A 62-year-old man experienced the loss of his 87-year-old father a week ago. The hospice nurse is making a follow-up visit to determine how he is handling his father's death. Which of the following statements made indicates to the hospice nurse that the patient is in the acute mourning stage of bereavement?

Correct Answer: C

Rationale: The correct answer is C because the statement reflects characteristics of the acute mourning stage, which includes intense emotions such as anger and sadness. The patient expressing anger towards God and crying all the time aligns with the typical reactions seen in the acute mourning stage. This stage is characterized by emotional outbursts and difficulty functioning in daily life. Choice A is incorrect because feeling guilty for not visiting the father and having trouble accepting the death are signs of denial, a stage that typically precedes acute mourning. Choice B is incorrect as it indicates acceptance and readiness to move on, which is not reflective of the acute mourning stage. Choice D is incorrect as it shows a focus on spending time with family and seeking support, which are more indicative of the later stages of mourning rather than the acute phase.

Correct Answer: C

Rationale: The correct answer is C: monitoring client treatment adherence. Nurses play a key role in ensuring patients comply with their treatment plans. This involves monitoring medication intake, therapy attendance, and following through with other recommended interventions. Nurses do not have the authority to prescribe medication (choice A) or perform surgical procedures (choice D). While some nurses may be trained in providing counseling, conducting psychotherapy sessions (choice B) is typically the role of licensed therapists or psychologists.

Correct Answer: C

Rationale: The correct answer is C because it respects the client's right to autonomy and confidentiality. By offering to see if Mr. Hawkins wants to talk, the nurse is acknowledging his autonomy to make decisions about who he interacts with. This response also maintains confidentiality by not confirming or denying his presence without his consent. Choice A is incorrect as it does not respect Mr. Hawkins' autonomy and does not offer him the choice to speak with the caller. Choice B is incorrect because it does not protect Mr. Hawkins' confidentiality by potentially revealing his presence. Choice D is incorrect as it does not consider Mr. Hawkins' wishes and simply denies the call without involving him in the decision-making process.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates active listening and seeks confirmation from the patient, ensuring accurate understanding. Asking if the nurse's understanding is correct encourages the patient to clarify any misunderstandings. This approach fosters effective communication and a therapeutic relationship. A: Asking about common elements may not address the specific concerns shared by the patient. B: Asking the patient to repeat their experiences may come off as dismissive or imply the nurse wasn't listening attentively. D: Requesting the patient to start from the beginning may be unnecessary and may not address the current concerns the patient is sharing.

Correct Answer: C

Rationale: The correct answer is C because weight gain is a common side effect of clozapine. Monitoring weight is essential to catch any rapid weight gain, which could indicate potential metabolic issues. This instruction is crucial for the client's safety and well-being. A is incorrect because dry mouth is a common side effect of clozapine, but it is not typically necessary to keep a detailed record of the frequency and duration of this side effect. B is incorrect because changes in urine color are not typically associated with clozapine use. D is incorrect because experiencing drowsiness is a common side effect of clozapine and does not necessarily require discontinuation of the medication.

Correct Answer: A

Rationale: Step 1: During World War II, many soldiers experienced mental health issues, leading to increased awareness and acceptance of mental illness as commonplace. Step 2: The societal impact of witnessing the psychological effects of war shifted attitudes towards mental health. Step 3: This increased acceptance paved the way for advancements in mental health care and reduced stigma. Step 4: Choice A is correct as it reflects the societal shift towards viewing mental illness as more common and acceptable. Summary: Choice B is incorrect as the biologic understanding of mental illness was not fully developed during World War II. Choice C is incorrect as deinstitutionalization was a later phenomenon, not directly related to the effects of World War II. Choice D is incorrect as the categorization of mental illnesses as psychoses or neuroses predates World War II and was not a direct effect of the war.

Correct Answer: D

Rationale: The correct answer is D: Social skills training. This is the most effective intervention for a child engaging in bullying because it directly addresses the underlying behavior by teaching appropriate social behaviors and communication skills. Social skills training can help the child understand the impact of their actions, develop empathy, and learn how to interact positively with others. A: Psychoeducation may provide information about bullying but does not necessarily teach the child new skills to change their behavior. B: Bibliotherapy involves reading books to promote understanding, which may not be as effective as directly teaching social skills. C: Early intervention programs are important, but social skills training specifically targets the behavior of bullying and provides practical strategies for change.

Correct Answer: A

Rationale: The correct answer is A because waving fists, cursing, and shouting threats indicate aggressive and confrontational behavior, which are common signs of a behavioral crisis. This behavior poses a potential threat to others and requires immediate intervention. In contrast, choices B and C show distress or withdrawal, not crisis-level behavior. Choice D depicts an unusual behavior but does not necessarily indicate a crisis. In summary, the correct answer best aligns with the aggressive and threatening behavior typically seen in a behavioral crisis.

Correct Answer: C

Rationale: The correct answer is C because integrative care focuses on treating the whole person, including their body, mind, and spirit. This approach recognizes the interconnectedness of these aspects in promoting overall health and well-being. Choice A is incorrect as it only mentions the physician's diagnosis and patient's response, neglecting the holistic approach of integrative care. Choice B is incorrect as it specifically mentions the nurse's ideas without addressing the broader perspective of integrating body, mind, and spirit. Choice D is incorrect as it prioritizes the diagnosis over addressing the spiritual aspect of care, which is essential in integrative medicine.