A group of nursing students is reviewing information about the differences that occur with grieving in children, adolescents, and adults. The students demonstrate understanding of this information when they identify which of the following as characteristic of adolescents?

Correct Answer: B

Rationale: The correct answer is B: Adolescents mourn by talking about the loss. This is because adolescents tend to process their grief by verbalizing their feelings and thoughts. Adolescents are typically more vocal about their emotions and seek support through communication. This contrasts with children who may view death as reversible (A), adults who may need repeated explanations to understand the loss (C), and adults who may feel pressured by a time limit for socially acceptable grieving (D). Talking about the loss helps adolescents express their emotions and cope effectively with their grief.

Correct Answer: C

Rationale: The correct answer is C: Identify early internal cues of distress. This is the first step because recognizing early signs of distress can help the client intervene before the psychotic episode escalates. By identifying these cues, the client can implement coping strategies and prevent the hallucinations from worsening. Explanation for incorrect choices: A: Using skills to tolerate painful feelings is important, but identifying early cues is crucial for early intervention. B: Deep abdominal breathing can help with relaxation, but it may not address the underlying distress leading to the hallucinations. D: Referring to cards listing symptoms is less effective as it focuses on recognizing symptoms rather than proactively managing distress cues.

Correct Answer: A

Rationale: The correct answer is A: wraparound services. This type of service provides comprehensive and individualized care that addresses the multiple needs of acutely ill clients, leading to better outcomes. It includes coordination of various services such as medical, psychological, social, and community support. This approach ensures holistic care and continuity of services, promoting recovery and reducing relapses. Summary: B: Community health services may offer some support but lack the personalized and comprehensive approach of wraparound services. C: Facility mental health services focus on treatment within a specific setting and may not address the broader needs of the client. D: Individual therapy services, while beneficial, may not be sufficient for acutely ill clients who require a more holistic and coordinated approach.

Correct Answer: B

Rationale: The correct answer is B: stigma and discrimination. Stigma and discrimination create significant barriers to recovery from mental illness by affecting self-esteem, access to treatment, and social support. Stigma can lead to feelings of shame and isolation, hindering individuals from seeking help or adhering to treatment. Discrimination can limit opportunities for employment, education, and social integration, further impacting mental health outcomes. Increased social interaction (A) can be beneficial for recovery. Availability of multiple treatment options (C) can support recovery. High levels of self-esteem (D) are important but not the most common barrier.

Correct Answer: C

Rationale: Rationale for Correct Answer C: 1. St. John's wort can interact with antidepressants, reducing their effectiveness. 2. This herb can also lead to serotonin syndrome when combined with antidepressants. 3. Therefore, it is crucial for the nurse to educate the patient to avoid combining St. John's wort with antidepressants to prevent harmful interactions. Summary of Incorrect Choices: A: Allergic reactions are not common with St. John's wort, so this information is not relevant to the patient's education. B: While liver toxicity is a concern with St. John's wort, regular liver function tests are not typically required for patients taking this herb. D: Gastrointestinal symptoms such as bleeding are not commonly associated with St. John's wort, making this choice incorrect.