A patient was admitted to the psychiatric unit 3 days ago because of suicidal ideation. His suicidal risk has lessened considerably, and he currently denies having any desire to kill himself. In addition, he is able to identify reasons why he wants to be alive. Which nursing intervention would be most appropriate at this time?

Correct Answer: B

Rationale: The correct answer is B: Developing a personal plan for managing suicidal thoughts when they occur. This is the most appropriate intervention at this time because the patient's suicidal risk has lessened considerably and he is able to identify reasons for wanting to live. By creating a personalized plan, the patient can learn coping strategies and techniques to manage suicidal thoughts if they resurface in the future. This empowers the patient to take control of their mental health and provides them with tools to prevent future crises. Incorrect Choices: A: Assigning nursing staff to stay with him during his suicidal crisis - This is not necessary as the patient's suicidal risk has considerably lessened. C: Advising the patient that he should consider electroconvulsive therapy treatments - This is an extreme intervention that is not warranted based on the current improvement in the patient's condition. D: Administering psychotropic drugs that decrease the patient's serotonin levels - This intervention is not appropriate as the patient's current state does not indicate the need for immediate

Correct Answer: D

Rationale: The correct answer is D: "Do you find it difficult to control your worrying?" This question is most appropriate because it directly assesses one of the key symptoms of generalized anxiety disorder, which is excessive and uncontrollable worrying. By asking this question, the nurse can gather crucial information to help confirm the diagnosis. A: "Have you been a victim of a crime or seen someone badly injured or killed?" - This question is more relevant to assessing symptoms of post-traumatic stress disorder rather than generalized anxiety disorder. B: "Do you feel especially uncomfortable in social situations involving people?" - This question is more indicative of social anxiety disorder rather than generalized anxiety disorder. C: "Do you repeatedly do certain things over and over again?" - This question is more aligned with symptoms of obsessive-compulsive disorder rather than generalized anxiety disorder.

Correct Answer: C

Rationale: The correct answer is C: fetal alcohol syndrome. Fetal alcohol syndrome is a learning disability caused by prenatal exposure to alcohol, making it avoidable by abstaining from alcohol during pregnancy. Fragile X, Down syndrome, and Prader Willi syndrome are genetic conditions not caused by environmental factors, so they are not avoidable. Therefore, the correct answer is C as it is the only type of learning disability with an avoidable cause.

Correct Answer: C

Rationale: The correct answer is C: Isolation. Erikson's psychosocial theory states that during young adulthood, the primary developmental task is to establish intimate relationships. A 25-year-old client diagnosed with major depressive disorder avoiding others suggests a failure to establish these intimate relationships, leading to a sense of isolation. Stagnation (A) refers to the inability to contribute to society in mid-adulthood. Despair (B) is associated with late adulthood and reflects feelings of regret and disappointment. Role confusion (D) is a characteristic of adolescence, where individuals struggle to define their identity and role in society.

Correct Answer: C

Rationale: The correct answer is C: Has anyone told you about why you are here today? This question is the most appropriate as it helps establish the child's understanding of the situation and allows the nurse to assess the child's level of awareness and perception. By asking this question first, the nurse can ensure the child is informed and prepared for the counseling session. Choice A (How are you feeling?) is not the best first question as it jumps straight into emotions without setting the context. Choice B (How old are you?) is irrelevant and does not address the purpose of the counseling session. Choice D (Why do you think I'm talking to you alone without your parents here?) may make the child feel defensive or anxious, and it assumes the child has already formed opinions about the situation.