A nurse is working with a patient who has a history of manic episodes. Which of the following interventions is most appropriate during a manic episode?

Correct Answer: B

Rationale: The correct answer is B: Providing a calm and structured environment with limits on behavior. During a manic episode, it is crucial to maintain a calm environment to prevent exacerbation of symptoms. Setting limits on behavior helps prevent impulsive actions that may harm the patient or others. Providing structure can help the patient feel more secure and in control. Choice A is incorrect because allowing impulsive behaviors can be dangerous and may lead to negative consequences. Choice C is incorrect because group therapy may not be effective during a manic episode when the patient may have difficulty focusing or controlling their behavior. Choice D is incorrect because ignoring the patient's behavior can escalate the situation and hinder their ability to self-regulate.

Correct Answer: A

Rationale: The correct answer is A: Excessive worry about a variety of topics. This is a common symptom of generalized anxiety disorder as individuals with this condition experience persistent and uncontrollable worry about various aspects of their life. This worry is excessive, difficult to control, and can interfere with daily functioning. Rapid thoughts and racing speech (B) are more commonly associated with conditions like mania or panic disorder, not generalized anxiety disorder. Intrusive memories and flashbacks (C) are symptoms of post-traumatic stress disorder, not generalized anxiety disorder. Hallucinations and delusions (D) are more indicative of psychotic disorders such as schizophrenia, not generalized anxiety disorder.

Correct Answer: C

Rationale: Rationale: - Establishing clear boundaries (Choice C) is crucial in the therapeutic relationship to ensure a professional and safe environment. - Clear boundaries help maintain a focus on the patient's needs and prevent any potential harm or ethical issues. - By identifying patient needs, the therapist can tailor treatment effectively and maintain a respectful dynamic. Summary: - Choice A focuses more on personal connection rather than therapeutic goals. - Choice B is vague and lacks specificity about how mutual needs will be addressed. - Choice D emphasizes communication but doesn't prioritize the establishment of boundaries, which is essential in therapy.

Correct Answer: C

Rationale: The correct answer is C: Ethnocentrism. Ethnocentrism refers to the belief that one's own culture is superior to others. This term accurately describes individuals who view their cultural values and practices as correct and better than those of others. Choice A, Assimilation, refers to the process of integrating into a different culture. Choice B, Enculturation, refers to the process of learning one's own culture. Choice D, Somaticization, is unrelated to the question as it refers to the conversion of mental experiences into physical symptoms.

Correct Answer: D

Rationale: Concept mapping involves visually representing relationships between concepts, making it useful for connecting concepts to a central subject (A), relating ideas to patient health problems (B), and challenging a nurse's thinking about patient needs and problems (C). By creating a visual representation of how different concepts are interconnected, concept mapping can help in understanding complex relationships and facilitating critical thinking in various contexts. Thus, the correct answer is D, as concept mapping serves all these purposes effectively.