A client who has been scheduled for electroconvulsive therapy (ECT) in the morning tells the nurse,"I'm really nervous about having ECT tomorrow." Which would be the best nursing response?

Correct Answer: B

Rationale: The correct answer is B. This response acknowledges the client's feelings, opens up communication, and allows the nurse to address specific concerns. It shows empathy and encourages the client to express their fears, leading to better understanding and support. Choice A is incorrect because offering medication without exploring the client's concerns may not address the root of their anxiety. Choice C is incorrect as it dismisses the client's feelings and suggests that their fears are unfounded. Choice D is incorrect because it focuses on the doctor's expertise, which may not alleviate the client's anxiety about the procedure.

Correct Answer: B

Rationale: The correct answer is B: undiagnosed ADHD. The child's difficulty focusing, outbursts, and impulsive behavior are common symptoms of ADHD. ADHD can lead to emotional dysregulation, which may result in temper outbursts and difficulty controlling emotions. The child's behavior is not indicative of a learning disability (A) as it primarily involves attention and behavior rather than academic challenges. It is also not a normal developmental phase (C) as the symptoms are impacting the child's ability to function in the classroom. Lastly, the behavior is not solely due to being an only child (D) as it does not address the underlying neurological factors associated with ADHD.

Correct Answer: A

Rationale: The correct answer is A: Rationalization. Rationalization is a defense mechanism where individuals justify unacceptable behaviors or feelings by providing logical reasons or excuses. In this scenario, blaming the partner's attractiveness and romantic nature for one's sexual dysfunction is an example of rationalization. The individual is deflecting responsibility by attributing the issue to external factors. Summary of other choices: B: Compensation involves making up for a perceived weakness by emphasizing a strength. This is not evident in the scenario. C: Introjection involves internalizing external beliefs or values. Blaming the partner does not align with this defense mechanism. D: Regression involves reverting to an earlier stage of development in response to stress or conflict. This is not demonstrated in the scenario.

Correct Answer: B

Rationale: Correct Answer: B Rationale: In Maslow's hierarchy of needs, the lowest level is physiological needs which include safety needs. Choice B reflects maintaining physical safety, which is a fundamental requirement for survival. This is prioritized before self-actualization (choice A), love and belonging (choice C), and esteem needs (choice D). Therefore, choice B is the correct answer as it aligns with the foundational aspect of Maslow's hierarchy. Summary of Other Choices: - A: Discussing all points of view and possessing ethics falls under self-actualization, a higher-level need. - C: Establishing interpersonal relationships and group identity falls under love and belonging needs, a higher-level need. - D: Desiring prestige from personal accomplishments falls under esteem needs, a higher-level need.

Correct Answer: B

Rationale: The correct answer is B because when children experience abuse, their energy and resources are directed towards coping mechanisms to survive, rather than towards healthy development. This diversion of energy can hinder their emotional, cognitive, and social growth, leading to arrested development. Choice A is incorrect because coping with abuse is actually very challenging and can impede emotional growth. Choice C is incorrect because children can often differentiate between love and abuse, but may struggle to seek help due to fear or confusion. Choice D is incorrect because abuse does not foster a sense of belonging; rather, it creates a harmful environment that can lead to further emotional damage.