A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the case manager learned that the patient received a notice of eviction immediately prior to admission. Select the case manager's most appropriate action.

Correct Answer: C

Rationale: The correct action for the case manager is to arrange a temporary place for the patient to stay until new housing can be arranged. This is the most appropriate response because it addresses the immediate need of the patient for housing stability. By providing temporary accommodation, it ensures the patient's safety and well-being while allowing time to find a more permanent housing solution. Postponing discharge (Choice A) could lead to prolonged hospitalization, increasing healthcare costs unnecessarily. Contacting the landlord (Choice B) may not directly address the patient's housing needs and could potentially escalate the situation. Determining the genuineness of the adverse medication reaction based on the patient's housing situation (Choice D) is not relevant to addressing the patient's immediate housing needs and may undermine the patient's care. In summary, Choice C is the best course of action as it prioritizes the patient's immediate safety and well-being while working towards a more permanent housing solution.

Correct Answer: C

Rationale: The correct answer is C: A wish for revenge. This response poses the greatest barrier to the nurse's ability to provide therapeutic care because it indicates unresolved anger and desire for retaliation. This can lead to compromised judgment, emotional distress, and potential ethical issues in patient care. Startle reactions, difficulty sleeping, and preoccupation with the incident are common reactions to trauma but do not necessarily impede the nurse's ability to provide therapeutic care as significantly as a wish for revenge. It is crucial for the nurse to address these feelings through appropriate support and coping mechanisms to prevent negative impacts on patient care.

Correct Answer: D

Rationale: The correct answer is D: Educator. In a long-term residential treatment center for patients with chronic mental disorders, the nurse primarily assumes the role of an educator. The nurse educates patients about their conditions, treatment plans, medications, coping strategies, and self-care techniques. This helps empower patients to actively participate in their own care and improve their overall well-being. Explanation for why the other choices are incorrect: A: Therapist - While nurses may provide therapeutic communication and support, their primary focus is not to provide therapy which is typically done by mental health professionals such as psychologists or counselors. B: Medication administrator - While nurses do administer medications, it is not their primary role in working with patients with chronic mental disorders. C: Mediator - While nurses may help facilitate communication and resolve conflicts, mediating is not their primary role in providing care to patients with chronic mental disorders.

Correct Answer: D

Rationale: The correct answer is D: De-escalation. Milieu therapy focuses on creating a therapeutic environment to promote healing and growth. De-escalation techniques are not a key concept of milieu therapy. Rationale: 1. Structure interaction (A): Correct - Milieu therapy emphasizes structured interactions between individuals to enhance communication and support. 2. Open communication (B): Correct - Milieu therapy encourages open and honest communication within the therapeutic environment. 3. Validation (C): Correct - Milieu therapy emphasizes validating individuals' feelings and experiences to promote a supportive environment. 4. De-escalation (D): Incorrect - De-escalation techniques are more commonly associated with crisis intervention and managing challenging behaviors, not a core concept of milieu therapy. In summary, de-escalation is not a key concept of milieu therapy, which focuses on promoting a therapeutic environment through structured interactions, open communication, and validation.

Correct Answer: B

Rationale: The correct answer is B: Launching children and moving on. This stage typically occurs when children leave the family home to live independently, get married, or become engaged. In this scenario, the youngest child has already moved out to live by herself, and one of the other children is married while the remaining child has just gotten engaged. These events indicate that the family is transitioning into the stage of launching children and moving on, where parents adjust to an empty nest and focus on their own pursuits. Choices analysis: A: Families with adolescents - This stage typically involves children still living at home during their teenage years, which does not align with the information provided in the question. C: Families in later life - This stage occurs later in the family life cycle when children have grown up and left the family home, usually after retirement. The events in the question do not indicate this stage. D: Leaving home: single young adults - This stage involves young adults leaving the family home for the first time to