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A member of a group verbally lashes out at the nurse leading the discussion on assuming responsibility for behaviors. When the individual states, 'I was abused as a child by my father; you can't make me take responsibility for all the problems he created for me,' the nurse replies:
- A. Can we talk about when your father started abusing you?'
- B. This is a safe place to express your anger about the abuse and about your father.'
- C. May I suggest we end the session today so you don't direct your anger toward me?'
- D. I sense that you have unresolved issues with your father but we need to work on your anger.'
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the individual's feelings of anger and provides a safe space for expression. By validating their emotions and offering support, the nurse can help the individual process their past trauma. Choice A focuses solely on the abuse timeline and may not address the immediate emotional need. Choice C avoids the issue and may not help the individual address their feelings constructively. Choice D acknowledges the unresolved issues but doesn't actively support the individual in expressing their emotions. In summary, choice B is the most appropriate as it validates the individual's feelings and offers a safe environment for emotional expression.
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The mental health nurse is about to conduct an admissions interview with an older adult being admitted for depression. Which action demonstrates an understanding of the appropriate integration of the mental health status examination into an assessment interview?
- A. Conducting the interview in a quiet, private location
- B. Informing the client that his mental health status will be assessed
- C. Asking the mental health assessment questions at the beginning of the interview
- D. Including mental health questions among the general assessment interview questions
Correct Answer: D
Rationale: The correct answer is D because integrating mental health questions among general assessment questions allows for a holistic understanding of the client's overall health. By including mental health questions throughout the interview, the nurse can gather information in a more natural and comprehensive manner. This approach helps in establishing a rapport with the client and avoids stigmatizing mental health issues. Conducting the interview in a quiet, private location (choice A) is important for confidentiality but does not specifically address the integration of mental health questions. Informing the client about the mental health assessment (choice B) is essential for informed consent but does not address the integration aspect. Asking mental health questions at the beginning of the interview (choice C) may disrupt the flow and rapport-building process. Thus, choice D is the most appropriate for a comprehensive assessment.
Which levels of families can require case management services?
- A. Level 1 & 2
- B. Level 3
- C. All levels
- D. Level 4
Correct Answer: C
Rationale: All levels may need case management depending on their specific challenges.
Which of the following parts of the brain is associated with multiple feelings and behaviors and is sometimes referred to as the emotional brain?
- A. Frontal lobe
- B. Thalamus
- C. Hypothalamus
- D. Limbic system
Correct Answer: D
Rationale: The limbic system is known for its role in emotions, behavior, and memory, often referred to as the emotional brain, aligning with option d.
Nursing advocacy directed towards eliminating the stigma attached to mental illness is based on the fact that:
- A. Stigmatization only serves to increase the stress felt by the mentally ill.
- B. No one is immune to mental illness or emotional problems.
- C. Mental illness is often chronic and incurable.
- D. The mentally ill deserve our support.
Correct Answer: B
Rationale: The correct answer is B because it highlights the universal susceptibility to mental illness, emphasizing the importance of advocacy to reduce stigma. Mental health issues can affect anyone regardless of age, gender, or background. By acknowledging this, nurses can advocate for increased understanding and support for those struggling with mental illness.
A: While stigmatization does increase stress, this does not directly explain the basis for nursing advocacy.
C: Mental illness being chronic does not explain the rationale behind advocating to eliminate stigma.
D: While the mentally ill deserve support, this choice does not address the underlying reason for advocacy focused on stigma reduction.
The treatment team plans care for a person diagnosed with paranoid schizophrenia and cannabis abuse. The person has recently used cannabis daily and is experiencing increased hallucinations and delusions. Which principle applies to care planning?
- A. Consider each diagnosis primary and provide simultaneous treatment.
- B. The person will benefit from treatment in a residential treatment facility.
- C. Withdraw the person from cannabis, and then treat the symptoms of schizophrenia.
- D. Treat the schizophrenia first, and then establish the goals for the treatment of substance abuse.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Dual diagnosis: Simultaneous treatment is crucial as both conditions impact each other.
2. Cannabis withdrawal may worsen schizophrenia symptoms, so treating both concurrently is essential.
3. Addressing both diagnoses concurrently increases treatment effectiveness.
4. Residential treatment may not be necessary at this stage without considering simultaneous treatment.
Summary:
B: Residential treatment may not be needed immediately; focus on simultaneous treatment.
C: Withdrawal may worsen schizophrenia symptoms; treating both conditions concurrently is preferable.
D: Treating schizophrenia first may not address the immediate exacerbation of symptoms due to cannabis use.