A nurse is participating in a neighborhood health fair and is screening participants for depression. Which individual would the nurse anticipate as being at increased risk for depression?

Correct Answer: A

Rationale: The correct answer is A. The middle-aged man caring for his disabled mother is at increased risk for depression due to caregiver stress, emotional strain, and social isolation. Caregiving responsibilities can lead to feelings of overwhelm and burnout, impacting mental health. Choice B may also experience stress, but typically single parenting does not carry the same level of physical care needs and constant vigilance as caregiving for a disabled individual. Choice C, being single with no children, may face challenges but not necessarily higher risk of depression compared to caregiving. Choice D, the young adult living with parents and unemployed, may face financial and career-related stress, but typically does not involve the same level of emotional and physical strain as caregiving for a disabled individual.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates therapeutic communication by acknowledging the patient's experience without judgment and encourages further exploration of the hallucinations. Choice A dismisses the patient's experience, choice B invalidates their reality, and choice D does not address the patient's experience or encourage further discussion. Using open-ended questions like in choice C promotes trust and allows the patient to express their thoughts and feelings.

Correct Answer: D

Rationale: The correct answer is D: Maintain the head at a midline position. This intervention helps to optimize cerebral perfusion and reduce the risk of further increasing intracranial pressure. Placing the head at a midline position promotes proper alignment of the brain structures and facilitates adequate blood flow to the brain. A: Performing active range of motion exercises can increase intracranial pressure and should be avoided in this situation. B: Neurological checks every 4 hours are important but do not directly address the issue of maintaining intracranial pressure. C: Suctioning the airway frequently can also increase intracranial pressure and should be done only when necessary to maintain airway patency. In summary, maintaining the head at a midline position is the most appropriate intervention to manage increased intracranial pressure in a child with a decreased level of consciousness.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates grandiosity and a sense of superiority, which are key traits of narcissistic personality disorder. The statement reflects an inflated self-image and a belief that others admire and envy them. Choice B is indicative of paranoid delusions, not narcissism. Choice C suggests introversion and introspection, which are not characteristic of narcissistic personality disorder. Choice D, being the life of the party and making new friends, may suggest extraversion but lacks the sense of superiority and entitlement that is typical of narcissism.

Correct Answer: B

Rationale: The correct answer is B because nursing forums and professional organizations' websites are reliable sources for finding databases and evidence-based practice resources in nursing. These platforms are specifically curated to provide accurate and up-to-date information for healthcare professionals. They are peer-reviewed and endorsed by experts in the field, ensuring credibility and relevance. In contrast, popular search engines like Google may yield unreliable or outdated information, personal blogs lack authority and validation, and entertainment websites are not relevant to evidence-based practice in nursing.

Correct Answer: C

Rationale: Shared psychotic disorder (Choice C) involves an inducer, which is a person already experiencing a psychotic disorder and influences another person to develop similar delusions. This condition is characterized by the transmission of delusional beliefs from one individual (inducer) to another (recipient). Brief psychotic disorder (Choice A) is a short-term psychotic episode without an inducer. Schizophreniform disorder (Choice B) is a separate psychotic disorder with its own set of criteria. Psychotic disorder attributable to a substance (Choice D) is caused by substance use rather than involving an inducer.

Correct Answer: A

Rationale: The correct answer is A: Madeleine Leininger. Leininger is known for developing the theory of cultural care diversity and universality, which emphasizes the importance of cultural factors in nursing care. She introduced the concept of transcultural nursing, highlighting the need for nurses to consider cultural beliefs and practices when providing care. This theory promotes culturally sensitive and competent care to meet the diverse needs of patients. Choice B: Sister Calista Roy, is known for the adaptation model, which focuses on the individual's response to stressors. Choice C: Hildegard Peplau, is known for the interpersonal relations theory, focusing on the nurse-patient relationship. Choice D: Dorothea Orem, is known for the self-care deficit theory, which emphasizes the patient's ability to meet their own care needs. These theories are valuable in nursing practice but do not specifically address cultural diversity and universality like Leininger's theory does.

Correct Answer: A

Rationale: The correct answer is A. The middle-aged man caring for his disabled mother is at increased risk for depression due to caregiver stress, emotional strain, and social isolation. Caregiving responsibilities can lead to feelings of overwhelm and burnout, impacting mental health. Choice B may also experience stress, but typically single parenting does not carry the same level of physical care needs and constant vigilance as caregiving for a disabled individual. Choice C, being single with no children, may face challenges but not necessarily higher risk of depression compared to caregiving. Choice D, the young adult living with parents and unemployed, may face financial and career-related stress, but typically does not involve the same level of emotional and physical strain as caregiving for a disabled individual.

Correct Answer: C

Rationale: Rationale: Option C is an example of therapeutic communication because it encourages the client to explore the underlying reasons for their fear of divorce, promoting self-reflection and insight. By asking what has happened to make the client think this way, the nurse demonstrates empathy and helps the client process their emotions. Options A, B, and D are incorrect because they either deflect the client's concerns (B), focus on overly questioning the client (A), or dismiss the client's feelings (D), which can hinder the therapeutic relationship and fail to address the client's emotional needs.