A male patient reports to the nurse, 'I’m told I have memories of childhood abuse stored in my unconscious mind. I want to work on this'. Based on this statement, what information should the nurse provide the patient?

Correct Answer: A

Rationale: The correct answer is A because seeking help from a trained therapist is crucial for safely addressing childhood abuse memories. Therapists can provide a supportive environment and techniques to process trauma. Choice B (using defense mechanisms) is counterproductive as it avoids addressing the issue. Choice C (quick surfacing in psychodynamic therapy) is unrealistic, trauma processing takes time. Choice D (group sessions) may not provide the individualized support needed for trauma work. Ultimately, A is the best choice for addressing childhood abuse memories effectively and safely.

Correct Answer: B

Rationale: The correct answer is B because when a patient is experiencing acute psychosis, it is crucial to use a calm and non-confrontational approach to prevent escalation and maintain safety. Engaging in detailed conversations about delusions (A) may reinforce the patient's distorted beliefs. Ignoring delusions (C) can lead to worsening symptoms and potential harm. Encouraging the patient to confront delusions (D) can be distressing and may exacerbate the situation. Therefore, option B is the most appropriate intervention to ensure the patient's well-being and safety during an episode of acute psychosis.

Correct Answer: A

Rationale: The correct answer is A because reducing sodium intake helps lower blood pressure by decreasing fluid retention and strain on the heart. Sodium restriction is a key component in managing hypertension. Choice B is incorrect as herbal supplements are not proven effective for lowering blood pressure. Choice C is helpful for monitoring but does not directly manage blood pressure. Choice D is effective but typically done by a physician, not a nurse. Ultimately, providing education on reducing sodium intake is the most appropriate intervention for managing the patient's blood pressure.

Correct Answer: C

Rationale: The correct answer is C because the statement indicates a lack of understanding about the importance of consistent medication adherence in managing schizophrenia. Here's the rationale: 1. Taking medication only when experiencing symptoms can lead to relapses and exacerbation of the condition. 2. Schizophrenia requires continuous treatment to prevent symptom recurrence. 3. Option A emphasizes daily medication for relapse prevention, which is aligned with treatment guidelines. 4. Option B acknowledges past difficulties but shows willingness to improve adherence. 5. Option D demonstrates a strong commitment to following the prescribed treatment plan.

Correct Answer: B

Rationale: The correct answer is B: Setting limits on excessive talking or inappropriate behavior. During a manic episode, individuals with bipolar disorder may engage in impulsive behaviors and have difficulty controlling their speech. Setting limits helps maintain safety and prevent harm. Allowing uninterrupted expression (choice A) can fuel manic behavior. Encouraging decision-making (choice C) can be challenging due to impaired judgment. Involving in group therapy (choice D) may not be effective during a manic episode due to distractibility and agitation. Setting limits provides structure and promotes safety.