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: C

Rationale: The adult's statements indicate feelings of inadequacy and lack of confidence, which align with Erikson's stage of Autonomy versus shame and doubt. In this stage, individuals develop a sense of independence and self-assurance. The adult's expressions of self-doubt and disempowerment suggest an unresolved conflict from this stage. A: Initiative versus guilt - This stage pertains to developing a sense of purpose and direction in actions, not relevant to the adult's statements. B: Trust versus mistrust - This stage focuses on building trust in relationships, not directly related to the adult's self-perception issues. D: Generativity versus self-absorption - This stage involves contributing to society and future generations, not reflective of the adult's self-depreciating thoughts.

Correct Answer: B

Rationale: The correct answer is B: Oculogyric crisis. This condition is characterized by sustained upward deviation of the eyes, commonly seen with antipsychotic medications like haloperidol. Akathisia is restlessness and inability to sit still, not related to eye movement. Retrocollis is sustained backward neck extension, not eye movement. Tardive dyskinesia is characterized by involuntary movements of the face and body, not specifically eye movement.

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: A

Rationale: The correct answer is A because it encourages the patient to express their feelings without assuming or directing their response. This open-ended question allows the patient to share their emotional state freely, providing valuable insight into their psychological well-being. Choice B focuses specifically on depressed moods, which may limit the patient's response. Choice C is more focused on the patient's caregiving duration rather than their current emotional state. Choice D assumes the patient is feeling overwhelmed and may not capture the full range of emotions the patient is experiencing. Overall, choice A promotes effective communication and comprehensive assessment of the patient's psychological domain.