A school age child tells the school nurse, 'Other kids call me mean names and will not sit with me at lunch. Nobody likes me.' Select the nurse's most therapeutic response.

Correct Answer: D

Rationale: The correct response, "Tell me more about how you feel," is the most therapeutic because it demonstrates active listening and empathy, allowing the child to express their emotions and concerns openly. This response validates the child's feelings, builds trust, and initiates a supportive dialogue to address the underlying issues causing distress. Option A, "Just ignore them and they will leave you alone," is dismissive and may make the child feel unheard or unsupported. It does not address the emotional impact of the situation and can increase feelings of isolation. Option B, "You should make friends with other children," overlooks the child's current feelings of rejection and does not provide immediate comfort or guidance on how to cope with the current situation. Option C, "Call them names if they do that to you," promotes retaliation and escalation of conflict, which is not a healthy or constructive way to handle bullying or aggression. In an educational context, it is crucial for nurses and educators to respond to children experiencing aggressive behavior with compassion and understanding. By encouraging open communication and offering emotional support, they can help children develop coping skills, resilience, and positive social interactions. Active listening and empathy are essential tools in building trust and fostering emotional well-being in school-age children facing social challenges.

Correct Answer: B

Rationale: In caring for a patient with bipolar disorder in the manic phase, the priority nursing intervention is to limit the patient's access to money and credit cards (Option B). This is crucial because individuals in a manic episode may engage in impulsive and risky behaviors, such as excessive spending, which can have serious consequences like financial ruin. By limiting access to money and credit cards, the nurse can help prevent the patient from making poor financial decisions that could harm their well-being. Encouraging the patient to think through the consequences of their actions (Option A) may not be effective during a manic episode as reasoning and judgment are often impaired. Providing information about budgeting and planning (Option C) may also not be productive at this time as the patient's primary need is to be kept safe from harm. Encouraging the patient to express their excitement about their plans (Option D) may inadvertently validate and reinforce risky behaviors associated with the manic episode. In an educational context, it is important for nurses to understand the unique challenges presented by individuals experiencing manic episodes and to prioritize interventions that promote their safety and well-being. Limiting access to potential harmful resources is a key strategy in managing impulsive behaviors associated with bipolar disorder.

Correct Answer: B

Rationale: The correct nursing intervention in this scenario is option B: Provide the patient with a structured meal plan and monitor their eating behaviors. This is the priority because patients with anorexia nervosa often have distorted perceptions of their body image and food intake. By providing a structured meal plan, the nurse can ensure that the patient is receiving adequate nutrition and support their physical health. Option A is not the priority because simply encouraging the patient to eat small, frequent meals may not address the underlying psychological issues contributing to their anorexia nervosa. Option C, allowing the patient to make their own decisions about food intake, could be dangerous as it may enable the patient's disordered eating behaviors. Option D, reassuring the patient that their feelings of hunger will return once they begin eating, does not provide the necessary support and structure needed to address the patient's condition effectively. In an educational context, it is crucial for nurses to understand the complexities of caring for patients with eating disorders like anorexia nervosa. Providing a structured meal plan, monitoring food intake, and offering psychological support are essential components of nursing care for these patients to promote recovery and overall well-being.

Correct Answer: D

Rationale: The correct answer is D: The nurse should have assessed the patient's culture before making this diagnosis and plan. In this scenario, the patient's Filipino American cultural background is a crucial factor that could influence their behavior, including their level of comfort with eye contact. Understanding the patient's cultural norms and values is essential in providing culturally competent care. Option A is incorrect because addressing eye contact solely through role-playing may not be effective if cultural factors are at play. Option B is incorrect as nurses are trained to independently assess, diagnose, and plan nursing care. Option C is incorrect as assuming the patient's poor eye contact is solely due to anger and hostility without considering cultural influences is a biased interpretation. In an educational context, this scenario highlights the importance of cultural competence in nursing care. Nurses need to be aware of how cultural background can impact a patient's behavior, beliefs, and attitudes towards health care practices. By conducting a culturally sensitive assessment, nurses can tailor interventions that respect and align with the patient's cultural values, ultimately improving the effectiveness of care delivery.

Correct Answer: A

Rationale: The correct answer is A) has an antidepressant effect comparable to selective serotonin reuptake inhibitors. Exercise has been well-documented to have a positive impact on mental health, particularly in reducing symptoms of depression. Engaging in physical activity stimulates the release of endorphins, which are chemicals in the brain that act as natural painkillers and mood elevators. This effect is comparable to the action of selective serotonin reuptake inhibitors (SSRIs), which are commonly prescribed antidepressant medications. Option B) prevents damage from overstimulation of the sympathetic nervous system, while relevant to the benefits of exercise, does not directly address the antidepressant effect seen in patients with depression. Option C) detoxifies the body by removing metabolic wastes and other toxins is not directly related to the impact of exercise on depression and mental health. Option D) improves mood stability for patients with bipolar disorders, although exercise can have positive effects on mood stability, this option specifically focuses on bipolar disorder which is not the primary condition being addressed in patients experiencing depression in the given scenario. In an educational context, understanding the physiological and psychological benefits of exercise can empower healthcare professionals to incorporate holistic approaches in patient care, especially in managing mental health conditions like depression. By recognizing the antidepressant effects of exercise, nurses can advocate for evidence-based interventions that complement traditional treatment modalities, leading to improved patient outcomes and overall well-being.