A parent is worried about their adolescent who has been having angry outbursts for three weeks. The parent reaches out to the pediatrician's office asking about multisystemic treatment. How can the nurse explain it?

Correct Answer: C

Rationale: The correct answer is C: a combination of behavior therapy training that includes the child, the family, and the school. This is the most appropriate response because multisystemic treatment is a comprehensive approach involving various aspects of the adolescent's life. It targets behavior through therapy and involves not only the child but also the family and school to address underlying issues and promote positive change. Incorrect options: A: Immediate assessment for oppositional defiant disorder - This option focuses solely on a diagnosis and does not address the holistic approach of multisystemic treatment. B: Very upsetting, but just typical for teenagers - This option dismisses the seriousness of the situation and does not provide a constructive solution. D: A course of prescription medication - This option suggests a medical intervention, which is not typically the first-line approach for managing behavioral issues in adolescents.

Correct Answer: B

Rationale: The correct answer is B because "falling out" is a culture-specific syndrome known as "ataque de nervios" commonly found in Latin American cultures. This syndrome is characterized by sudden collapse, uncontrollable crying, trembling, and loss of vision despite the eyes being open. The other choices describe different culture-specific syndromes but do not match the specific symptoms associated with "falling out." Choice A describes a syndrome induced by witches, Choice C describes illness caused by hexing and witchcraft, and Choice D describes illness caused by a fixed stare, none of which align with the symptoms of "falling out."

Correct Answer: D

Rationale: The correct answer is D: Interpersonal psychotherapy. This therapy focuses on improving interpersonal relationships and communication skills to address emotional issues. In the scenario, the person sought help for feelings related to survivor's guilt, which falls under the scope of interpersonal psychotherapy. The counselor likely helped the person process emotions, improve coping strategies, and enhance social support. A: Systematic desensitization is used to treat phobias by gradually exposing the individual to the feared object or situation to reduce anxiety. B: Psychoanalysis involves exploring unconscious conflicts and childhood experiences over an extended period. C: Behavior modification focuses on changing specific behaviors through reinforcement and punishment techniques.

Correct Answer: D

Rationale: The correct next comment for the nurse is D: "Are you comfortable conversing in English, or would you prefer to have a translator present?" This is the best choice because it directly addresses the patient's language preference and ensures effective communication. By asking this question, the nurse demonstrates cultural sensitivity and respect for the patient's linguistic needs. It also shows a willingness to accommodate the patient's communication preferences, promoting trust and understanding in the healthcare setting. Choice A is incorrect as it focuses on the patient's journey to the U.S., which is unrelated to the immediate healthcare assessment. Choice B assumes the patient needs help from a family member without first assessing the patient's language proficiency. Choice C, while offering an interpreter, does not directly inquire about the patient's language preference, potentially overlooking the patient's comfort level with English.

Correct Answer: A

Rationale: The correct answer is A because repeatedly checking the location of car keys is a common symptom of obsessive-compulsive disorder (OCD). This behavior reflects obsessive thoughts about losing the keys and compulsive actions to alleviate anxiety. Choice B indicates physical symptoms, not OCD. Choice C suggests social anxiety, not OCD. Choice D indicates symptoms of post-traumatic stress disorder, not OCD. Therefore, choice A is the best indicator of possible OCD due to the specific repetitive behavior related to obsessive thoughts.