A newly divorced 36-year-old mother of three has difficulty sleeping. When she shares this information to her gynecologist, she suggests which of the following services as appropriate for her patient's needs?

Correct Answer: B

Rationale: The correct answer is B: Patient-centered medical home. This option is appropriate because it offers comprehensive, coordinated, and patient-centered care, which is crucial for addressing the patient's sleep difficulties. The patient's primary care provider can coordinate care, ensuring all her medical and emotional needs are met, including managing stress associated with divorce. Incorrect choices: A: Assertive community treatment is more suitable for individuals with severe mental illnesses who require intensive community-based support. C: Psychiatric home care is typically for individuals with severe mental health issues requiring specialized psychiatric services at home. D: While the primary care provider is essential, simply referring the patient back to them may not address the underlying causes of her sleep difficulties comprehensively.

Correct Answer: A

Rationale: The correct answer is A: Emergency department records. Renata, as Amadi's nurse, can obtain more data on his condition from the emergency department records because they may contain relevant information about his psychiatric evaluation at the time of the court order. It is within legal parameters since it pertains to his current treatment. B: Police records related to the offense are not directly related to Amadi's psychiatric condition and may not provide necessary medical information. C: Calling his family in Africa for details is a breach of patient confidentiality and violates legal and ethical boundaries. D: Past medical records in the current facility may be limited in scope, as mentioned in the question, and may not provide a comprehensive understanding of Amadi's condition.

Correct Answer: A

Rationale: The correct answer is A: Auditory. During an admission assessment and interview, the nurse should monitor auditory communication channels to listen to the patient's verbal responses, tone, and any additional information provided through spoken words. This is crucial to gather accurate information and assess the patient's condition effectively. Incorrect options: B: Visual - While visual cues are important, auditory communication is more critical in an interview to understand the patient's verbal responses. C: Written - Written communication is not typically used during an interview process and is less immediate compared to auditory communication. D: Tactile - Tactile communication involves touch and is not commonly used during an interview process.

Correct Answer: C

Rationale: The correct answer is C because it exemplifies a double-bind message where Noah appears to comply with the request to tell anything but his sneer and purring tone indicate sarcasm or insincerity, creating conflicting messages. This can confuse the receiver, making it difficult to discern the true intention. Choice A involves inappropriate behavior but lacks the conflicting messages typical of a double-bind. Choice B shows resistance but doesn't present contradictory messages. Choice D shows emotional distress and a clear request to avoid a topic, but it lacks the contradictory nature of a double-bind message.

Correct Answer: D

Rationale: The correct answer is D: Progressive muscle relaxation. This technique involves tensing and then relaxing different muscle groups, helping to release tension and promote relaxation. For Jackson, who suffers from migraine headaches triggered by muscle tension, this can be effective in reducing his symptoms. Choice A, biofeedback, focuses on monitoring physiological responses, not directly addressing muscle tension. Choice B, guided imagery, involves visualization techniques, not muscle relaxation. Choice C, deep breathing, can be helpful but may not directly target muscle tension as effectively as progressive muscle relaxation.