A nurse is reading a journal article about cognitive behavior therapy techniques used in various settings. In which setting would the nurse expect to find solution-focused therapy being used?

Correct Answer: A

Rationale: The correct answer is A: Acute inpatient setting. Solution-focused therapy is typically used in brief treatment settings where immediate solutions are needed, making it suitable for acute inpatient settings. It focuses on identifying and building upon the client's strengths to facilitate rapid problem-solving. In contrast, community settings (B), clinic settings (C), and home care settings (D) may involve longer-term care and may not prioritize the rapid resolution of issues, making them less likely settings for solution-focused therapy.

Correct Answer: B

Rationale: The correct answer is B: Developing a personal plan for managing suicidal thoughts when they occur. This is the most appropriate intervention at this time because the patient's suicidal risk has lessened considerably and he is able to identify reasons for wanting to live. By creating a personalized plan, the patient can learn coping strategies and techniques to manage suicidal thoughts if they resurface in the future. This empowers the patient to take control of their mental health and provides them with tools to prevent future crises. Incorrect Choices: A: Assigning nursing staff to stay with him during his suicidal crisis - This is not necessary as the patient's suicidal risk has considerably lessened. C: Advising the patient that he should consider electroconvulsive therapy treatments - This is an extreme intervention that is not warranted based on the current improvement in the patient's condition. D: Administering psychotropic drugs that decrease the patient's serotonin levels - This intervention is not appropriate as the patient's current state does not indicate the need for immediate

Correct Answer: A

Rationale: The correct answer is A: Increase your salt intake if an activity causes you to perspire heavily. Lithium carbonate can cause dehydration and electrolyte imbalances through increased sweating. By increasing salt intake during activities that lead to heavy perspiration, the client can help maintain electrolyte balance. Choice B is incorrect because wearing sunscreen does not directly relate to lithium carbonate use. Choice C is incorrect as drinking less fluid can exacerbate dehydration risks associated with lithium carbonate. Choice D is incorrect as strenuous activities may increase sweating and electrolyte loss, necessitating adjustments such as increasing salt intake.

Correct Answer: A

Rationale: The correct answer is A because it indicates a willingness to gain weight, which contradicts the typical behavior of someone with anorexia nervosa. Individuals with anorexia nervosa often have a fear of gaining weight and resist efforts to do so. Choice B is incorrect because it reflects the perfectionism often associated with anorexia nervosa. Choice C is incorrect because it reflects the fear of weight gain commonly seen in individuals with anorexia nervosa. Choice D is incorrect because it highlights the preoccupation with food and calories that is characteristic of anorexia nervosa.

Correct Answer: C

Rationale: The correct answer is C: Has anyone told you about why you are here today? This question is the most appropriate as it helps establish the child's understanding of the situation and allows the nurse to assess the child's level of awareness and perception. By asking this question first, the nurse can ensure the child is informed and prepared for the counseling session. Choice A (How are you feeling?) is not the best first question as it jumps straight into emotions without setting the context. Choice B (How old are you?) is irrelevant and does not address the purpose of the counseling session. Choice D (Why do you think I'm talking to you alone without your parents here?) may make the child feel defensive or anxious, and it assumes the child has already formed opinions about the situation.