Cardiac-Vascular Nursing (CVRN) Practice Exam

What is an appropriate action for a cardiac-vascular nurse when a patient in outpatient rehabilitation shows signs of depression?

1. A referral for counseling and possible medication

2. A trial of herbal remedies

3. Alternative therapies, including yoga and massage

4. Comprehensive information about the patient's cardiac status

The correct answer is: A referral for counseling and possible medication

When a patient in outpatient rehabilitation exhibits signs of depression, an appropriate action is to make a referral for counseling and possible medication. This approach is crucial because individuals with cardiovascular disease may experience significant emotional distress that can impact their recovery and overall well-being. Counseling can provide a supportive space for the patient to address their feelings and develop coping strategies. Additionally, medication, such as antidepressants, can be appropriate for managing more severe symptoms of depression that interfere with daily activities and rehabilitation efforts. While some alternative therapies and herbal remedies might be beneficial for some patients, they are not typically supported by strong clinical evidence for treating depression, particularly in a rehabilitation setting. Comprehensive information about the patient’s cardiac status, while important for overall care, does not directly address the mental health concerns that are pivotal to the patient's recovery and rehabilitation process. Thus, the referral for professional mental health support is the most comprehensive and effective course of action in this scenario.