An 11-year-old diagnosed with ODD becomes angry over the rules at a residential treatment program and begins cursing at the nurse. Select the best method for the nurse to defuse the situation.

Correct Answer: C

Rationale: The child's behavior warrants an active response. Redirecting the expression of feelings into nondestructive age-appropriate behaviors, such as a physical activity, helps defuse the situation here and now. This response helps the child learn how to modulate the expression of feelings and exert self-control. This is the least restrictive alternative and should be tried before resorting to a more restrictive measure. Role playing is appropriate after the child's anger is defused.

Correct Answer: A

Rationale: Strategies of crisis intervention address the immediate cause of the crisis and restoration of emotional security and equilibrium. The goal is to return the individual to the precrisis level of function. Crisis intervention is, by definition, short term. The correct response is the most global answer. Promoting growth is a focus of long-term therapy. Providing legal assistance might or might not be applicable.

Correct Answer: A

Rationale: In the context of responding to a large-scale natural disaster, the correct first action for emergency response workers is to report to the incident command system (ICS) center. This is crucial because the ICS serves as the central coordination point for all response efforts, ensuring effective communication, resource allocation, and overall management of the disaster response. Option B, determining whether the community is safe, is not the first priority because without proper coordination and information from the ICS, individual assessments of community safety can be inaccurate and lead to inefficient or even dangerous response actions. Option C, establishing teams of workers with varied skills, is important but should come after reporting to the ICS to ensure that team formations align with the overall response strategy and resource needs identified by the command center. Option D, evaluating actions completed by local law enforcement, is not the immediate first action as the priority should be to integrate into the established command structure to work collaboratively with all response partners. In an educational context, understanding the importance of following established incident command protocols in emergency response situations is essential for effective and coordinated disaster management. By prioritizing reporting to the ICS center, responders can contribute to a well-organized and efficient response effort that maximizes resources and minimizes risks during a crisis.

Correct Answer: A

Rationale: The most effective action the nurse leader can take will be the one that encourages the group to solve its own problem. Pointing out changes in the group and asking members to respond to them lays the foundation for a discussion of group dynamics. Asking members to respond to the talkative patient puts that patient in an awkward position, likely increasing her anxiety. As anxiety increases, monopolizing behavior tends to increase as well, so this response would be self-defeating. Asking members what is going on is a broader opening and might lead to responses unrelated to the issue that bears addressing; narrowing the focus to the group process more directly addresses what is occurring in the group. Focusing on the talkative patient would be less effective and involves the leader addressing the issue instead of members first attempting to do so themselves (giving them a chance to practice skills such as assertive communication).

Correct Answer: A

Rationale: In this scenario, the correct answer is A) altruism. Altruism refers to unselfish concern for the welfare of others. The patient's statement indicates a desire to help others once they are better, demonstrating a selfless attitude towards supporting and caring for others in the future. Option B) universality, refers to the understanding that one's experiences and feelings are shared by others in similar situations. While this concept may relate to the patient's feeling of being tired of being sick, it does not directly address the desire to help others. Option C) cohesiveness, refers to the sense of belonging and unity within a group. Although the patient is in a support group, the statement does not specifically reflect a sense of unity but rather a desire to give back. Option D) corrective recapitulation, refers to the process of reenacting and resolving past conflicts or issues. This concept does not align with the patient's expression of wanting to help others in the future. In an educational context, understanding concepts related to patients' expressions of altruism, universality, cohesiveness, and corrective recapitulation can help nurses and healthcare providers better assess and support patients' psychosocial needs. Recognizing and encouraging altruistic behaviors in patients can contribute to their overall well-being and sense of fulfillment.