A public health nurse is applying for a grant related to suicide prevention. When describing social groups at highest risk, which of the following should the nurse include?

Correct Answer: B

Rationale: In the context of suicide prevention, it is crucial for public health nurses to understand the social groups at highest risk to effectively target interventions. The correct answer is B) Native American. Native American populations in the United States face unique social, historical, and systemic challenges that contribute to higher rates of suicide compared to other social groups. Factors such as historical trauma, loss of cultural identity, poverty, and limited access to mental health services contribute to their increased risk. Option A) South American, Option C) African American, and Option D) Japanese American are not the groups at highest risk for suicide as indicated in research and epidemiological data. While these groups may also experience disparities in mental health and well-being, the prevalence of suicide is notably higher among Native American populations. For educational context, it is essential for nurses to have a culturally sensitive approach when working with diverse populations to address mental health issues such as suicide. By understanding the specific risk factors and challenges faced by different social groups, nurses can tailor their interventions to be more effective and culturally appropriate, ultimately leading to better outcomes in suicide prevention efforts.

Correct Answer: C

Rationale: The most therapeutic response in this scenario is option C: "I understand you feel capable, but it's important to stay safe." This response acknowledges the patient's feelings of capability while also emphasizing the importance of safety, which is crucial when caring for a patient in the manic phase of bipolar disorder. Option A may come across as directive and could potentially trigger defensiveness in the patient, as it tells the patient what they "need" to do. Option B, while promoting the idea of accepting help, does not address the immediate safety concern. Option D, by allowing the patient to believe they can do anything without any boundaries, could potentially enable risky behavior during the manic phase. In an educational context, it is essential for nurses to learn therapeutic communication techniques that validate the patient's feelings while also guiding them towards safe and healthy behaviors. Understanding the nuances of communication in mental health settings is crucial for providing effective care and support to patients with bipolar disorder and other mental health conditions.

Correct Answer: C

Rationale: The most appropriate nursing diagnosis for a patient diagnosed with bulimia nervosa who says, 'I can't stop eating even when I feel full' is option C: Ineffective coping related to lack of emotional regulation. In bulimia nervosa, individuals often engage in episodes of binge eating followed by compensatory behaviors like purging or fasting. The patient's statement indicates a lack of effective coping mechanisms to manage emotional triggers that lead to overeating even when full. This points to the core issue of inadequate coping skills in response to emotional distress, making option C the most suitable diagnosis. Option A (Imbalanced nutrition: Less than body requirements) may not be the best choice as the patient's statement does not directly indicate a deficiency in food intake, but rather a struggle with stopping eating once full. Option B (Disturbed body image related to distorted perception of self) is less appropriate because the patient's statement does not directly address body image concerns but rather focuses on the inability to control eating behaviors. Option D (Risk for self-directed violence related to impulsive behavior) is not the most suitable diagnosis based on the patient's statement. While individuals with bulimia nervosa may engage in harmful behaviors, the statement provided does not specifically suggest a risk for self-directed violence at this moment. Educationally, understanding the rationale behind selecting the most appropriate nursing diagnosis is crucial for nurses to provide effective care tailored to the patient's needs. By accurately identifying the underlying issue of ineffective coping in this case, nurses can develop targeted interventions to support the patient in developing healthier coping strategies to manage their eating behaviors and emotional challenges.

Correct Answer: D

Rationale: In the context of the nursing process, the implementation phase involves putting the care plan into action through carrying out interventions and coordinating care (option D). This is the correct answer because it is during this phase that nurses directly provide the planned interventions to help the patient achieve the desired outcomes. By implementing the planned interventions effectively, nurses contribute to promoting patient health and well-being. Option A, participating in mutual identification of patient outcomes, is associated with the planning phase where goals are set in collaboration with the patient and the healthcare team. Option B, gathering accurate and sufficient patient-centered data, pertains to the assessment phase where data is collected to inform the care plan. Option C, comparing patient responses and expected outcomes, is part of the evaluation phase where the effectiveness of interventions is assessed. Understanding the distinct roles of each phase of the nursing process is crucial for nurses to provide comprehensive and effective care. By correctly identifying the activities associated with each phase, nurses can ensure a systematic and holistic approach to patient care, leading to improved patient outcomes and quality of care delivery.

Correct Answer: B

Rationale: The most appropriate response by the nurse in this scenario is option B: "It sounds like you're feeling very concerned about your body image." This response demonstrates empathy and active listening, acknowledging the patient's feelings without judgment. It opens up the opportunity for the patient to express their emotions and concerns further, fostering a therapeutic nurse-patient relationship. Option A is incorrect because it dismisses the patient's feelings and can be perceived as invalidating. It does not address the underlying issue of body image distortion in anorexia nervosa. Option C is inappropriate as it is directive and does not consider the complexity of the patient's psychological condition. Option D is also not the best response as it focuses solely on the physical aspect of weight gain without addressing the patient's emotional distress. In an educational context, it is essential for nurses to develop strong communication skills to effectively support patients with mental health disorders like anorexia nervosa. By responding empathetically and non-judgmentally, nurses can create a safe space for patients to express their thoughts and feelings, which is crucial for building trust and promoting positive health outcomes.