Correct Answer: B

Rationale: The most important instruction to include in the discharge teaching for a male client with schizophrenia who has been stabilized with antipsychotic medications is to adhere to the medication regimen as prescribed. Medication adherence is crucial in managing schizophrenia, preventing relapse, and maintaining stability. While seeing the psychiatrist regularly (
Choice
A) is important, adherence to medication is more critical for the client's immediate well-being. Avoiding caffeine and alcohol (
Choice
C) may be beneficial but is not as crucial as medication adherence. Daily exercise (
Choice
D) is important for overall health but is not the most critical instruction for managing schizophrenia.

Correct Answer: C

Rationale: Including the client in determining the treatment protocol is the most suitable action to promote the self-esteem of a male client with major depression. This approach empowers the client, involves him in decision-making regarding his care, and fosters a sense of control and self-worth. Option A, asking about his long-term goals, may not directly address his immediate self-esteem needs related to his current condition. Option B, discussing the challenges of his medical condition, may inadvertently focus on negative aspects and potentially lower self-esteem. Option D, encouraging engagement in recreational therapy, is beneficial but may not directly address the client's sense of control and self-worth in decision-making related to his treatment.

Correct Answer: D

Rationale: The priority nursing intervention for an adolescent admitted for self-harming behaviors is to provide a safe environment free of potential self-harm tools. This intervention aims to prevent immediate harm to the client. Assessing suicidal ideation is important but ensuring physical safety takes precedence. While educating about healthy coping mechanisms is crucial for long-term management, immediate safety is the priority. Family therapy sessions are beneficial for holistic care but are not the immediate priority when the client's safety is at risk.

Correct Answer: A

Rationale: The client presents with evidence of anorexia nervosa resulting from self-starvation, which is a life-threatening condition. Providing nutrition and calories is the priority intervention so that the risk of electrolyte imbalance and severe dehydration can be reduced. Behavioral modification therapy (
Choice
B) may be beneficial in the long term but is not the priority in this acute situation. Evaluating for low self-esteem (
Choice
C) may be part of the nursing assessment but does not address the immediate life-threatening issues. Recording daily weights and graphing trends (
Choice
D) is important for monitoring progress but does not address the critical need for nutritional therapy in this case.

Correct Answer: B

Rationale: The correct answer is B: Projection. In this scenario, the client is projecting his own feelings of anger onto his roommate by attributing his anger to the roommate. Projection involves shifting one's feelings, thoughts, or impulses onto another person. Denial (choice
A) is the refusal to accept reality, Rationalization (choice
C) involves justifying behaviors with logical reasons, and Splitting (choice
D) is the inability to integrate positive and negative qualities of oneself or others.