helps rebuild a sense of self-efficacy, which is often eroded in depression. Reaching out about abandonment (A) may not be feasible or therapeutic if social withdrawal is a symptom, and "relaxing" (C) reinforces the existing passive avoidance. Simply turning to other activities (D) is the client's current maladaptive pattern (TV watching) and does not address the core issue of anhedonia or help the client re-engage with meaningful responsibilities.