Emma is a 40-year-old married female who has found it increasingly difficult to leave her home due to agoraphobia. Emma's family is appropriately concerned and suggests that she seek psychiatric care. After investigating her options, Emma decides to try:

Correct Answer: A

Rationale: The correct answer is A: Telepsychiatry. This option allows Emma to receive psychiatric care remotely, which is beneficial for someone struggling with agoraphobia. She can access therapy sessions and consultations from the comfort of her home, reducing the anxiety associated with leaving the house. Telepsychiatry provides convenience, maintains privacy, and ensures continuity of care. Assertive community treatment (B) involves intensive community-based support, which may be overwhelming for someone with severe agoraphobia. Psychiatric home care (C) and outpatient psychiatric care (D) require Emma to physically go to appointments, which can be challenging for her.

Correct Answer: D

Rationale: The correct answer is D: Intervention. In the nursing process, after assessing Mr. R's behavior of forgetting to eat (Assessment) and identifying the problem (Diagnosis), the next step is to plan the care and set goals (Planning and outcomes identification). The statement 'Offer snacks and finger foods frequently' falls under the Intervention phase, where specific actions are implemented to address the diagnosed problem. This intervention aims to ensure Mr. R receives adequate nutrition despite his forgetfulness. Choices A, B, and C are incorrect as they do not involve the direct implementation of actions to address the identified issue.

Correct Answer: B

Rationale: The correct answer is B because summarizing the essence of the patient's comments in your own words demonstrates active listening and understanding, fostering a therapeutic relationship. This helps clarify and validate the patient's feelings. Choice A violates the principle of avoiding personal opinions in therapeutic communication. Choice C disrupts the patient's processing time and may hinder open communication. Choice D focuses on the caregiver's approval rather than the patient's feelings, which is not therapeutic.

Correct Answer: B

Rationale: The correct answer is B because asking about the number of infections in the past 6 months helps identify the impact of chronic stress on physical health. Chronic stress weakens the immune system, making individuals more susceptible to infections. The other choices focus on immediate symptoms or coping mechanisms for stress, not long-term consequences on physical health. Choice A relates to sleep issues, which can be a result of stress but not a direct consequence on physical health. Choice C focuses on exercise, which is important for overall health but may not directly address the impact of chronic stress. Choice D addresses stress management techniques, which are important for coping but do not directly assess the physical health consequences of chronic stress.

Correct Answer: A

Rationale: The correct answer is A: Reduce stress and anxiety. Dark humor can serve as a coping mechanism to help individuals in high-stress environments like first responders and healthcare providers manage their emotions. By finding humor in difficult situations, they can temporarily alleviate stress and anxiety. Choice B is incorrect because reliving the experience can actually increase distress. Choice C is incorrect as dark humor does not rectify moral distress but may provide temporary relief. Choice D is incorrect as the primary purpose of dark humor is not to alert others but to cope with personal stress.