A 25-year-old legal secretary is seeking counseling because she recently lost her job unexpectedly. Which question would be most appropriate for the nurse to use in assessing the patient's response to losing her job?

Correct Answer: D

Rationale: The correct answer is D because it focuses on the patient's past behavior in response to stress, providing insight into her coping strategies. By understanding how she has dealt with stress before, the nurse can anticipate her current response. Choice A is too focused on the cause of job loss, not the patient's emotional response. Choice B is too narrow, not addressing broader coping mechanisms. Choice C is future-oriented, not addressing the patient's current emotional state.

Correct Answer: C

Rationale: The correct answer is C: Obtain the patient's permission for the exchange of information. This is the case manager's first action because it ensures the patient's autonomy and right to privacy are respected. It is crucial to obtain the patient's permission before discussing their treatment plan with the family to maintain trust and confidentiality. Without the patient's consent, sharing sensitive information with the family could breach ethical and legal boundaries. In contrast: A: Determining an appropriate location is important but not the first step. B: Supporting the discussion with examples of the patient's behavior is relevant but not as critical as obtaining consent. D: Deciding which family members should participate is premature without the patient's approval.

Correct Answer: A

Rationale: The correct answer is A: Aromatherapy and breathing exercises. Aromatherapy can help reduce anxiety by promoting relaxation and stress relief. Breathing exercises can also help calm the mind and body, reducing test anxiety. Megavitamin therapy and yoga (Choice B) may not directly target test anxiety. Naturopathy (Choice C) is a broad term and may not specifically address test anxiety. Reiki (Choice D) is a form of energy healing, which may not be as effective as aromatherapy and breathing exercises for reducing test anxiety.

Correct Answer: D

Rationale: The correct answer is D: Catastrophic reactions. In a client with Alzheimer's disease, catastrophic reactions can occur when they are overwhelmed or unable to cope with a situation. These reactions can lead to outbursts or extreme emotional responses. It is important to prioritize assessing and managing catastrophic reactions to ensure the safety and well-being of the client and others. Hearing deficits (choice A) may contribute to communication difficulties but are not as urgent as managing catastrophic reactions. Mania (choice B) and strange verbalizations (choice C) are not typically associated with Alzheimer's disease without delirium and are less concerning compared to potential catastrophic reactions.

Correct Answer: A

Rationale: The correct answer is A because paranoia and fear of others stealing belongings can be early signs of schizophrenia's prodromal phase. This is known as paranoid ideation, a common symptom in schizophrenia. B is incorrect because an unusual interest in numbers is not typically associated with schizophrenia's prodromal phase. C is incorrect because lack of interest in athletics is not a specific characteristic of the prodromal phase of schizophrenia. D is incorrect because feeling more comfortable among males is not a typical symptom of schizophrenia's prodromal phase.