A patient has been voluntarily admitted to a mental health facility after an unsuccessful attempt to harm himself. Which statement demonstrates a need to better educate the patient on his patient's rights?

Correct Answer: D

Rationale: The correct answer is D) "I can hurt myself if I want to. It's none of your business." This statement demonstrates a lack of understanding about the patient's rights and autonomy in a mental health facility. It indicates a misconception that self-harm is a personal matter only, overlooking the duty of healthcare providers to ensure patient safety. Option A) "I understand why I was restrained when I was out of control" shows an awareness of the need for restraint during episodes of loss of control, indicating some understanding of safety measures. Option B) "You can't tell my boss about the suicide attempt without my permission" highlights the patient's right to confidentiality, which is an important aspect of patient privacy but not directly related to the current issue of self-harm and safety. Option C) "I have a right to know what all of you are planning to do to me" reflects the patient's right to information and involvement in treatment decisions, which is a valid and important aspect of patient-centered care but does not address the immediate concern of self-harm. In an educational context, this question emphasizes the importance of educating patients about their rights and responsibilities in a mental health setting. Understanding these rights can empower patients to participate in their care effectively and advocate for themselves while ensuring their safety and well-being are prioritized by healthcare providers.

Correct Answer: A

Rationale: In the context of assessing health behavior in nursing, understanding the comorbidities associated with specific mental health disorders is crucial for providing effective care. In the case of obsessive-compulsive disorder (OCD), comorbidities often include conditions that share similar underlying mechanisms or risk factors. The correct answer is A) Anorexia nervosa. This is because OCD and anorexia nervosa frequently co-occur due to their shared characteristics of perfectionism, rigid thinking, and compulsive behaviors. Individuals with OCD may develop anorexia nervosa as a way to exert control over their environment or body in a similar compulsive manner. Option B) Post-traumatic stress disorder (PTSD) is less likely to be a comorbidity with OCD, as the two disorders have distinct etiologies and symptom profiles. While individuals with PTSD may experience intrusive thoughts or compulsive behaviors, these are typically related to trauma exposure rather than the characteristic obsessions and compulsions of OCD. Option C) Agoraphobia and Option D) Delusional disorder are also less likely comorbidities with OCD. Agoraphobia is commonly associated with panic disorder rather than OCD, and delusional disorder involves fixed false beliefs that are not a core feature of OCD. Educationally, this question highlights the importance of recognizing common comorbidities in mental health disorders to provide holistic and individualized care to clients. Understanding these relationships can inform assessment, intervention, and interdisciplinary collaboration in nursing practice.

Correct Answer: A

Rationale: The correct answer is A) The nurse will be assisted into drug treatment. This is the likely initial outcome because when a nurse is confronted about stealing drugs and reported to the board of nursing for substance abuse issues, the primary concern is the nurse's health and well-being. Nursing regulatory bodies and healthcare institutions prioritize the rehabilitation and support of healthcare professionals struggling with substance abuse to ensure patient safety and provide the nurse with the necessary resources for recovery. Option B) The nurse will need to transfer to a different unit is incorrect because simply transferring the nurse to a different unit does not address the underlying issue of substance abuse. It is important to address the root cause of the problem through appropriate interventions. Option C) The nurse will be fired immediately may not be the best course of action as termination without offering support or assistance for rehabilitation does not address the nurse's potential for recovery and may not comply with labor laws or ethical considerations. Option D) The nurse will lose their nursing license immediately is also an extreme measure that is usually not the initial step taken in cases of substance abuse. Licensing boards typically aim to protect the public while also providing avenues for nurses to seek help and rehabilitation before resorting to revoking their license. In an educational context, it is crucial for nursing students and professionals to understand the importance of addressing substance abuse issues with compassion, support, and appropriate interventions. Nurses should be aware of the resources available for seeking help and the potential consequences of not addressing substance abuse problems in a timely manner.

Correct Answer: A

Rationale: In the context of Selye's General Adaptation Syndrome (GAS), the correct answer to the question is option A) Resistance phase. This phase reflects the body's ability to adapt to the stressor and maintain a heightened state of resistance over a prolonged period of time without apparent impairment. During the Resistance phase, the body continues to cope with the stressor, and physiological functions stabilize at a new, higher level of functioning. In the case of a nurse facing prolonged stress, such as heavy workload or emotionally taxing situations over weeks to months, being in the Resistance phase is crucial for maintaining performance without observable impairment. Option B) Exhaustion phase is incorrect because this phase occurs when the body's resources are depleted after prolonged exposure to stress, leading to a breakdown in adaptation and increased vulnerability to illness or impairment. Option C) Adaptive phase is not a recognized phase in Selye's GAS model. While adaptation is a key component of the stress response, it is not a specific phase in this context. Option D) Alarm phase is the initial phase of GAS where the body first recognizes and responds to a stressor. It is characterized by the activation of the fight-or-flight response, which is not sustainable over prolonged periods without negative consequences. Understanding Selye's GAS model is essential for healthcare professionals like nurses, as it provides insights into how the body responds to stress and the importance of adaptation in maintaining health and performance. Knowing the different phases helps nurses recognize where they, or their patients, may be in the stress response cycle and implement appropriate interventions to promote adaptation and resilience.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Secondary data. Secondary data is information obtained from sources other than the client themselves, such as family members or medical records. In this case, the information provided by the client's family is considered secondary data because it is coming from a source external to the client. Option B) Objective data refers to measurable and observable data obtained through physical assessments or tests. In this case, information provided by the client's family is not objective data as it is based on their perceptions and experiences, rather than concrete measurements. Option C) Subjective data is information based on the client's feelings, perceptions, and experiences. While the family's information may contain subjective elements, the term "subjective" typically refers to data provided directly by the client themselves during assessments. Option D) Historical data refers to past information about the client's health status, treatments, and outcomes. While the information from the client's family may include historical elements, the term "historical" typically refers to data collected from the client's medical records or previous healthcare encounters. Understanding the difference between these types of data is crucial for nurses in assessing and providing care for clients. By recognizing that the information from the client's family is secondary data, the nurse can appropriately integrate it into the client's care plan while being mindful of its source and potential limitations.