A nursing student is presenting a discussion of the history of psychiatric-mental health nursing and its place within nursing history. Which of the following would be most appropriate to include?

Correct Answer: C

Rationale: The correct answer is C because there is a historical link between the first nursing program to admit male students and the first training school for psychiatric nursing. This is important to include in a discussion of the history of psychiatric-mental health nursing as it highlights the progressive nature of nursing education and the integration of male nurses into psychiatric nursing. This connection showcases the evolution of psychiatric nursing training and its significance within the broader history of nursing education. Choices A, B, and D are incorrect: A: Certification for the psychiatric-mental health nursing specialty was not first emphasized by Mary Adelaide Nutting. This statement does not align with the historical development of psychiatric nursing education. B: Psychiatric nurses' role in deinstitutionalization and community mental health centers is not directly related to the history of psychiatric-mental health nursing education, making this choice irrelevant. D: The establishment of the first graduate program in psychiatric nursing in response to psychiatric nursing specialty journals is not historically accurate, as the first training school for psychiatric nursing

Correct Answer: C

Rationale: The correct answer is C: Serotonin syndrome. The patient's symptoms of agitation, hallucinations, tachycardia, incoordination, vomiting, and diarrhea are consistent with serotonin syndrome, a potentially life-threatening condition caused by excessive serotonin levels. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression, which can lead to serotonin syndrome when combined with other serotonergic medications. Neuroleptic malignant syndrome (choice A) presents with muscle rigidity, fever, and altered mental status. Acute dystonic reaction (choice B) is characterized by sudden muscle contractions. Hypothyroidism (choice D) does not typically present with symptoms like agitation, hallucinations, and tachycardia.

Correct Answer: C

Rationale: Rationale: 1. Bibliotherapy involves using written materials to help individuals understand and cope with emotional issues. 2. In this scenario, having the family read short stories written by parents of children with chronic illnesses can provide emotional support and guidance. 3. Psychoeducation focuses on educating individuals about their condition, not necessarily providing emotional support. 4. Social skills training and assertiveness training focus on developing specific skills, which are not the primary goal in this case.

Correct Answer: D

Rationale: The correct answer is D because it focuses on the patient's past behavior in response to stress, providing insight into her coping strategies. By understanding how she has dealt with stress before, the nurse can anticipate her current response. Choice A is too focused on the cause of job loss, not the patient's emotional response. Choice B is too narrow, not addressing broader coping mechanisms. Choice C is future-oriented, not addressing the patient's current emotional state.

Correct Answer: B

Rationale: The correct answer is B: It is more likely to occur in women. Schizoaffective disorder is more prevalent in women than in men, with a slightly higher risk in females. This is due to various factors such as hormonal influences and genetic predispositions. Other choices are incorrect: A is incorrect because schizoaffective disorder typically presents in late adolescence or early adulthood, not in children; C is incorrect as the disorder affects individuals of all racial backgrounds; D is incorrect as there is evidence of familial clustering indicating a genetic component to the disorder.