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When attempting to determine a teenager's mental health resilience, what assessment question should the nurse ask that is not applicable?
- A. How did you cope when your father deployed with the Army for a year in Iraq?
- B. Who did you go to for advice while your father was away for a year in Iraq?
- C. How do you feel about talking to a mental health counselor?
- D. Why would you think that is a better option than meeting with me?
Correct Answer: D
Rationale: Assessing a teenager's mental health resilience involves exploring coping mechanisms, support systems, and attitudes towards seeking help. Option D is not relevant to assessing resilience but rather focuses on the comparison between seeking advice from a counselor versus the nurse, which doesn't directly gauge the teenager's resilience.
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A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to identify the symptoms present in a specific psychiatric disorder. The best answer would be:
- A. Nursing Interventions Classification (NIC)
- B. Nursing Outcomes Classification (NOC)
- C. NANDA-I nursing diagnoses
- D. DSM-5
Correct Answer: D
Rationale: The DSM-5 is the standard classification of mental disorders used by mental health professionals in the U.S. It provides criteria for diagnosing different psychiatric disorders based on symptoms and clinical observations. Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) are focused on nursing interventions and outcomes, respectively, while NANDA-I nursing diagnoses are related to identifying nursing problems and their contributing factors.
How does emotional trauma typically affect individuals physically?
- A. Emotional trauma is a distinct category and unrelated to physical symptoms.
- B. Physical manifestations of emotional trauma are usually temporary.
- C. Emotional trauma is often manifested as physical symptoms.
- D. Patients are more aware of physical problems caused by trauma.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
An individual who has survived incest and is receiving treatment at the mental health clinic feels relief upon understanding that her anxiety and depression are:
- A. Going to be eradicated with treatment
- B. Normal and will soon pass
- C. Abnormal but will pass
- D. A normal reaction to posttraumatic events
Correct Answer: D
Rationale: It is important to recognize that anxiety and depression are common responses to traumatic events like incest. Understanding that these feelings are normal reactions can help validate the individual's experiences and reduce stigma. By acknowledging that anxiety and depression are expected outcomes of posttraumatic events, the mental health clinic can provide appropriate support and treatment to help the survivor cope and heal. Therefore, option D is the correct choice as it reflects a compassionate and informed approach to addressing the survivor's emotional struggles.
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
- A. Obsessive-compulsive disorder
- B. Generalized anxiety disorder
- C. Persistent depressive disorder
- D. Substance use disorder
Correct Answer: D
Rationale: The correct answer is D, Substance use disorder. Ramelteon is preferred for patients with substance use disorder because it lacks abuse potential. This makes it a safer choice for individuals with a history of substance misuse. Choosing a medication with a lower risk of abuse in this population is crucial to prevent potential misuse or dependence issues.
Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication?
- A. Tricyclic antidepressants
- B. Selective serotonin reuptake inhibitors
- C. Serotonin and norepinephrine reuptake inhibitors
- D. Monoamine oxidase inhibitors
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.