A nurse at the well child clinic realizes that many parents have misconceptions about effective ways of disciplining their children. The nurse decides to form a group to address this problem. What should be the focus of the group?

Correct Answer: C

Rationale: The correct answer is C: Health education. The focus of the group should be on educating parents about effective ways of disciplining their children, which falls under the realm of health education. This approach aims to provide parents with knowledge and skills to promote the well-being of their children. Support (A) may be important but is not the primary focus here. Socialization (B) is about teaching children how to interact with others, not disciplining them. Symptom management (D) is more relevant in a healthcare setting for addressing medical conditions, not disciplining strategies. Therefore, C is the most appropriate choice for addressing the issue of misconceptions about disciplining children.

Correct Answer: B

Rationale: The correct answer is B: Homeopathy. Homeopathy involves using small doses of a substance that would cause symptoms in larger amounts to treat those same symptoms. In this case, using small amounts of an allergen in solution is a homeopathic approach to desensitize the body to the allergen. Naturopathy focuses on natural remedies, chiropractic on spinal manipulation, and Shiatsu on Japanese bodywork therapy, none of which involve allergy injections.

Correct Answer: B

Rationale: The correct answer is B: undisturbed sleep throughout the night. Valerian is commonly used as an herbal remedy for insomnia and sleep disorders. The desired outcome for a patient using valerian is to achieve improved sleep quality, characterized by uninterrupted and restful sleep throughout the night. This is because valerian has sedative properties that help promote relaxation and induce sleep. Option A is not specific to the intended use of valerian, which is primarily for sleep-related issues. Option C is not directly related to the primary purpose of valerian. Option D, early morning waking without an alarm clock, does not necessarily indicate improved sleep quality and may not be a realistic expectation for all patients. Therefore, option B is the best desired outcome for a patient using valerian to address sleep disturbances.

Correct Answer: C

Rationale: The correct answer is C: Educate the patient about the risks of selective serotonin syndrome. St. John's wort is known to interact with many medications, including paroxetine. This combination can increase serotonin levels in the brain, leading to a potentially dangerous condition called serotonin syndrome. The nurse's priority is to ensure the patient understands this risk and the importance of consulting with their healthcare provider before combining medications. Incorrect choices: A: Assess changes in the patient's level of depression. While monitoring the patient's depression is important, addressing the potential drug interaction and safety concerns takes precedence. B: Remind the patient to use a secondary form of birth control. This is not the priority in this situation as the main concern is the drug interaction. D: Suggest adding valerian to the treatment regimen to further improve results. Introducing another supplement without addressing the potential interaction with St. John's wort and paroxetine is not appropriate.

Correct Answer: A

Rationale: The correct answer is A: "I'm fat and ugly." Rationale: 1. This response indicates a distorted body image commonly seen in individuals with anorexia nervosa. 2. Anorexia nervosa is characterized by a fear of gaining weight and a preoccupation with body image. 3. The statement reflects a negative perception of oneself in terms of weight and appearance, which aligns with the psychological aspect of anorexia nervosa. 4. Other choices do not exhibit the same level of dissatisfaction with body weight and appearance as seen in anorexia nervosa.