Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:

Correct Answer: D

Rationale: The correct answer is D: To have a less positive outcome. Gilbert's symptoms, including academic decline, social withdrawal, and fixation on locks, are indicative of schizophrenia. Given his early onset and gradual progression, his prognosis is less favorable. Schizophrenia is a chronic and severe mental disorder that can lead to significant impairments in daily functioning. While medication and psychosocial interventions can help manage symptoms, the course of schizophrenia is often characterized by relapses and remissions, making the overall outcome less positive. Therefore, option D is the most suitable choice based on Gilbert's presentation.

Correct Answer: D

Rationale: The correct answer is D because it shifts the focus away from the monopolizing member and encourages participation from others, balancing the group dynamic. By asking who else would like to share feelings about the issue, the nurse leader promotes equal participation and prevents one member from dominating the discussion. A is incorrect because it directly addresses the monopolizing member's emotions, potentially escalating the situation. B is incorrect because it only addresses the individual's process, not the group dynamic. C is incorrect because it delves into personal experiences, which may not be relevant to the group's discussion.

Correct Answer: B

Rationale: The correct answer is B: social media platforms. They are commonly used for hosting online communities and support groups due to their user-friendly interface, accessibility, and communication features. Social media allows for easy interaction among members, sharing information, and building a sense of community. Video game forums (A) are more focused on gaming discussions. Encrypted email services (C) prioritize privacy and security in communication, not community-building. Corporate intranets (D) are internal networks for employees, not suitable for client and family support groups.

Correct Answer: B

Rationale: The correct answer is B: Cogentin. The client is displaying symptoms of acute dystonia, a side effect of antipsychotic medications like risperidone. Cogentin, also known as benztropine, is a common treatment for acute dystonia as it acts as an anticholinergic agent, helping to alleviate muscle rigidity and spasms. Benzodiazepines (Choice A) are not typically used for treating acute dystonia. Propranolol (Choice C) is a beta-blocker used for anxiety and heart conditions, not for acute dystonia. Valbenazine (Choice D) is a medication used for treating tardive dyskinesia, not acute dystonia.

Correct Answer: D

Rationale: The correct answer is D because it directly provides the client with essential information about the medication's purpose and potential benefits, promoting understanding and cooperation. Choice A is incorrect as it is directive and does not explain the medication's purpose. Choice B is incorrect as it focuses on the doctor's decision rather than the client's understanding. Choice C is incorrect as it deflects from addressing the client's concerns directly.