A nurse is working with a psychiatric client who was admitted to the inpatient facility and is being discharged. The client asks the nurse what he should do when he goes home to promote getting adequate sleep. Which response by the nurse would be most appropriate?

Correct Answer: B

Rationale: The correct answer is B: Save your bedroom for sleeping; that means no work and no TV in the bedroom. Rationale: 1. The bedroom should be associated with sleep to promote better sleep hygiene. 2. Removing work and TV from the bedroom helps to create a sleep-conducive environment. 3. This approach helps the client establish a bedtime routine that signals the brain it is time to sleep. 4. It discourages activities that may interfere with falling asleep or staying asleep. 5. It aligns with evidence-based recommendations for improving sleep quality. Summary: A: Going to bed at the same time every night is beneficial, but watching TV before bed can disrupt sleep. C: Prescribing sleeping pills should be a last resort and not the initial recommendation. D: Keeping the bedroom warm is not as critical as creating a sleep-friendly environment.

Correct Answer: D

Rationale: The correct answer is D because involving peers in teaching promotes active learning, peer support, and a sense of belonging. Adolescents often respond positively to peer influence and are more likely to engage in discussions and activities when peers are involved. This strategy also fosters teamwork and problem-solving skills, which are essential for addressing drug abuse issues. A, B, and C are incorrect because they focus on passive learning methods such as handing out pamphlets, showing videos, and lecturing with quizzes. These methods may not effectively engage at-risk adolescents or provide the necessary support and interactive learning experience that involving peers can offer.

Correct Answer: B

Rationale: The correct answer is B: Empowerment. Empowerment refers to the level of choice, influence, and control that users of mental health services can exercise over events in their lives. It involves empowering individuals to make decisions and take actions that enhance their well-being. Emotional regulation (A) refers to the ability to manage and control emotions. Mutual negotiation (C) involves reaching agreements through discussion and compromise. Self-determination (D) is the right of individuals to make choices about their own lives. However, empowerment specifically focuses on giving individuals the ability to exert influence and control over their circumstances, making it the most appropriate term in this context.

Correct Answer: B

Rationale: The correct answer is B because interacting with others in the environment is a key indicator of mental health and wellness in older adults. Social interaction promotes cognitive function, emotional well-being, and overall quality of life. It helps prevent isolation and depression. Choice A is incorrect as minimal social contacts can lead to feelings of loneliness and isolation. Choice C is incorrect because relying solely on family for assistance may indicate limited social support network. Choice D is incorrect because experiencing bereavement is a normal part of life and does not necessarily indicate mental health and wellness.

Correct Answer: A

Rationale: The correct answer is A: Coronary heart disease. Suppressed anger is linked to conditions like hypertension and arthritis due to the negative impact on the body from unexpressed emotions. However, coronary heart disease is more closely associated with chronic stress, unhealthy lifestyle choices, and genetic factors rather than suppressed anger. Therefore, the nursing students need additional study to understand the specific correlation between suppressed anger and coronary heart disease.