An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic. The clinic sees culturally diverse patients. Which action should the nurse take first to prepare for this position?

Correct Answer: A

Rationale: The correct answer is A: Investigate cultural differences in patients' responses to psychotropic medications. This is the first step the nurse should take to prepare for the new position. Understanding cultural differences in medication responses is crucial for providing safe and effective care. By researching this information, the nurse can tailor treatment plans to individual patients, minimizing risks of adverse reactions and improving outcomes. The other choices are incorrect because: B: Contacting the clinical nurse specialist for guidelines is helpful but not the first step. It is important to have a foundational understanding of cultural differences first. C: Examining literature on health beliefs is valuable but may not directly address medication responses. D: Completing an online course on psychopharmacology is beneficial but does not specifically focus on cultural considerations.

Correct Answer: B

Rationale: The correct answer is B because personality disorders often stem from maladaptive patterns of behavior learned in childhood. In this case, the client received exclusive nurturance from one source, leading to dependency and discouragement of independent behaviors. This can contribute to the development of a personality disorder characterized by reliance on others for validation and support. Choices A, C, and D all involve a mix of multiple sources of nurturance and encouragement or discouragement of independent behaviors, which do not align with the typical underlying cause of a personality disorder rooted in dependency on a single source of nurturance.

Correct Answer: D

Rationale: The correct answer is D because individuals with Obsessive-Compulsive Personality Disorder (OCPD) typically exhibit rigidity, perfectionism, and a strong need for control. Option D reflects this by showcasing a resistance to changes and a desire for rules to govern decisions. Options A, B, and C do not align with OCPD characteristics as they involve avoiding responsibility, suspicions of hidden motives, and displaying entitlement respectively. Ultimately, choice D best captures the core traits associated with OCPD, making it the correct response.

Correct Answer: A

Rationale: The correct answer is A because providing external limits on client behavior helps establish boundaries and consequences for inappropriate actions, promoting accountability and potentially reducing guilt-inducing behaviors. This intervention can guide the client towards more appropriate behaviors and reinforce the importance of adhering to set limits. Explanation of why the other choices are incorrect: B: Foster discussions of rationales for behavioral change - While discussing rationales for behavioral change can be beneficial, it may not directly address the lack of guilt feelings in the client. C: Implement interventions consistently by only one staff member - Consistency in interventions is important, but limiting interventions to one staff member may not be sufficient to address the underlying lack of guilt feelings. D: Encourage the client to involve self in care - Encouraging client involvement in care is important for empowerment but may not directly address the lack of guilt feelings.

Correct Answer: B

Rationale: The correct answer is B because it provides an empathetic and accurate response. It reassures the mother that her parenting did not cause autism, highlighting research on brain abnormalities as the primary factor. This response promotes understanding and reduces guilt. Option A is incorrect as it only mentions one potential factor (fetal alcohol syndrome) and does not address the broader causes of ASD. Option C is incorrect as it wrongly implies that the mother's role is greater than the father’s in causing ASD, which is not supported by research. Option D is incorrect as it wrongly suggests that lack of early bonding or breastfeeding might cause autism, which is not substantiated by scientific evidence.