A patient in the emergency department shows disorganized behavior and incoherence after a friend suggested a homosexual encounter. In which room should the nurse place the patient?

Correct Answer: A

Rationale: The correct answer is A: An interview room furnished with a desk and two chairs. This room provides a private and comfortable setting for the patient to express their feelings and concerns openly. The desk and chairs facilitate a structured conversation between the patient and healthcare provider. Choice B is incorrect because a small, empty storage room is not conducive to providing appropriate care for a patient experiencing disorganized behavior and incoherence. It lacks the necessary environment for effective communication and support. Choice C is incorrect as a room with an examining table and instrument cabinets may make the patient feel uncomfortable or anxious, potentially exacerbating their symptoms. It is more suitable for physical examinations rather than mental health assessments. Choice D is incorrect because placing the patient in the nurse's office may not provide the necessary privacy and professional boundaries required for a therapeutic interaction. It lacks the neutrality and confidentiality needed for the patient to feel safe and supported.

Correct Answer: C

Rationale: The correct answer is C: Expansive. Expansive mood is characterized by grandiosity, inflated self-esteem, and an exaggerated sense of importance. In this scenario, the client's belief of being extremely beautiful and desirable reflects a grandiose and exaggerated self-perception, which aligns with an expansive mood seen in manic episodes of bipolar disorder. Incorrect choices: A: Irritable - Irritable mood is marked by anger, frustration, and hostility, which are not reflected in the client's statements. B: Elevated - Elevated mood is characterized by increased energy and positivity but does not capture the grandiosity and exaggerated self-importance displayed by the client. D: Euphoric - Euphoric mood is an intense feeling of happiness and excitement, which does not fully encompass the grandiose and inflated self-esteem exhibited by the client.

Correct Answer: C

Rationale: The correct answer is C: singing. Singing can help Bobby feel more comfortable talking in class by promoting relaxation, breath control, and confidence in his voice. Singing can also improve his speech fluency and rhythm, which may reduce his stuttering when talking. Additionally, singing can be a fun and engaging way for Bobby to express himself without feeling self-conscious. Other choices are incorrect because: A: scheduling a conference with his mother may not directly address Bobby's communication difficulties in class. B: psychodrama focuses on exploring emotions and thoughts through dramatic expression, which may not specifically target Bobby's speech issues. D: having a hearing assessment is not relevant to Bobby's stuttering and difficulty talking in class.

Correct Answer: C

Rationale: The correct answer is C, Running amok, as it is a culture-bound syndrome specific to certain cultures where individuals exhibit sudden outbursts of violence. This behavior is not seen as a mental disorder in those cultures but rather a culturally accepted phenomenon. Epilepsy, schizophrenia, and major depressive disorder are not culture-bound syndromes as they are recognized and diagnosed across various cultures without cultural specificity.

Correct Answer: C

Rationale: Rationale: Choice C is correct because understanding potential side effects like difficulty sleeping is crucial for the client's adherence to the medication plan. Sertraline can cause sleep disturbances initially. Choices A, B, and D are incorrect. A immediate relief is unlikely with antidepressants, B increased urination is not a common side effect of sertraline, and D sodium intake is not typically a concern with this medication.