Luc's family comes home one evening to find him extremely agitated and they suspect in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting?

Correct Answer: D

Rationale: The correct answer is D: Energy drink containers. Energy drinks are often consumed during manic episodes due to their high caffeine content, which can exacerbate manic symptoms. The medic counting energy drink containers is likely assessing the extent of Luc's consumption, providing valuable information for his medical evaluation and treatment. Hypodermic needles (A) are not typically associated with manic episodes. Fast food wrappers (B) and empty soda cans (C) may not be as directly related to exacerbating manic symptoms compared to energy drinks.

Correct Answer: C

Rationale: The correct answer is C: "Focusing." When delving further into a subject, you are exploring in-depth. Similarly, when taking notice of a single idea or word, you are focusing on it specifically. This choice aligns with the concept of narrowing down attention to a singular point. Choices A and B do not capture the essence of concentrating on a single idea but rather imply a broader perspective or providing general leads. Choice D, "Accepting," is irrelevant to the context of focusing on a specific idea or word. Hence, the correct answer is C as it best reflects the act of concentrating on a single element.

Correct Answer: D

Rationale: The correct answer is D because acknowledging a positive person in the client's life can provide emotional support and connection, which are crucial for the client's well-being after discharge. This interpersonal intervention focuses on building a supportive network for the client, enhancing their social resources and potentially reducing the risk of relapse. A, B, and C are incorrect because they primarily focus on individual insight and awareness rather than interpersonal relationships. While these interventions may be valuable in therapy, they do not directly address the importance of social support and connection, which is essential for long-term recovery and mental health stability.

Correct Answer: B

Rationale: The correct answer is B: When do you not feel depressed? In Solution-Focused Brief Therapy, the focus is on identifying exceptions to the problem rather than exploring the problem itself. The nurse asking about when the patient does not feel depressed helps to highlight moments when the patient's depression is not as prevalent, allowing them to identify coping strategies and potential solutions. Choice A is incorrect because it focuses on the onset of depression rather than the exceptions. Choice C is incorrect as it delves into the contributing factors of depression rather than identifying moments of respite. Choice D is incorrect because it focuses on the conditions for feeling depressed rather than exploring when the depression is not present.

Correct Answer: B

Rationale: The correct answer is B: Risk for Injury. The priority nursing diagnosis in this scenario is based on the client's physical symptoms and potential harm to himself. The client's tremors, anxiety, elevated pulse and blood pressure, increased temperature, and diaphoresis indicate symptoms of alcohol withdrawal, which can lead to seizures or delirium tremens. The client is at risk for injury due to these physiological manifestations. Disturbed Thought Processes (A) may be present, but addressing the risk for injury takes precedence. Ineffective Coping (C) and Ineffective Denial (D) may be relevant, but they are not as urgent as ensuring the client's safety from potential harm during alcohol withdrawal.

Correct Answer: D

Rationale: The correct answer is D because providing culturally competent care involves identifying strategies that align with the patient's cultural context. This includes understanding the patient's beliefs, values, and practices to deliver care that is respectful and effective. Choice A focuses on interpretation rather than action. Choice B involves assumptions about individual perceptions. Choice C is about reducing ethnocentrism, which may not be the primary goal of cultural competence.

Correct Answer: C

Rationale: The correct answer is C because the client stating that he feels better as he interacts more with other clients is a significant indicator of worsening suicidal risk. This change in behavior, from being consistently depressed to feeling better with social interaction, could indicate a sudden shift in mood, which may signal a potential spike in impulsivity and risk-taking behavior, including suicidal ideation. A, B, and D are incorrect: A: Expressing feeling more depressed can be a sign of deteriorating mental health, but it doesn't necessarily indicate an immediate increase in suicidal risk. B: Lethargy and isolation are common symptoms of depression and may not directly correlate with a sudden increase in suicidal risk. D: If the energy level and degree of depression remain the same, it may not indicate a worsening of suicidal risk unless other significant changes in behavior or mood are observed.

Correct Answer: C

Rationale: Step 1: Homeless individuals often face extreme stressors like lack of shelter, food, and safety. Step 2: Coping mechanisms are crucial for survival in such challenging conditions. Step 3: Resiliency refers to the ability to adapt and thrive despite adversity. Step 4: Therefore, the correct choice is C, as coping with extreme stressors demonstrates resiliency. Summary: A is incorrect because strong community supports may not always be available. B is incorrect since homeless individuals may not have access to family resources. D is incorrect as local governmental intervention may not directly impact individual resiliency.

Correct Answer: A

Rationale: The correct answer is A: Smoking. The nurse would be least likely to identify smoking as a factor related to suicide because smoking is not directly linked to suicidal behavior. Poor self-rated health, low education, and drug use are all known risk factors for suicide, as they can contribute to feelings of hopelessness, isolation, and coping difficulties. Smoking, while harmful to physical health, is not typically considered a direct risk factor for suicide. Therefore, the nurse would focus more on exploring the other options to assess the woman's risk for suicide.