A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the following statements by the client indicates an understanding of the medication treatment plan?

Correct Answer: C

Rationale: Rationale: Choice C is correct because understanding potential side effects like difficulty sleeping is crucial for the client's adherence to the medication plan. Sertraline can cause sleep disturbances initially. Choices A, B, and D are incorrect. A immediate relief is unlikely with antidepressants, B increased urination is not a common side effect of sertraline, and D sodium intake is not typically a concern with this medication.

Correct Answer: C

Rationale: The correct answer is C: Expansive. Expansive mood is characterized by grandiosity, inflated self-esteem, and an exaggerated sense of importance. In this scenario, the client's belief of being extremely beautiful and desirable reflects a grandiose and exaggerated self-perception, which aligns with an expansive mood seen in manic episodes of bipolar disorder. Incorrect choices: A: Irritable - Irritable mood is marked by anger, frustration, and hostility, which are not reflected in the client's statements. B: Elevated - Elevated mood is characterized by increased energy and positivity but does not capture the grandiosity and exaggerated self-importance displayed by the client. D: Euphoric - Euphoric mood is an intense feeling of happiness and excitement, which does not fully encompass the grandiose and inflated self-esteem exhibited by the client.

Correct Answer: C

Rationale: The correct answer is C: Industry. According to Erikson's psychosocial theory, the developmental task for children around the age of 7 involves developing a sense of competence and accomplishment in their activities. The boy's achievement of the most-improved player award in his baseball tournament reflects his engagement in mastering skills and feeling successful in his endeavors, aligning with the concept of industry. Autonomy (A) typically refers to toddlers asserting their independence, while Identity (B) is associated with adolescents' exploration of personal identity. Initiative (D) focuses on preschoolers' curiosity and eagerness to explore the world.

Correct Answer: B

Rationale: The correct answer is B: "I've never really liked myself." This statement supports the diagnosis of an eating disorder because low self-esteem and poor self-image are common underlying factors in individuals with eating disorders. Adolescents with eating disorders often have negative thoughts about themselves which can lead to disordered eating behaviors. Rationale: 1. Choice A is incorrect because mentioning the father's thinness does not directly relate to the adolescent's own feelings or behaviors towards food and body image. 2. Choice C is incorrect because having a lot of confidence in oneself is less likely to be indicative of an eating disorder, as individuals with eating disorders typically have low self-esteem. 3. Choice D is incorrect because feeling close to family members does not directly suggest the presence of an eating disorder; it is more related to relationships rather than the underlying psychological issues associated with eating disorders.

Correct Answer: D

Rationale: Erikson defined growth as development in stages with a positive and negative consequence if not met. He introduced the concept of psychosocial development, emphasizing the importance of resolving conflicts at each stage. Peplau focused on interpersonal relations in nursing, Orenstein is known for her work on gender development, and Freud's psychosexual theory is different from Erikson's psychosocial theory. Erikson's stages are distinct for each age group, with specific tasks to be accomplished, making choice D the correct answer.