A nurse is preparing a teaching plan for a client about the sexual response cycle integrating the theoretical model described by Masters and Johnson. Which of the following would the nurse describe as occurring first?

Correct Answer: A

Rationale: The correct answer is A: Erotic feelings. According to the Masters and Johnson model, the sexual response cycle starts with the excitement phase, during which erotic feelings and thoughts initiate sexual arousal. Penile erection (B), vaginal lubrication (C), and increased muscle tension (D) are part of the subsequent phases of the cycle, which include plateau, orgasm, and resolution. Therefore, based on the sequence proposed by Masters and Johnson, the first step in the sexual response cycle is the experience of erotic feelings.

Correct Answer: A

Rationale: A laissez-faire leader is best suited for an art group because they are typically creative, self-motivated, and independent individuals who thrive in an environment with minimal supervision. This leadership style allows members to have freedom in their artistic expression and encourages innovation. In contrast, a grief group, social skills group, and anger management group would benefit more from a more structured and supportive leadership style to provide guidance, encouragement, and emotional support, which are essential for addressing the specific needs and challenges of these groups.

Correct Answer: C

Rationale: The correct answer is C: Tap beers. Phenelzine is a monoamine oxidase inhibitor (MAOI), which can interact with tyramine-rich foods and beverages like tap beers. When phenelzine is combined with tyramine-containing substances, it can lead to a hypertensive crisis. Choices A, B, and D do not contain high levels of tyramine and are safe to consume while taking phenelzine. It is crucial for patients on MAOIs to avoid foods like tap beers to prevent dangerous interactions.

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: 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: C

Rationale: The correct answer is C: brief psychotic disorder. This diagnosis is most likely because the client is experiencing hallucinations and delusions for less than a month with no history of mood disorder, medical conditions, or substance misuse. Brief psychotic disorder is characterized by a sudden onset of psychotic symptoms lasting less than a month. Schizophrenia (A) requires symptoms to be present for at least six months. Schizoaffective disorder (B) involves a combination of mood disorder symptoms along with psychotic symptoms. Catatonia (D) is a symptom seen in various psychiatric disorders but is not a primary diagnosis. Therefore, based on the client's presentation and history, brief psychotic disorder is the most likely diagnosis.

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: 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.

Correct Answer: D

Rationale: The correct answer is D: Mental health care services are inadequate and fragmented. This is the most reflective statement of the current status of mental health services in the United States. 1. Inadequate services: Many individuals face barriers in accessing mental health care due to factors such as cost, stigma, and lack of providers. 2. Fragmented services: The mental health care system in the U.S. is often disjointed, with gaps in service provision and coordination between different providers and agencies. 3. Lack of resources: There is a shortage of mental health professionals and funding for mental health services, further contributing to the inadequacy and fragmentation of care. Other choices are incorrect because: A: Mental health care is not equally accessible, as there are disparities in access based on factors like income and location. B: While mental illness is a significant cause of disability, this statement does not address the current status of mental health services. C: Mental health care focuses on a range of interventions, including