A suicidal patient has been transferred to your unit from the medical floor and asks you why he or she has to be watched every minute. 'I have a right to my privacy; I'm an adult and can come and go as I please.' The best response to this patient is:

Correct Answer: B

Rationale: In this scenario, the best response to the suicidal patient is option B) "We are concerned that you might attempt to seriously hurt yourself." This response is appropriate because it communicates empathy, understanding, and a genuine concern for the patient's well-being. It acknowledges the patient's feelings while also emphasizing the seriousness of the situation and the need for close monitoring to ensure their safety. Option A is not the best response as it deflects the patient's concerns and does not directly address the issue at hand. Option C is dismissive and can further escalate the patient's distress by implying that privacy concerns are irrelevant. Option D is authoritarian and may not effectively engage the patient in understanding the reasons behind the monitoring. Educationally, this question highlights the importance of therapeutic communication in mental health settings. It is crucial for healthcare providers to approach patients with empathy, respect, and sensitivity, especially when dealing with vulnerable individuals like suicidal patients. By choosing the correct response, providers can establish trust, promote open communication, and effectively address patients' needs in a therapeutic manner.

Correct Answer: B

Rationale: The correct answer is B) Manipulation. Patients with personality disorders often exhibit manipulative behaviors as a defense mechanism to cope with their underlying emotional distress and interpersonal difficulties. Manipulation involves using others to meet their own needs, manipulating situations to their advantage, and controlling others for personal gain. Option A) Projection is a defense mechanism where individuals attribute their own thoughts, feelings, or characteristics onto others. While projection is common in personality disorders, it is not the main mechanism used by patients with these disorders. Option C) Introjection is the unconscious internalization of external objects or attributes. While introjection is a defense mechanism seen in personality disorders, it is not the primary mechanism used by these patients. Option D) Repression involves pushing unwanted or distressing thoughts or memories into the unconscious. While repression can be a defense mechanism in individuals with personality disorders, it is not typically the main mechanism used by these patients. In an educational context, understanding the defense mechanisms used by individuals with personality disorders is crucial for healthcare professionals, especially those working in mental health settings. Recognizing and addressing manipulative behaviors can help professionals provide more effective and empathetic care to these patients. By knowing the primary mechanisms used by individuals with personality disorders, healthcare providers can tailor interventions and treatment approaches to better meet the needs of these complex patients.

Correct Answer: D

Rationale: The correct answer is D) Very close relationships with family. This is unlikely to be present in a patient with avoidant personality disorder because individuals with this disorder typically exhibit a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Avoidant personality disorder is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. People with avoidant personality disorder often avoid social situations due to fear of criticism or rejection, leading to difficulties in forming close relationships, including with family members. Option A) Low self-esteem is likely to be present in a patient with avoidant personality, as they often have a poor self-image and feelings of inferiority. Option B) Lack of pleasure in life may be present in individuals with avoidant personality due to their avoidance of social situations that could bring enjoyment or fulfillment. Option C) Avoidance of social situations is a key characteristic of avoidant personality disorder and is likely to be present in these individuals. Educational context: Understanding the characteristics of personality disorders, such as avoidant personality disorder, is crucial for mental health professionals to provide appropriate diagnosis and treatment. Recognizing the specific traits and behaviors associated with each disorder helps in developing effective interventions and support strategies for individuals struggling with these conditions.

Correct Answer: A

Rationale: The correct answer is A) Feelings of panic fear and uneasiness. Buspirone (BuSpar) is a medication commonly prescribed for the treatment of anxiety disorders. It works by affecting certain neurotransmitters in the brain to help reduce feelings of anxiety and panic. Therefore, if a client who has been taking buspirone for two months shows an absent display of panic, fear, and uneasiness, it indicates that the medication is effective in managing their symptoms. Option B) Alcohol withdrawal symptoms, Option C) Paranoid and suicidal thought process, and Option D) Thought broadcasting or delusions are incorrect because they do not align with the expected outcomes of buspirone therapy. Buspirone is not indicated for treating alcohol withdrawal symptoms, paranoid or suicidal thoughts, or psychotic symptoms like thought broadcasting or delusions. In an educational context, understanding the expected therapeutic outcomes of psychotropic medications is crucial for healthcare providers to assess the effectiveness of treatment and ensure optimal patient care. By knowing the specific actions and indications of each medication, nurses can monitor patients for appropriate responses and provide necessary interventions or adjustments in treatment plans. This knowledge enhances the quality of patient care and promotes better outcomes for individuals receiving psychotropic medications.

Correct Answer: D

Rationale: The correct answer is D) Yogurt. Phenelzine is a monoamine oxidase inhibitor (MAOI) medication used to treat depression. MAOIs can interact with foods high in tyramine, which can cause a dangerous increase in blood pressure known as hypertensive crisis. Yogurt contains tyramine, so consuming it while taking phenelzine can be harmful. Crackers (Option A), vegetable salad (Option B), and oatmeal (Option C) do not contain significant amounts of tyramine, so they are safe to consume while taking phenelzine. It is important for clients on MAOIs to be aware of foods to avoid to prevent dangerous interactions. This question provides important educational context on the dietary restrictions associated with MAOI medications. Understanding these interactions is crucial for both clients and healthcare providers to ensure safe and effective treatment of depression. Clients should be educated on the potential risks of certain foods while taking MAOIs to prevent adverse effects and ensure treatment success.