A homeless individual diagnosed with serious mental illness, anosognosia, and a history of persistent treatment nonadherence is persuaded to come to the day program at a community mental health center. Which intervention should be the teams initial focus?

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Question 1 of 5

A homeless individual diagnosed with serious mental illness, anosognosia, and a history of persistent treatment nonadherence is persuaded to come to the day program at a community mental health center. Which intervention should be the teams initial focus?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

While performing an assessment, the nurse says to a patient, 'While growing up, most of us heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to your mind now?' The purpose of this question is to

Correct Answer: D

Rationale: The correct answer is D: identify sexual misinformation. The nurse's question aims to uncover any misconceptions or false information the patient may have received about sexual matters in the past. By identifying these misinformation, the nurse can address and correct them to promote the patient's sexual health and well-being. Explanation: 1. The nurse's question specifically targets the patient's recollection of "half-truths about sexual matters," indicating a focus on misinformation. 2. By asking the patient if any of these half-truths still puzzle them as adults, the nurse seeks to identify areas where the patient may have received incorrect information. 3. Addressing sexual misinformation is crucial for promoting accurate knowledge, healthy attitudes, and behaviors related to sexuality. Summary: A: Incorrect. The question does not directly aim to identify areas of sexual dysfunction for treatment. B: Incorrect. The question does not target determining possible homosexual urges but rather focuses on uncovering sexual misinformation. C: Incorrect. The question does not introduce the

Question 3 of 5

A man who reports frequently experiencing premature ejaculation tells the nurse, 'I feel like such a failure. It's so awful for both me and my partner. Can you help me?' Select the nurse's best response.

Correct Answer: B

Rationale: The correct answer is B because the nurse should refer the patient to a practitioner who specializes in treating premature ejaculation. This is the best response as it ensures the patient receives specialized care and treatment tailored to his needs. Referring to a specialist increases the likelihood of successful intervention and addresses the patient's concerns effectively. Choices A, C, and D are incorrect. Choice A focuses on communication with the partner, which is important but not the primary intervention for premature ejaculation. Choice C suggests prescription medication without exploring other treatment options or assessing the patient's individual situation. Choice D provides general information without addressing the patient's emotional distress or offering specific help from a professional.

Question 4 of 5

In a sad voice, an elderly patient tells the nurse of the recent deaths of a spouse and close friend. The patient has no other family and only a few acquaintances in the community. The nurse's priority is to determine whether which nursing diagnosis applies to this patient?

Correct Answer: A

Rationale: The correct answer is A: Risk for suicide related to recent deaths of significant others. This is the priority because the patient's recent losses put them at high risk for suicide. The nurse must assess the patient's risk level and provide appropriate interventions to prevent harm. Choices B, C, and D are incorrect because anxiety and social isolation are secondary concerns compared to the immediate risk of suicide. Spiritual distress, while important, does not take precedence over the patient's safety.

Question 5 of 5

A psychiatric clinical nurse specialist uses cognitive therapy with a patient with anorexia nervosa. Which statement by the nurse supports this type of therapy?

Correct Answer: D

Rationale: The correct answer is D because it reflects a key principle of cognitive therapy, which is challenging distorted thoughts and beliefs. In this statement, the nurse is helping the patient recognize that being thin has not resolved their underlying unhappiness. This challenges the patient's belief that thinness equals happiness, promoting insight and cognitive restructuring. A: This statement focuses on emotions related to food and preparation, not directly challenging distorted thoughts. B: This statement focuses on self-esteem related to eating, not directly challenging distorted thoughts. C: This statement addresses the difficulty of sharing personal information, not directly challenging distorted thoughts.

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