A nurse is caring for a patient who has been prescribed an antidepressant medication. Which of the following is an appropriate intervention?

Correct Answer: B

Rationale: The correct answer is B: Monitoring the patient for suicidal ideation, especially early in treatment. This is important because antidepressants can sometimes increase the risk of suicidal thoughts, especially at the beginning of treatment. By monitoring for suicidal ideation, the nurse can intervene promptly if necessary. Choice A is incorrect because abruptly stopping antidepressants can lead to withdrawal symptoms and worsening of the condition. Choice C is incorrect because antidepressants may take several weeks to start improving mood, so immediate improvement is unlikely. Choice D is incorrect because antidepressants are typically taken consistently, not just when feeling depressed, to maintain therapeutic levels in the body.

Correct Answer: B

Rationale: The correct answer is B because providing a safe, supportive environment for the patient to express their feelings is crucial in managing PTSD. This intervention promotes emotional processing and healing, validating the patient's experiences. Encouraging immediate discussion (A) may trigger distress; reassuring symptoms will improve (C) may invalidate the patient's feelings and delay seeking help; telling the patient to avoid thinking (D) can lead to avoidance behaviors worsening symptoms.

Correct Answer: D

Rationale: The correct answer is D: Countertransference. This relationship shows early signs of countertransference because the individual is projecting feelings and attitudes from their past relationship with their best friend onto Becky. The individual's desire to joke and laugh with Becky based on similarities to their best friend in high school indicates a potential unconscious emotional response. Countertransference occurs when the therapist or individual develops feelings or reactions towards the client based on their own unresolved issues or past experiences. In this scenario, the individual is experiencing countertransference by transferring emotions related to their best friend onto Becky. This can potentially impact the objectivity and effectiveness of the relationship. Summary: A: Accountability - Not relevant to the scenario. B: Self-reflection - Not applicable as the individual is not reflecting on their own behavior. C: Transference - Different from countertransference, as transference refers to the client projecting feelings onto the therapist, not the other way around.

Correct Answer: C

Rationale: The correct answer is C because an individual with bipolar disorder in the manic phase who has not eaten in 4 days is at risk of severe physical harm due to the lack of nutrition and potential medical complications. This situation meets the criteria for involuntary hospitalization to ensure the person's safety and well-being. A: This choice does not indicate an immediate risk of harm to self or others. B: While stopping antipsychotic medication is concerning, it may not warrant immediate involuntary hospitalization unless the individual is at risk of harm. D: Repeatedly phoning a TV broadcasting service does not indicate a need for involuntary hospitalization unless it poses a clear danger to oneself or others.

Correct Answer: A

Rationale: The correct answer is A because it emphasizes seeking guidance from a faculty member when unsure, ensuring accuracy in data collection. Choice B focuses on self-assessment, not consultation. Choice C involves delegating to another student, risking error. Choice D pertains to diagnosis categorization, not data collection accuracy.