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 safety and de-escalation by having multiple staff members present for support while maintaining a calm and respectful tone. This approach aims to minimize confrontation and coercion, promoting a collaborative environment. Option A lacks support from additional staff and may not adequately address the patient's escalating behavior. Option C involves physical restraint, which should be avoided unless absolutely necessary for safety. Option D introduces a security guard, potentially escalating the situation and may be perceived as threatening by the patient. Overall, option B is the most appropriate and therapeutic approach in this scenario.

Correct Answer: D

Rationale: The correct answer is D because throwing flowers on the lake at each anniversary date indicates a healthy way of mourning by honoring and remembering the child in a positive and symbolic manner. It shows an active and ongoing effort to pay tribute to the deceased child while also finding closure. A: Forbidding other children from swimming may indicate overprotectiveness or fear rather than effective mourning. B: Keeping a place set for the deceased child at the dinner table could be a constant reminder and hinder the mourning process by not allowing for acceptance and moving on. C: Sealing the child's room exactly as it was could prevent the parents from processing their grief and moving forward in a healthy manner. In summary, choice D is the most effective way of mourning as it allows for remembrance, closure, and honoring the deceased child without hindering the grieving process.

Correct Answer: C

Rationale: The correct answer is C because repeating the story and her feelings is a helpful and necessary part of the grieving process. It allows the widow to process her emotions and come to terms with her loss. By actively listening to her and providing support, the family can help her cope with her grief. Option A is incorrect because asking the widow not to retell the story may hinder her grieving process. Option B is incorrect as limiting the retelling could suppress her emotions. Option D is incorrect as retelling memories in this context is more about grieving the loss of a loved one rather than a part of the aging process.

Correct Answer: A

Rationale: The correct answer is A because it sets the foundation for mutual respect from the beginning, emphasizing its importance and establishing it as a group norm. This approach promotes a positive and respectful group culture. Option B is incorrect as excluding potential members preemptively may not address disrespectful behavior effectively and can create a negative atmosphere. Option C provides information but may not actively promote mutual respect within the group, lacking the direct emphasis on its importance like option A. Option D, while addressing disrespectful behavior, may create conflict and tension within the group if not handled tactfully, rather than fostering a culture of mutual respect.

Correct Answer: C

Rationale: The correct answer is C: universality. This patient's comment reflects the realization that their experiences of fear are shared by others in the group, leading to a sense of commonality and connection. Universality in group therapy helps individuals feel understood and less isolated in their struggles. Altruism (A) involves helping others, ventilation (B) refers to expressing emotions, and group cohesiveness (D) pertains to the bond within the group, but neither of these concepts directly captures the essence of shared experiences leading to a sense of universality.