An elderly patient must be physically restrained. Who is responsible for the patient's safety?

Correct Answer: A

Rationale: The correct answer is A: The nurse assigned to care for the patient. The nurse is responsible for the patient's safety because they are the primary caregiver and have the training and knowledge to ensure proper application of restraints, monitor the patient's condition, and respond to any potential complications. Unlicensed assistive personnel (choice B) may apply restraints under the nurse's supervision but do not have the same level of training or accountability. Family members (choice C) and healthcare providers (choice D) may be involved in the decision-making process, but ultimate responsibility for patient safety lies with the nurse who directly cares for the patient.

Correct Answer: C

Rationale: The correct answer is C because scheduling group therapy sessions immediately after meals can help promote processing of anxiety associated with eating. This timing allows patients to address their feelings and thoughts about food in a supportive environment, leading to better understanding and management of their anxieties. Choice A is incorrect because journaling about foods eaten is not the primary purpose of group therapy sessions. Choice B is incorrect as the main focus is on addressing anxiety related to eating disorders, not shifting focus to psychotherapy. Choice D is incorrect as weight control mechanisms and food preparation are not the main objectives of group therapy for eating disorders.

Correct Answer: A

Rationale: The correct answer is A: Dry mouth. Muscarinic receptor blockade inhibits the action of acetylcholine, leading to decreased salivary gland secretion and causing dry mouth. Gynecomastia (B) is associated with antiandrogen medications. Pseudoparkinsonism (C) is a side effect of antipsychotic medications that block dopamine receptors. Orthostatic hypotension (D) is a side effect of alpha-1 adrenergic receptor blockade.

Correct Answer: B

Rationale: The correct answer is B: A rest period. Providing a rest period during the hour block from 11 AM to noon is crucial for a severely depressed patient with psychomotor retardation. This patient may experience fatigue and decreased energy levels due to their condition. Allowing for a rest period can help prevent overstimulation and promote relaxation, which is essential for mental well-being. Group therapy (choice A) may be too overwhelming for the patient at this time. Reminiscence group (choice C) may not be as beneficial for immediate symptom management. Individual counseling (choice D) may be helpful but may not align with the patient's immediate need for rest and relaxation.

Correct Answer: A

Rationale: The correct answer is A, the Neurobiological-genetic model, because paranoid schizophrenia is known to have a strong genetic component. Research has shown that individuals with a family history of schizophrenia are at a higher risk of developing the disorder. The neurobiological aspect refers to the abnormalities in brain structure and function associated with schizophrenia, such as neurotransmitter imbalances. Therefore, the nurse should educate the family members about the genetic predisposition and neurobiological factors contributing to the patient's illness. Choices B, C, and D are incorrect: B: The Stress model focuses on the role of environmental stressors in triggering or exacerbating mental illness, which is not the primary cause of paranoid schizophrenia. C: The Family theory model emphasizes family dynamics and interactions as contributing factors to mental illness, but it is not the primary cause of paranoid schizophrenia. D: The Developmental model looks at how early childhood experiences and developmental stages may influence mental health outcomes, but it is not the primary etiology of paranoid