A patient who experienced a myocardial infarction was transferred from critical care to a step-down unit. The patient then used the call bell every 15 minutes for minor requests and complaints. Staff nurses reported feeling inadequate and unable to satisfy the patient's needs. When the nurse manager intervenes directly with this patient, which comment is most therapeutic?

Correct Answer: A

Rationale: This patient is experiencing anxiety associated with a serious medical condition. Verbalization is an effective outlet for anxiety. "I'm wondering if you are anxious "¦" focuses on the emotions underlying the behavior rather than the behavior itself. This opening conveys the nurse's willingness to listen to the patient's feelings and an understanding of the commonly seen concern about not having a nurse always nearby as in the intensive care unit. The other options focus on the behavior or its impact on nursing and do not help the patient with her emotional needs.

Correct Answer: C

Rationale: Adolescents with CD have been found to have significantly reduced gray matter bilaterally in the anterior insulate cortex and the amygdala. This reduction may be related to aggressive behavior and deficits of empathy. The less gray matter in these regions of the brain, the less likely adolescents are to feel remorse for their actions or victims. People with intermittent explosive disorder may have differences in serotonin regulation in the brain and higher levels of testosterone. Neuron destruction in the hippocampus is associated with memory deficits. The occipital lobe is involved with visual stimuli but not the processing of emotions.

Correct Answer: C

Rationale: Severe physical or mental illness is a potential cause of a situational crisis. The potential loss of a loved one also serves as a potential cause of a situational crisis. Maturational crisis occurs as an individual arrives at a new stage of development, when old coping styles may be ineffective. No classification of recurring crisis exists. Mitigation refers to attempts to limit a disaster's impact on human health and community function.

Correct Answer: C

Rationale: In the context of Behavioral Nursing, understanding the roles of various agencies in emergency response is crucial for providing effective care during crises. The correct answer is C) National Incident Management System (NIMS). NIMS is responsible for coordinating a unified national response to incidents, including terrorist attacks. This agency ensures effective communication, coordination, and collaboration among different organizations involved in emergency response. Option A) Food and Drug Administration (FDA) primarily focuses on regulating food, drugs, and medical devices to ensure public safety in terms of health and medication, not on responding to terrorist attacks. Option B) Environmental Protection Agency (EPA) is concerned with environmental protection, including regulations related to air and water quality, hazardous waste, and pollution control. While they play a role in disaster response related to environmental hazards, they do not lead coordination efforts for terrorist attacks. Option D) Federal Emergency Management Agency (FEMA) is responsible for disaster response and recovery, including natural disasters like hurricanes and earthquakes. While FEMA may be involved in response efforts following a terrorist attack, their primary focus is not on coordinating responses to acts of terrorism. Educationally, knowing the specific roles of various agencies in emergency management prepares nurses to work effectively within the broader healthcare system during crises. Understanding the functions of agencies like NIMS helps nurses contribute to coordinated, interdisciplinary efforts in providing care and support during emergencies.

Correct Answer: D

Rationale: Here a member gains insight into his own experiences from hearing about the experiences of others through interpersonal learning. Catharsis refers to a therapeutic discharge of emotions. Universality refers to members realizing their feelings are common to most people and not abnormal. Imitative behavior involves copying or borrowing the adaptive behavior of others.