A patient who has attempted suicide has an underlying diagnosis of depression. Which of the following would the nurse anticipate being ordered for the patient?

Correct Answer: A

Rationale: The correct answer is A: Selective serotonin reuptake inhibitor (SSRI). SSRIs are commonly prescribed for depression due to their effectiveness in improving mood and reducing suicidal ideation. They are considered first-line treatment for depression. Mood stabilizers (B) are typically used for bipolar disorder, not major depressive disorder. Tricyclic antidepressants (C) have more side effects and are not as commonly prescribed as SSRIs. Atypical antipsychotics (D) are often used as adjunctive therapy for depression with psychotic features, but SSRIs are the primary treatment choice for depression without psychotic symptoms.

Correct Answer: C

Rationale: The correct answer is C because it acknowledges the adolescent's concerns about privacy while also emphasizing the importance of safety and appropriate reporting. By mentioning that certain information, like suicidal thoughts, must be shared with the treatment team, the nurse maintains transparency and prioritizes the well-being of the adolescent. This response respects confidentiality while also upholding ethical and legal obligations to ensure the adolescent's safety. Choice A is incorrect because it inaccurately states that information shared with the nurse is completely confidential, which may not be the case in situations involving potential harm to the individual or others. Choice B is incorrect because it dismisses the adolescent's concerns about privacy and does not address the specific issue of mandatory reporting for certain serious matters. Choice D is incorrect because it does not address the core issue raised by the adolescent and may come across as judgmental or dismissive of their feelings and concerns.

Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct: 1. Assessment findings in mental illness reflect a person's cultural patterns: This belief acknowledges the importance of cultural considerations in understanding and addressing mental health issues. 2. By recognizing cultural patterns in assessment findings, the nurse can provide more personalized and effective care. 3. Understanding cultural influences can help the nurse advocate for patient-centered care during multidisciplinary care planning. 4. This belief aligns with the principles of cultural competence and patient advocacy in healthcare. Summary: - Choice A is incorrect as mental illnesses can have biological, psychological, and social determinants in addition to cultural factors. - Choice B is incorrect as it generalizes specific disorders without considering individual and cultural variations. - Choice C is incorrect as symptoms can manifest differently across cultures due to various factors beyond just the disorder itself.

Correct Answer: C

Rationale: The correct answer is C because using a sticker chart to document the child's accomplishments can provide positive reinforcement for desired behaviors in children with ADHD. This method helps track progress and rewards the child for their achievements, promoting self-esteem and motivation. It is an effective tool in behavior management. Incorrect answers: A: Using a strict discipline program may not be effective for children with ADHD as it can lead to negative outcomes and emotional distress. B: Giving plenty of options can overwhelm a child with ADHD, making decision-making challenging and potentially increasing impulsivity. D: Creating a lively environment is beneficial, but it may not address the specific needs of a child with ADHD in terms of behavior management and focus.

Correct Answer: C

Rationale: The correct answer is C because recovery in mental health focuses on helping the patient live a meaningful life to their fullest potential. This statement aligns with the recovery model which emphasizes empowerment, hope, and self-determination. Choice A is incorrect as recovery is not always a linear process. Choice B is incorrect as recovery involves addressing various aspects of the individual's life, not just emotions. Choice D is incorrect because while peer support and self-acceptance are essential, they are not the sole focus of the recovery process. Overall, choice C best reflects the holistic approach to mental health recovery.

Correct Answer: D

Rationale: The correct answer is D: Physical health. Successful aging is not solely dependent on physical health, as individuals can still age successfully despite some physical health challenges. Capacity to adapt to change, engagement in life, and stability with reliable social support are key qualities that contribute significantly to successful aging. Adapting to changes helps individuals cope with life transitions, staying engaged in life promotes mental well-being, and having stable social support enhances overall quality of life. Therefore, physical health, while important, is considered least important compared to the other qualities in contributing to successful aging.

Correct Answer: C

Rationale: The correct answer is C: Environmental stimuli. Self-monitoring in behavioral therapy for bulimia nervosa involves tracking external triggers like locations, people, or activities that may lead to binge eating. This helps the client identify patterns and develop strategies to cope with or avoid these triggers. Choice A (Feelings of hunger) focuses on internal cues, which are not the primary target of self-monitoring in bulimia nervosa. Choice B (Efforts at distraction) is not typically recorded in a self-monitoring diary but may be addressed through other therapeutic techniques. Choice D (Rigid rules about eating) is more related to cognitive restructuring rather than self-monitoring of environmental stimuli.

Correct Answer: D

Rationale: The correct answer is D because anxiety and depression in an incest survivor are considered normal reactions to posttraumatic events. Survivors often experience these symptoms as a result of the trauma they have endured. It is important for the survivor to understand that these reactions are common and part of the healing process. Choice A is incorrect because complete eradication of these symptoms may not be realistic. Choice B is incorrect as it downplays the seriousness of the survivor's experience. Choice C is incorrect because labeling the symptoms as abnormal may further stigmatize the survivor.

Correct Answer: C

Rationale: Rationale: According to Maslow's hierarchy of needs, self-fulfillment is the highest level of need, representing personal growth and reaching one's full potential. This is known as self-actualization. Clients who discuss feelings of self-fulfillment are considered highly evolved and mature as they have satisfied lower-level needs and are focused on personal growth. Choices A, B, and D relate to lower levels of needs such as safety, belongingness, and esteem respectively, which are not as advanced as self-fulfillment. Therefore, choice C is the correct answer as it aligns with the highest level of need in Maslow's hierarchy.