A 25-year-old client diagnosed with major depressive disorder remains in his room and avoids others. According to Erikson, what describes this client's developmental task assessment?

Correct Answer: C

Rationale: The correct answer is C: Isolation. Erikson's psychosocial theory states that during young adulthood, the primary developmental task is to establish intimate relationships. A 25-year-old client diagnosed with major depressive disorder avoiding others suggests a failure to establish these intimate relationships, leading to a sense of isolation. Stagnation (A) refers to the inability to contribute to society in mid-adulthood. Despair (B) is associated with late adulthood and reflects feelings of regret and disappointment. Role confusion (D) is a characteristic of adolescence, where individuals struggle to define their identity and role in society.

Correct Answer: A

Rationale: The correct answer is A: Acute inpatient setting. Solution-focused therapy is typically used in brief treatment settings where immediate solutions are needed, making it suitable for acute inpatient settings. It focuses on identifying and building upon the client's strengths to facilitate rapid problem-solving. In contrast, community settings (B), clinic settings (C), and home care settings (D) may involve longer-term care and may not prioritize the rapid resolution of issues, making them less likely settings for solution-focused therapy.

Correct Answer: C

Rationale: The correct answer is C: Has anyone told you about why you are here today? This question is the most appropriate as it helps establish the child's understanding of the situation and allows the nurse to assess the child's level of awareness and perception. By asking this question first, the nurse can ensure the child is informed and prepared for the counseling session. Choice A (How are you feeling?) is not the best first question as it jumps straight into emotions without setting the context. Choice B (How old are you?) is irrelevant and does not address the purpose of the counseling session. Choice D (Why do you think I'm talking to you alone without your parents here?) may make the child feel defensive or anxious, and it assumes the child has already formed opinions about the situation.

Correct Answer: B

Rationale: The correct answer is B: Care is centered on the patient. QSEN emphasizes patient-centered care in the treatment of mental illness. This approach involves understanding and addressing the patient's unique needs, preferences, and values to provide individualized and effective care. It focuses on fostering a therapeutic relationship between healthcare providers and patients to enhance treatment outcomes. Explanation of why other choices are incorrect: A: All genomes are unique - This statement is not directly related to the specific component of treatment recognized by QSEN. C: Healthy development is vital to mental health - While healthy development may contribute to mental health, it is not the specific component highlighted by QSEN. D: Recovery occurs on a continuum from illness to health - While recovery is an important aspect of mental health treatment, it is not the specific component emphasized by QSEN, which is patient-centered care.

Correct Answer: B

Rationale: The correct answer is B: Domestic violence. In a situation where a woman arrives at an emergency homeless shelter with her children, domestic violence is the most likely reason for seeking shelter. Victims of domestic violence often flee their homes to escape abuse, seeking safety and shelter for themselves and their children. Substance abuse (A), unemployment (C), and imprisonment (D) are possible contributing factors to homelessness but are less likely to be the immediate reason for seeking emergency shelter in this scenario.