Instructions for a client with systemic lupus erythematosus (SLE) would include information about which of the following blood dyscrasias?

Correct Answer: C

Rationale: The correct answer is C: Essential thrombocytopenia. Clients with SLE are at risk for developing various blood dyscrasias, including thrombocytopenia (low platelet count). Thrombocytopenia can lead to an increased risk of bleeding, which is important for the client to be aware of. Dressler's syndrome (A) is a post-myocardial infarction syndrome and not directly related to SLE. Polycythemia (B) is an increase in red blood cells, not typically associated with SLE. Von Willebrand's disease (D) is a bleeding disorder due to a deficiency in von Willebrand factor, but it is not commonly seen in SLE.

Correct Answer: A

Rationale: The correct answer is A: Impaired clotting mechanism. Cirrhosis can lead to decreased production of clotting factors by the liver, resulting in impaired blood clotting ability. This puts Mr. Gonzales at a higher risk of excessive bleeding. Varix formation (B) can cause bleeding but is not the primary reason in this case. Inadequate nutrition (C) may contribute to overall health but is not directly linked to bleeding risk. Trauma of invasive procedure (D) is a potential risk but not the primary concern in cirrhosis.

Correct Answer: B

Rationale: The correct answer is B because it accurately defines mental health as a state of overall well-being where an individual can recognize their abilities, manage normal life stressors, and function effectively. This definition takes into account the holistic nature of mental health, emphasizing not just the absence of illness but also the presence of positive qualities. Option A is incorrect as it specifically refers to the symptom of psychosis, not mental health as a whole. Option C is incorrect as it focuses on different aspects of mental health care rather than the definition of mental health itself. Option D is incorrect as it only defines mental health in terms of the absence of illness, which is an oversimplified and incomplete understanding.

Correct Answer: C

Rationale: The correct answer is C: Ensure the safety of the victim. This is the primary nursing intervention for a victim of child abuse because ensuring the safety of the child is the most urgent and critical priority. By ensuring the safety of the victim, the nurse can prevent further harm and protect the child from ongoing abuse. Assessing the scope of the problem (choice A) and analyzing family dynamics (choice B) are important but secondary to ensuring the immediate safety of the child. Teaching coping skills (choice D) can be beneficial, but it is not the primary intervention needed to address the immediate safety concerns of a child abuse victim.

Correct Answer: A

Rationale: The correct answer is A because returning the child to school immediately with family support helps them confront their fears gradually, reducing anxiety over time. This approach exposes the child to the school environment in a supportive manner, promoting desensitization. Choice B only provides information but doesn't address the child's emotional distress. Choice C may exacerbate the child's anxiety by singling them out, making them feel more self-conscious. Choice D may create dependency and hinder the child's ability to cope independently.