Family members ask the nurse, 'What can we say when our loved one says, 'Death is coming soon?' To promote communication, which response could the nurse suggest for family members?

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the loved one's feelings and opens up a conversation about their fears and concerns. It shows empathy and understanding, which can help strengthen the emotional connection between the family members and the loved one. Choice B focuses on hope for recovery, which may not be realistic in this situation. Choice C provides false reassurance and denies the reality of the situation. Choice D shifts the focus away from the loved one's emotional expression and memories may not be what the loved one wants to talk about at that moment.

Correct Answer: B

Rationale: The correct answer is B because the sudden and violent death of a community leader like the principal of a local high school is likely to have a profound impact on the community, leading to widespread grief. This event directly affects the safety and well-being of individuals within the community, causing shock and emotional turmoil. It disrupts the sense of security and stability that the principal represents. In contrast, the other choices may cause concern or inconvenience, but they are less likely to evoke the same level of emotional response and communal grief. Robberies, the death of an elderly pastor, or infrastructure issues like crumbling concrete pilings may be concerning, but they do not have the same emotional weight and impact on the community as the tragic and violent death of a school principal.

Correct Answer: A

Rationale: The correct answer is A: Hope. The patient expressing belief in their own ability to overcome fears based on observing another's progress demonstrates the therapeutic factor of hope. This instills optimism and motivation in the patient, showing that change is possible. Altruism (B) involves gaining satisfaction from helping others, not necessarily from receiving inspiration. Catharsis (C) is the emotional release of pent-up feelings, not directly related to the patient's progress. Cohesiveness (D) refers to the bond and unity within the group, not the individual's personal growth.

Correct Answer: D

Rationale: The correct answer is D because a symptom-management group for individuals with schizophrenia aims to help them learn strategies to cope with their illness effectively. This is crucial for improving their quality of life and managing symptoms. Options A, B, and C are incorrect as they do not directly address the primary goal of the symptom-management group, which is to teach coping mechanisms for dealing with the challenges of schizophrenia. A focusing on medication names is not the main goal, resolving family conflicts may not directly address individual coping skills, and just lowering anxiety levels does not necessarily equip individuals with long-term coping strategies.

Correct Answer: A

Rationale: The correct answer is A: cirrhosis. Kava is metabolized in the liver and can potentially worsen liver function. In patients with cirrhosis, the liver is already compromised, so the nurse should urge immediate discontinuation to prevent further harm. Osteoarthritis, multiple sclerosis, and chronic back pain are not directly affected by kava's metabolism in the liver, so discontinuation is not as critical for these conditions.