A nurse is performing an assessment of a patient with suicidal ideation. Which question would the nurse most likely ask to determine the degree of planning?

Correct Answer: C

Rationale: The correct answer is C. Asking "Could you stop yourself from killing yourself?" helps assess the degree of planning as it gauges the patient's ability and intention to prevent the act. Choice A focuses on intent, not planning. Choice B relates to past attempts, not current planning. Choice D addresses distress level, not planning. Thus, C is the best choice for evaluating the patient's current planning regarding suicide.

Correct Answer: C

Rationale: The correct answer is C: Autonomy versus shame and doubt. This adult's statements indicate feelings of inadequacy and lack of confidence in their own abilities and opinions, which align with the psychosocial crisis of autonomy versus shame and doubt. During this stage, individuals develop a sense of independence and self-confidence. The adult's statements suggest a failure to successfully navigate this crisis, leading to feelings of shame and doubt. Summary: A: Initiative versus guilt - This crisis focuses on developing a sense of purpose and direction, not directly related to the adult's statements. B: Trust versus mistrust - This crisis occurs in infancy and is about developing trust in others, not applicable to the adult's situation. D: Generativity versus self-absorption - This crisis occurs in middle adulthood, involving concerns about contributing to future generations, not relevant to the adult's feelings of inadequacy.

Correct Answer: B

Rationale: The correct answer is B: Education. Education is a protective factor for mental disorders in older adults because higher levels of education are associated with better cognitive functioning and a lower risk of developing mental health issues. Education also provides individuals with better problem-solving skills and access to resources that can help them cope with stressors. A: Poverty is incorrect because it is a risk factor for mental disorders due to increased stress, lack of access to resources, and limited opportunities for mental health care. C: Loss is incorrect as it can be a risk factor for mental disorders in older adults, such as grief and depression following the loss of a loved one. D: Chronic illness is incorrect as it can also be a risk factor for mental disorders due to the physical and emotional burden it places on individuals.

Correct Answer: A

Rationale: The correct answer is A: A lack of bonding as an infant. This response from the child suggests a lack of secure attachment to a caregiver, leading to a sense of insecurity and seeking attachment with anyone present. This behavior is commonly seen in children who have not formed a secure bond with their primary caregiver in early childhood. Choices B, C, and D are incorrect because a healthy confidence in the child, adequate parental bonding, and normal parenting would not typically lead to a child seeking attachment with a stranger in a situation like this.

Correct Answer: D

Rationale: The correct response is D: Encourage the patient to discuss his anger with the group. This option promotes open communication, which can help the patient express and process his emotions in a supportive environment. By addressing the anger directly, the nurse can facilitate the patient's emotional expression and potentially uncover underlying issues contributing to his hostility. It also allows the group members to practice empathy and understanding towards the patient's emotions, fostering a sense of community and trust. Option A: Keeping the focus off the patient may lead to avoidance of the issue and hinder potential therapeutic progress. Option B: Suggesting private counseling may be beneficial but does not address the immediate situation or utilize the group dynamic for support. Option C: Asking the patient to leave the group may escalate the situation and could isolate the patient further, potentially exacerbating his anger.