A nurse is part of a team working with hurricane victims. One of the hurricane victims is staying in a temporary shelter provided by the Red Cross. To determine the extent to which this victim can cognitively cope with his situation and how much support he needs, which question would be most appropriate for the nurse to ask?

Correct Answer: B

Rationale: The correct answer is B: "What are your thoughts about what you will do during the next few days?" This question is appropriate as it assesses the victim's cognitive coping abilities and future planning, providing insight into their mental state and need for support. It focuses on the victim's thoughts and intentions, which are crucial in understanding their coping mechanisms. Choice A is too broad and may not directly assess cognitive coping abilities. Choice C focuses on emotions rather than cognitive coping strategies. Choice D introduces the concept of survivor's guilt, which may not be relevant or suitable for initial assessment of cognitive coping.

Correct Answer: C

Rationale: The correct answer is C: NMDA receptor antagonist. Memantine is a medication used in the treatment of Alzheimer's disease by blocking the NMDA receptors, which helps regulate glutamate activity in the brain. This action can improve cognitive function in individuals with dementia. Choice A (Atypical antipsychotic) is incorrect because memantine is not classified as an antipsychotic medication. Choice B (Cholinesterase inhibitor) is incorrect because while cholinesterase inhibitors are also used in treating Alzheimer's disease, memantine works through a different mechanism by targeting NMDA receptors. Choice D (Benzodiazepine) is incorrect because benzodiazepines are not typically used in the treatment of Alzheimer's disease.

Correct Answer: C

Rationale: The correct answer is C because user groups in the digital age have indeed evolved to utilize digital platforms for broader reach and acquiring digital health information. This evolution allows users to connect with a wider audience and access a vast amount of health-related information online. User groups are no longer limited by geographic boundaries and can provide support and resources to individuals regardless of their location. Choice A is incorrect because user groups have not decreased in number but rather expanded due to technology. Choice B is incorrect as user groups can serve various purposes, including health-care support. Choice D is incorrect as user groups continue to play a significant role in providing support and information to individuals seeking help in the digital age.

Correct Answer: B

Rationale: The correct answer is B: "What are your thoughts about what you will do during the next few days?" This question is appropriate as it assesses the victim's cognitive coping abilities and future planning, providing insight into their mental state and need for support. It focuses on the victim's thoughts and intentions, which are crucial in understanding their coping mechanisms. Choice A is too broad and may not directly assess cognitive coping abilities. Choice C focuses on emotions rather than cognitive coping strategies. Choice D introduces the concept of survivor's guilt, which may not be relevant or suitable for initial assessment of cognitive coping.

Correct Answer: C

Rationale: The correct answer is C - Keep bedroom cool at night. This is important because a cool environment promotes better sleep by helping the body lower its core temperature, which is essential for falling and staying asleep. Choice A is incorrect as exercising close to bedtime can actually stimulate the body and make it harder to fall asleep. Choice B is incorrect as taking a nap during the day can interfere with the ability to fall asleep at night. Choice D is incorrect as consuming a high carbohydrate snack at bedtime may disrupt sleep due to potential indigestion or fluctuations in blood sugar levels. In summary, maintaining a cool bedroom temperature is crucial for promoting quality sleep in individuals with insomnia.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Genes on the Y chromosome determine the sex of a fetus. 2. The presence of the SRY gene on the Y chromosome leads to male development. 3. Absence of the Y chromosome results in female development. 4. This genetic factor is crucial in determining the sex of the fetus. Summary: - Choice B is incorrect as it refers to the formation of ovaries, which is not directly related to the sex determination process. - Choice C is incorrect because rising testosterone levels are a consequence of male development, not the primary determinant. - Choice D is incorrect as neurochemical inhibition is not a factor in determining the sex of the fetus.

Correct Answer: B

Rationale: The correct answer is B because prescribing psychotropic medication is within the scope of practice of an advanced practice nurse (APN), such as a psychiatric nurse practitioner. APNs have advanced education and training that allows them to diagnose and prescribe medications for mental health conditions. A: Conducting mental health assessments is a common role for staff nurses and does not require advanced practice training. C: Establishing therapeutic relationships is a fundamental nursing skill that staff nurses and APNs both perform. D: Individualizing nursing care plans is also a standard nursing practice that does not necessarily require advanced practice skills.

Correct Answer: A

Rationale: The correct answer is A: Single substance abuse treatment programs. This is least appropriate because Healthy People 2020 emphasizes integrated programs that address mental health and mental disorders comprehensively. Substance abuse treatment programs, while important, focus on a specific issue and do not address the broader objectives of mental health promotion and disorder prevention. Choices B, C, and D align with Healthy People 2020 by promoting early detection, support for vulnerable populations, and holistic approaches to mental health, respectively.

Correct Answer: C

Rationale: The correct answer is C: Tolerance. Opioid use disorder is characterized by the need for increased amounts of opioids to achieve the desired effect over time, which is known as tolerance. This occurs due to physiological changes in the body. Choices A and B are incorrect as withdrawal symptoms, including pupillary constriction, sedation, and insomnia, are typically seen in opioid use disorder. Choice D is incorrect as individuals with opioid use disorder often require larger amounts of the drug to achieve the same high due to tolerance, not smaller amounts.