Registered Practical Nurse (RPN) Practice Test

Which situation should a nurse prioritize when developing a care plan for a depressed patient?

1. Identifying and addressing safety concerns

2. Ensuring strict adherence to medication schedules

3. Encouraging independence in daily activities

4. Focusing solely on therapy sessions

The correct answer is: Identifying and addressing safety concerns

Prioritizing safety concerns when developing a care plan for a depressed patient is crucial because individuals experiencing depression often have an elevated risk of self-harm or suicidal thoughts. Addressing safety ensures that any immediate risks are mitigated, allowing the patient to engage in therapeutic interventions without the threat of harm to themselves. When creating a care plan, the identification of any suicidal ideation, plans, or means is essential, as the primary goal of nursing care in these situations is to provide a safe environment. Once safety is established, further interventions—such as medication management, promoting independence, or facilitating therapy sessions—can be effectively implemented. Thus, prioritizing safety is the foundational step that enables other aspects of care to be pursued effectively and safely.