During a counseling session, the mother of one of the clients with an eating disorder states to the nurse, 'I feel like such a failure. How can I be sure my daughter has no more problems like this?' Which response is the most therapeutic?

Correct Answer: C

Rationale: The most therapeutic response in this scenario is option C: "It sounds like you are blaming yourself for your daughter's problems." This response acknowledges and validates the mother's feelings without placing blame or judgment. It shows empathy and understanding, which are crucial in building a therapeutic relationship. Option A is incorrect because it dismisses the mother's feelings and can come across as invalidating. Option B is also incorrect as it does not address the mother's emotional distress and focuses solely on behavior management techniques. Option D is inappropriate as it suggests avoiding or ignoring the issue, which is not conducive to addressing the underlying concerns of the mother and her daughter. In an educational context, it is essential for healthcare providers to develop strong communication skills, particularly in challenging situations like counseling sessions with parents of patients with eating disorders. Acknowledging and addressing the emotional needs of family members is crucial in providing holistic care and support. By choosing response C, the nurse demonstrates active listening, empathy, and the ability to navigate delicate conversations effectively.

Correct Answer: C

Rationale: The correct answer is C: sleep apnea. The client's symptoms of loud snoring, need to be shaken to stop snoring, morning headache, daytime sleepiness, and falling asleep during the day are all classic signs of sleep apnea. Sleep apnea is a disorder characterized by pauses in breathing or shallow breathing during sleep, leading to poor sleep quality and daytime symptoms. Narcolepsy (choice A) involves excessive daytime sleepiness and sudden muscle weakness, which are not mentioned here. Parasomnia (choice B) refers to abnormal behaviors during sleep, such as sleepwalking or night terrors, which are not described in the scenario. Primary hypersomnia (choice D) is characterized by excessive daytime sleepiness without a clear cause, which is not consistent with the client's symptoms.

Correct Answer: B

Rationale: The correct answer is B: Assist the patient to fill out the dietary menus to ensure a balanced diet. This intervention is appropriate because it directly supports the goal of the patient selecting and eating a balanced diet. By assisting the patient in filling out dietary menus, the nurse can help the patient make informed choices about their food intake, ensuring they are consuming a variety of nutrients necessary for a balanced diet. This intervention promotes patient autonomy and education, empowering the patient to make healthier choices. Choice A is incorrect because allowing the patient to weigh themselves every time a meal is eaten does not directly address the goal of selecting and eating a balanced diet. Choice C is incorrect because encouraging compensatory exercise may lead to unhealthy behaviors and does not focus on achieving a balanced diet. Choice D is incorrect because implementing contracted consequences for incomplete meals may create a negative environment and does not promote a positive approach to achieving a balanced diet.

Correct Answer: A

Rationale: The correct answer is A) 27%. In the paper by Chodavadia et al, the study reported that the rates of symptoms of depression and anxiety among youth in Singapore were found to be 27%. This statistic is crucial for healthcare providers, educators, and policymakers to understand the mental health landscape among young individuals in Singapore. Option B) 7%, Option C) 1%, and Option D) 16% are incorrect. These options do not align with the specific data provided in the study by Chodavadia et al. Selecting these options indicates a misunderstanding or lack of knowledge regarding the actual findings of the research. Educationally, understanding the prevalence of mental health issues in different age groups is essential for healthcare professionals, especially those working with young populations. By knowing the correct statistics, professionals can better tailor their interventions, screenings, and support services to address the mental health needs of youth effectively. This knowledge also highlights the importance of evidence-based practice and staying updated on current research findings in the field of mental health.

Correct Answer: D

Rationale: In the context of diagnosing adolescent depression according to the DSM-5, the correct answer is D) 5 symptoms present for at least two weeks. This requirement is in line with the diagnostic criteria outlined in the DSM-5 for Major Depressive Disorder in adolescents. Choosing option A) 2 symptoms is incorrect because the DSM-5 specifies a higher threshold for symptom presentation before a diagnosis can be made. Similarly, options B) 3 and C) 4 are also insufficient as they do not meet the criteria set out in the diagnostic manual. Educationally, understanding the specific diagnostic criteria for mental health disorders in different age groups is crucial for healthcare professionals working with adolescents. By knowing the exact number of symptoms and duration required for a diagnosis, practitioners can ensure accurate assessments and appropriate interventions for young patients experiencing mental health challenges. This knowledge is essential for providing effective age-specific patient care and promoting positive mental health outcomes in adolescents.