An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the day room. The nurse should enter the day room

Correct Answer: B

Rationale: The correct answer is B because it prioritizes de-escalation and patient cooperation by using a calm and empathetic approach. Accompanied by staff members ensures safety and support. It communicates the purpose of the medication positively. Choice A lacks support and may not address the patient's aggression. Choice C uses a physical hold, which can escalate the situation. Choice D introduces a security guard, potentially increasing hostility and fear. Overall, choice B aligns with best practices for managing aggressive behavior in a therapeutic and respectful manner.

Correct Answer: B

Rationale: The correct answer is B: Catharsis. Catharsis refers to the process of emotional release and purification through expressing feelings and emotions. In this scenario, the patient is engaging in bibliotherapy and expressing his feelings, indicating a release of pent-up emotions. This is a therapeutic process that allows the patient to process and cope with their emotions in a healthy way. Choice A: Insight is incorrect as it refers to gaining a deeper understanding or awareness, which is not explicitly mentioned in the scenario. Choice C: Anxiety reduction is incorrect as the scenario does not specify that the patient's goal is to reduce anxiety, but rather to express feelings associated with the reading material. Choice D: Problem solving is incorrect as the scenario does not involve the patient actively working through a specific problem, but rather expressing emotions related to the reading material.

Correct Answer: C

Rationale: The correct answer is C because genograms typically use horizontal lines to show marriages. This allows for a clear visual representation of the relationships between family members. Using circles to represent male members (choice A) would be inaccurate as circles usually represent females. Horizontal lines connecting parents with children (choice B) are used to show parent-child relationships, not marriages. Using asterisks to denote ages listed at the bottom (choice D) is not a common practice in constructing genograms. Therefore, choice C is the most appropriate and accurate way to represent marriages in a genogram.

Correct Answer: D

Rationale: The correct answer is D: Exhaustion. In the general adaptation syndrome model, developed by Hans Selye, the final stage is exhaustion. This stage occurs when the body can no longer cope with the stressors and resources are depleted. This leads to a breakdown in physical and emotional functioning. The other choices are incorrect because: A: Perception of a threat is the first stage (alarm reaction); B: Use of coping mechanisms occurs in the second stage (resistance); C: Physiologic response is a general term encompassing all stages, not specific to the final stage.

Correct Answer: C

Rationale: The correct answer is C: Quetiapine (Seroquel) is a second-generation antipsychotic agent. This is because second-generation antipsychotics, also known as atypical antipsychotics, have a lower risk of extrapyramidal side effects compared to first-generation antipsychotics. Quetiapine is known for its efficacy in treating both positive and negative symptoms of schizophrenia. Fluphenazine, Thiothixene, and Chlorpromazine are all first-generation antipsychotic agents and are associated with a higher risk of extrapyramidal side effects and other adverse effects. Therefore, the correct choice for a second-generation antipsychotic agent is Quetiapine.