As work through Mrs. M’s assessment, you evaluate her possible level of resilience. Which other characteristic would you expect her to have?

Correct Answer: A

Rationale: The correct answer is A: Optimism. Rationale: 1. Resilience refers to one's ability to bounce back from adversity. 2. Optimism is closely linked to resilience as it involves having a positive outlook and belief in one's ability to overcome challenges. 3. Optimistic individuals are more likely to cope effectively with stress and setbacks. 4. Therefore, evaluating Mrs. M's resilience would involve looking for signs of optimism in her attitude and behavior. Summary: - Choice B: Patriotism is unrelated to resilience and not a characteristic that directly indicates one's ability to cope with adversity. - Choice C: Aggressiveness may not necessarily contribute to resilience and can sometimes hinder effective coping strategies. - Choice D: Depressed affect is a sign of low resilience rather than a characteristic expected in someone with high resilience.

Correct Answer: B

Rationale: The correct answer is B: cognitive-behavioral therapy. Schemata, automatic thoughts, and cognitive distortions are key concepts in cognitive-behavioral therapy (CBT). CBT focuses on identifying and challenging maladaptive thoughts and beliefs to change behaviors and emotions. Schemata are core beliefs about oneself and the world, automatic thoughts are quick, unconscious thoughts that influence emotions, and cognitive distortions are irrational thought patterns. These concepts are central to the cognitive restructuring process in CBT. Choices A, C, and D are incorrect because they do not specifically address the cognitive processes and techniques used in CBT. Rational-emotive behavioral therapy (Choice A) focuses on identifying and challenging irrational beliefs, but it does not emphasize cognitive restructuring to the same extent as CBT. Operant conditioning theory (Choice C) focuses on behavior modification through reinforcement and punishment, while biofeedback (Choice D) is a technique used to help individuals learn to control physiological processes through feedback.

Correct Answer: D

Rationale: The correct answer is D: Checking the patient's belongings for dangerous items. This is important to ensure the safety of the patient and others. By removing any potential harmful items, the risk of another suicide attempt or harm to others can be minimized. This intervention takes priority over the other options as safety is the immediate concern. A: Allowing the patient to return to her previous room may not address the safety issue and could potentially put the patient at risk. B: Orienting the patient to the unit is important but ensuring safety should come first. C: Building trust through therapeutic communication is crucial in the long term, but immediate safety should be the priority.

Correct Answer: C

Rationale: The correct answer is C because in the problem-oriented charting system (SOAPIE), documentation is not listed in chronological order. This is a disadvantage because it can make it difficult to track the progression of the patient's care over time. In SOAPIE, information is organized based on the patient's problems, which may not align with the timeline of events. A: Incorrect. The problem-oriented charting system does not necessarily affect the support for a universal organizational system. B: Incorrect. Including subjective information is not inherently a disadvantage of the SOAPIE system. D: Incorrect. The nursing process can still be followed using the problem-oriented charting system, although it may not be as structured as other formats.

Correct Answer: B

Rationale: The correct answer is B: Secondary. The sister is considered a secondary information source because she is not the patient themselves. Secondary sources provide information based on knowledge of the primary source (the patient). Primary sources are the patients themselves. Private (C) refers to confidentiality, not the source of information. Informed (D) does not specify the relationship to the patient.