A nurse is providing teaching to a young adult about measures to promote mental health. Which statement by the patient would indicate a need for additional teaching?

Correct Answer: C

Rationale: The correct answer is C. Having the support of friends is important for mental health, but relying solely on two friends for support may not be sufficient. A well-rounded support system includes various sources such as family, mental health professionals, and community resources. This ensures diverse perspectives and availability of support in different situations. Choices A, B, and D are all valid measures to promote mental health. A: Nutritious foods provide essential nutrients for brain function. B: Relaxation helps reduce stress and promotes mental well-being. D: Sufficient sleep is crucial for mood regulation and cognitive function. Hence, choice C indicates a need for additional teaching on the importance of a comprehensive support network.

Correct Answer: B

Rationale: The correct answer is B: Rice with black beans. This choice is correct because it is a high-fiber, plant-based meal that is low in protein, which is important for a client with hepatic encephalopathy. Rice and black beans provide complex carbohydrates and fiber, aiding in ammonia detoxification without increasing protein intake. The other choices are incorrect because: A: A sandwich and milkshake are high in protein and may exacerbate hepatic encephalopathy. C: Cottage cheese and tuna lettuce are high in protein, which can lead to increased ammonia production. D: Three-egg omelette with low-sodium ham is high in protein, which is not recommended for clients with hepatic encephalopathy.

Correct Answer: A

Rationale: The correct answer is A because it shows a lack of understanding of a suicide safety plan. This statement indicates an awareness of triggers but does not demonstrate any coping strategies or steps to prevent suicide. In contrast, choices B, C, and D all show elements of a safety plan - engaging in physical activity, relying on a supportive individual, and carrying a suicide prevention resource. In summary, A does not include any proactive measures to address suicidal thoughts compared to B, C, and D.

Correct Answer: A

Rationale: The correct answer is A: Acceptance that death is a natural part of life. This factor is crucial for hospice nurses as it enables them to approach end-of-life care with compassion and understanding. By accepting death as a natural process, the nurse can provide respectful care without fear or denial. Possessing excellent nursing skills (B) is important but not as impactful as having the right mindset towards death. A healthy personal life (C) can contribute to overall well-being but may not directly impact the nurse's ability to provide respectful care. While the desire to work with both the patient and family (D) is important, it is the acceptance of death that underpins the nurse's ability to provide professional care in the hospice setting.

Correct Answer: B

Rationale: The correct answer is B because only advanced practice nurses, such as psychiatric nurse practitioners, have the authority to prescribe psychotropic medication. This action requires specialized training and legal authorization beyond the scope of practice for staff nurses. Choice A is incorrect because staff nurses are trained to perform mental health assessments as part of their regular duties. Choice C is incorrect as establishing therapeutic relationships is a fundamental nursing skill that all nurses, including new staff nurses, are expected to possess. Choice D is incorrect because individualizing nursing care plans is a standard practice for all nurses based on the patient's specific needs.