Lilly, a single mother of four, comes to the crisis center 24 hours after a fire in which all the houses within a one-block area were wiped out. All of Lilly's household goods and clothing were lost. Lilly has no other family in the area. Her efforts to mobilize assistance have been disorganized, and she is still without shelter. She is distraught and confused. You assess the situation as:

Correct Answer: B

Rationale: The correct answer is B: An adventitious crisis. This type of crisis is caused by external events beyond a person's control, such as a natural disaster. In this scenario, Lilly's loss of her home and belongings due to the fire is an external event that led to her current state of distress. This crisis is not a result of her personal development or internal conflicts, ruling out options A, C, and D. Lilly's lack of support system and disorganization in seeking assistance further align with the characteristics of an adventitious crisis.

Correct Answer: D

Rationale: The correct answer is D because ensuring a safe and supportive environment is the priority in assessing a sexually abused child. Safety and comfort are crucial for the child to feel secure and open up about their experience. This approach helps build trust and rapport, leading to a more effective assessment and support. A: Finding out when the abuse occurred is important but not the immediate priority. B: Documenting for court is necessary but not the first step in caring for the child's well-being. C: Using anatomically correct dolls can be helpful in some cases, but it should not be the priority over ensuring the child's safety and well-being.

Correct Answer: D

Rationale: The correct answer is D: Stabilize the client's physical health status. This should be done first because addressing immediate physical health needs is crucial for the client's well-being. Without stable physical health, the client may not be able to engage effectively in accessing benefits or finding safe facilities. Referring to social services (A) and discussing privacy (C) are important but secondary to addressing physical health. Providing a list of safe facilities (B) is also important but not as critical as stabilizing the client's health. By addressing physical health first, the nurse can ensure the client is in a better position to address other needs effectively.

Correct Answer: D

Rationale: The correct answer is D because it reflects the negative outcome of despair in Erikson's stage of "old age." In this stage, individuals reflect on their lives and may feel satisfied or dissatisfied. Option D shows the woman feeling anger and dissatisfaction, indicating despair. Choice A involves a woman struggling with caregiving, which could be a challenge but doesn't necessarily reflect despair. Choice B describes someone reflecting on their life, which is a positive aspect of this stage. Choice C shows a man openly discussing his accomplishments and failures, which is a healthy way of coping and doesn't indicate despair.

Correct Answer: B

Rationale: Step 1: The correct answer is B because research shows that although there may be stresses involved with grandparenting, the positive benefits such as increased sense of purpose, emotional satisfaction, and intergenerational bonding tend to outweigh the negatives. Step 2: Choice A is incorrect because the well-being of grandmothers is not always statistically more significant when they co-parent their grandchildren. It depends on individual circumstances. Step 3: Choice C is incorrect as it generalizes by stating that all white grandmothers experience less well-being when co-parenting, which is not supported by research. Step 4: Choice D is incorrect because it specifies only grandfathers and does not provide a well-rounded view of the influence of co-parenting on the mental health of grandparents.

Correct Answer: D

Rationale: The correct answer is D: Assist the client to report abusive behavior to the proper authority. This is the most appropriate intervention because it prioritizes the safety and well-being of the client. Reporting abusive behavior to the proper authority can help protect the client from further harm and connect her with resources and support services. It also empowers the client to take action to address the abusive situation. Choice A is incorrect because involving the client's husband directly may escalate the situation and put the client at further risk. Choice B is incorrect as it focuses on the client recognizing signs of escalation, rather than taking immediate action to address the abuse. Choice C is incorrect as it places the responsibility on the client to identify triggers, rather than addressing the abusive behavior directly. Reporting to the proper authority is the most effective and immediate intervention in cases of abuse.

Correct Answer: D

Rationale: The correct answer is D because the DSM-V classifies mental disorders that individuals have. The DSM-V is a diagnostic manual used by mental health professionals to categorize and classify mental disorders based on specific criteria. It focuses on identifying patterns of symptoms and behavior that indicate the presence of a mental disorder. Choices A, B, and C are incorrect because the DSM-V does not solely focus on deviant behaviors, present disability or distress, or people with mental disorders in general, but specifically on identifying and classifying mental disorders that individuals may have based on established criteria.

Correct Answer: C

Rationale: The correct answer is C: Information seeker. This group role involves seeking clarification, asking questions, and gathering information. In this scenario, the group member's behavior of consistently asking for clarification aligns with the role of an information seeker. This role helps facilitate communication and understanding within the group. A: Coordinator is responsible for organizing and integrating group activities, not seeking clarification. B: Recorder records group discussions and decisions, not necessarily seeking clarification. D: Standard setter sets standards for the group's behavior and goals, not focused on seeking information. In summary, the group member's behavior of consistently seeking clarification fits the role of an information seeker, making it the correct choice.

Correct Answer: C

Rationale: The correct answer is C: cognitive behavioral therapy. This therapy focuses on changing negative thought patterns and behaviors to improve one's perceptions about life situations. It helps individuals identify and challenge irrational beliefs, leading to more positive emotions and behaviors. Milieu therapy (A) focuses on creating a therapeutic environment, not specifically on changing perceptions. Psychoanalysis (B) delves into unconscious conflicts, not necessarily focused on changing perceptions directly. Reality therapy (D) is more about personal responsibility and choices, rather than altering perceptions through cognitive restructuring.