A member of a group verbally lashes out at the nurse leading the discussion on assuming responsibility for behaviors. When the individual states, 'I was abused as a child by my father; you can't make me take responsibility for all the problems he created for me,' the nurse replies:

Correct Answer: B

Rationale: The correct answer is B because it acknowledges the individual's feelings of anger and provides a safe space for expression. By validating their emotions and offering support, the nurse can help the individual process their past trauma. Choice A focuses solely on the abuse timeline and may not address the immediate emotional need. Choice C avoids the issue and may not help the individual address their feelings constructively. Choice D acknowledges the unresolved issues but doesn't actively support the individual in expressing their emotions. In summary, choice B is the most appropriate as it validates the individual's feelings and offers a safe environment for emotional expression.

Correct Answer: B

Rationale: The correct answer is B because the client's statement indicates a lack of adherence to prescribed treatment for type 2 diabetes, which typically includes dietary modifications. The client's belief that they can continue eating the same way shows a resistance to making necessary lifestyle changes. Choices A, C, and D do not directly relate to noncompliance with prescribed treatment but rather reflect challenges or concerns related to health issues.

Correct Answer: C

Rationale: Rationale for Correct Answer C: The nurse's response is correct because there has been some research supporting the use of acupuncture in managing depression post-stroke. Acupuncture is a form of CAM therapy that has shown promising results in improving mental health outcomes for stroke patients. By suggesting acupuncture, the nurse is offering a potential evidence-based solution for the client's post-stroke depression. This response aligns with the client's interests in exploring CAM therapies and provides a feasible option for consideration. Incorrect Answers: A: This answer is incorrect because it states there has been no research on the effectiveness of CAM for depression after strokes, which is misleading as there is research supporting the use of acupuncture. B: This answer is incorrect because it assumes that age-related factors like impaired renal function would automatically preclude the use of CAM therapies, which is not always the case. D: This answer is incorrect because it suggests consulting the physician due to inconclusive research, which may hinder the exploration of potentially beneficial CAM therapies like acupuncture

Correct Answer: A

Rationale: The correct answer is A: Electroconvulsive therapy (ECT). ECT is a somatic therapy that requires a thorough medical evaluation and review by two psychiatrists to determine its appropriateness. It also necessitates being recommended for this therapy, obtaining informed consent, and can be considered safe for pregnant clients. The other choices, B, C, and D, do not require the same level of medical evaluation, review, or recommendation by two psychiatrists. They also may not be considered safe for pregnant individuals, making them less appropriate in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Benzodiazepines. Benzodiazepines enhance GABA activity, which is an inhibitory neurotransmitter in the brain, leading to a calming effect. This class of drugs is commonly used to treat anxiety and insomnia. Explanation for why other choices are incorrect: B: This choice is incorrect because it refers to discontinuing medication when not feeling depressed, which is unrelated to enhancing GABA activity. C: Imipramine is a tricyclic antidepressant that works by affecting serotonin and norepinephrine levels, not GABA. D: Palpitations are a symptom of anxiety or cardiac issues, not related to enhancing GABA activity.