After teaching a class about factors that enhance the risk of suicide, the instructor determines the need for additional teaching when the class identifies which of the following?

Correct Answer: B

Rationale: The correct answer is B: Cautiousness. Cautiousness is not a risk factor for suicide; in fact, being cautious can be a protective factor. Factors like family history of suicide (A), delusions (C), and experiencing loss (D) are known risk factors for suicide. Family history increases susceptibility, delusions may distort reality, and experiencing loss can contribute to feelings of hopelessness. Therefore, the need for additional teaching is identified when the class incorrectly associates cautiousness with suicide risk.

Correct Answer: A

Rationale: The correct answer is A: Group norms. Setting up the rule that the group will always start at the specified time establishes an expected behavior within the group, known as a group norm. This norm guides the group's interactions and helps create a structured and efficient environment. Group cohesion (B) refers to the bond among group members, which is not directly related to the specified starting time. Group think (C) is a phenomenon where group members prioritize harmony and conformity over critical thinking, which is not reflected in the rule mentioned. Group process (D) is a broader term that encompasses all aspects of how a group functions, including communication and decision-making, but it does not specifically address the established starting time norm.

Correct Answer: B

Rationale: The correct answer is B because it follows the SOAP (Subjective, Objective, Assessment, Plan) format for problem-oriented charting. In choice B, the subjective information is the patient's statement, the objective information includes the observed behavior, assessment is the diagnosis of auditory hallucinations, and the plan includes offering medication and the outcome. Choice A lacks a clear assessment and plan, focusing more on the intervention and outcome. Choice C does not clearly link the assessment to the plan and lacks details in the subjective and objective sections. Choice D does not provide a clear separation between subjective and objective information and lacks a formal assessment section.

Correct Answer: D

Rationale: The correct answer is D because Erikson's "school age" stage focuses on developing a sense of industry and competence. By trying out for cheerleading, the 11-year-old girl is demonstrating initiative and feeling accomplished, which aligns with this stage. Choice A is incorrect as it relates more to peer pressure and moral development. Choice B is incorrect as it focuses on social interaction skills, not specifically related to Erikson's stage. Choice C is incorrect as it pertains to independent play, not directly linked to Erikson's concept of industry and competence. Overall, D best exemplifies successful completion of the "school age" stage.

Correct Answer: A

Rationale: The correct answer is A. This response uses therapeutic communication by reflecting the client's statement back to them. By doing so, the nurse acknowledges the client's perspective without being confrontational. It opens the door for further discussion and exploration of the client's beliefs around alcohol and liver damage. This approach helps build rapport and trust with the client, allowing for a more effective therapeutic relationship. Choices B, C, and D are incorrect because they do not address the client's denial or beliefs directly. Choice B focuses on gathering more information about the client's drinking habits without addressing the client's statement. Choice C asks for an explanation without validating the client's feelings. Choice D is a general statement that may come across as judgmental and does not address the client's specific belief.