A group of nursing students is reviewing information about grief and bereavement. The students demonstrate understanding of the information when they identify which of the following?

Correct Answer: B

Rationale: The correct answer is B because it accurately distinguishes between bereavement and grief. Bereavement refers to the process of mourning, while grief refers to the emotional reaction to loss. This understanding shows comprehension of the concepts involved in coping with loss. Choice A is incorrect because grief and bereavement are not used interchangeably; they represent different aspects of the loss experience. Choice C is incorrect as grief and bereavement both involve confronting the stress and emotions related to loss. Choice D is incorrect as both bereavement and grief can be influenced by culture.

Correct Answer: B

Rationale: The correct answer is B: Lower the patient's current anxiety. This is the first step because a patient experiencing severe anxiety may not be able to focus on learning coping strategies until their anxiety is reduced. It is essential to address the immediate issue of anxiety to create a conducive environment for learning. Incorrect choices: A: Verify the patient's learning style - While understanding the patient's learning style is important, it is not the priority when the patient is in a state of severe anxiety. C: Create outcomes and a teaching plan - Developing outcomes and a teaching plan should come after addressing the immediate anxiety to ensure the patient can engage effectively in the learning process. D: Assess how the patient uses defense mechanisms - While understanding defense mechanisms is relevant, it is not the primary concern when the patient is in a state of severe anxiety.

Correct Answer: A

Rationale: The correct answer is A: Using bleach solution to disinfect dirty needles. This is an important harm reduction strategy for individuals addicted to heroin as it helps reduce the risk of infections such as HIV and hepatitis. It is crucial for the nurse to educate the client on safe needle hygiene practices to prevent further health complications. Choices B, C, and D are incorrect as problem solving, healthy coping skills, and naltrexone are not directly related to harm reduction strategies specifically for heroin addiction.

Correct Answer: B

Rationale: The correct answer is B: Prescribe psychotropic medication. Advanced practice nurses, such as psychiatric nurse practitioners, have prescriptive authority to prescribe medications in psychiatric settings. This intervention requires advanced knowledge and specialized training. Conducting mental health assessments (A) and establishing therapeutic relationships (C) are within the scope of practice for staff nurses and do not require advanced practice credentials. Individualizing nursing care plans (D) is also a standard nursing practice that does not necessarily require advanced practice training. In summary, prescribing psychotropic medication is the additional intervention that an advanced practice nurse would perform in a psychiatric unit, distinguishing their role from that of a staff nurse.

Correct Answer: A

Rationale: The correct answer is A: Gamma-amino butyric acid (GABA). GABA is not typically associated with the neurobiologic theories of depression. Norepinephrine, serotonin, and dopamine are neurotransmitters commonly implicated in depression. GABA is known for its role in anxiety disorders, not depression. Therefore, the need for additional teaching is identified when students select GABA as playing a role in depression.