During a routine health screening, a grieving widow whose husband died 15 months ago reports emptiness, a loss of self, difficulty thinking of the future, and anger at her dead husband. The nurse suggests bereavement counseling. The widow is most likely suffering from:

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Question 1 of 5

During a routine health screening, a grieving widow whose husband died 15 months ago reports emptiness, a loss of self, difficulty thinking of the future, and anger at her dead husband. The nurse suggests bereavement counseling. The widow is most likely suffering from:

Correct Answer: A

Rationale: The correct answer is A: Major depression. This is because the widow is experiencing symptoms such as emptiness, loss of self, difficulty thinking of the future, and anger, which are characteristic of major depression. These symptoms have persisted for an extended period (15 months) and are impacting her daily functioning. Summary of other choices: B: Normal grieving typically involves feelings of sadness, loss, and emotional pain, but usually does not last for as long as 15 months and does not usually cause significant impairment in daily life. C: Adjustment disorder involves an excessive response to a stressful event, but the widow's symptoms are more indicative of major depression due to their severity and duration. D: Posttraumatic stress disorder typically involves flashbacks, nightmares, and hypervigilance related to a traumatic event, but these symptoms are not present in the widow's case.

Question 2 of 5

Which statement by the nurse demonstrates ethnocentrism toward the Hispanic patient?

Correct Answer: C

Rationale: The correct answer is C because it assumes a paternalistic attitude by implying that the nurse knows best how to make the patient's symptoms more manageable without considering the patient's own beliefs or preferences. This statement reflects ethnocentrism as it overlooks the patient's cultural background and individual experiences. Choice A is patient-centered, as it involves the patient in decision-making. Choice B encourages the patient to share their perspective, promoting cultural humility. Choice D addresses the impact of symptoms on the patient's daily life, showing consideration for the patient's experiences.

Question 3 of 5

How can a newly hired nurse best attain information concerning the state's mental health laws and statutes?

Correct Answer: A

Rationale: The correct answer is A: Discuss the issue with the facility's compliance officer. This is the best option because compliance officers are responsible for ensuring that the facility adheres to all relevant laws and regulations, including mental health laws. They have specific knowledge and resources to provide accurate information. Option B is not the best choice because information found through an internet search may not be reliable or up-to-date. Option C is not directly related to state mental health laws and statutes. Option D may offer some information, but the compliance officer is the most appropriate source for specific details on state laws.

Question 4 of 5

A patient presented with progressive cognitive decline, an emerging personality disorder, and chorea. He was diagnosed with a neurodegenerative disorder, and his chorea was treated with phenothiazines. A CT scan showed atrophy of the head of the caudate nucleus. Which neurotransmitter is primarily involved in this disorder?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The parent of an adolescent diagnosed with schizophrenia asks the nurse, 'My child's doctor ordered a PET. What kind of test is that?' Select the nurse's best reply.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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