Maria is trying to create a psychiatric-mental health wellness routine. She has just seen her therapist and is writing notes from their session about wellness. What is an example from her notes that would demonstrate her understanding?

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Question 1 of 5

Maria is trying to create a psychiatric-mental health wellness routine. She has just seen her therapist and is writing notes from their session about wellness. What is an example from her notes that would demonstrate her understanding?

Correct Answer: B

Rationale: The correct answer is B: exercising thirty minutes three to five days per week. This choice aligns with established guidelines recommending at least 150 minutes of moderate-intensity exercise per week, which breaks down to 30 minutes for 3-5 days. Choice A exceeds the recommended time, C falls slightly below it, and D suggests daily exercise, which may not allow for sufficient rest and recovery. Maria's understanding of the optimal exercise routine for mental health wellness is demonstrated by choosing option B.

Question 2 of 5

A nurse has just transferred from a general psychiatric unit to work on a forensic psychiatric unit. The nurse finds it easier to communicate with these clients because, for the most part, their inappropriate behaviors and cognitive disorders have responded positively to treatment. One afternoon in December, a client asks the nurse for her address so he can send her a Christmas card. Which response by the nurse would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D: It is inappropriate for me to give you my address because our relationship is professional rather than social. Rationale: 1. Boundaries: As a nurse on a forensic psychiatric unit, maintaining professional boundaries is crucial to ensure the safety and well-being of both the nurse and the client. 2. Ethical Conduct: Sharing personal information, like one's address, with a client blurs the lines between professional and personal relationships, which can lead to ethical violations. 3. Safety Concerns: Given the client's history and the nature of the request, disclosing personal information could potentially put the nurse at risk or compromise her safety. 4. Client-Centered Care: By respectfully declining the request and emphasizing the professional nature of their relationship, the nurse upholds the principles of client-centered care and maintains a therapeutic environment. Summary: A: This response does not address the importance of professional boundaries and could potentially lead to ethical issues. B: This response is inappropriate, confrontational, and

Question 3 of 5

A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output?

Correct Answer: D

Rationale: The correct answer is D: Left lateral. Placing the client in a left lateral position helps optimize cardiac output by improving venous return to the heart, reducing pressure on the vena cava, and enhancing blood flow to the placenta. This position also minimizes the risk of supine hypotensive syndrome, which can occur when lying flat on the back and compressing the vena cava. Choices A (The chest) and B (Standing) are incorrect as they do not facilitate optimal venous return and may increase cardiac workload. Choice C (Supine) is incorrect as it can lead to decreased cardiac output and potentially compromise fetal oxygenation due to vena cava compression.

Question 4 of 5

Isadora is a middle-aged woman living in a group home after being discharged from a psychiatric institution nearly 20 year ago. Isadora keeps to herself, stays in her room most of the day, and only ventures out for meals. Cassandra, the house manager, encourages Isadora to:

Correct Answer: B

Rationale: The correct answer is B: Join a day program clubhouse. This option is the most appropriate as it offers Isadora socialization, structured activities, and support, which can help her overcome isolation and improve her mental well-being. Looking for a job (A) may be too overwhelming for Isadora at this point. Assisting in the kitchen (C) may not address her socialization needs. Taking on a roommate (D) could potentially increase Isadora's stress levels instead of addressing her social isolation.

Question 5 of 5

A family member of a client diagnosed with schizoaffective disorder asks a nurse what causes the disorder. Which response by the nurse would be most appropriate?

Correct Answer: B

Rationale: The correct answer is B because research has shown a strong genetic component in the development of schizoaffective disorder. Genetic factors play a significant role in predisposing individuals to this condition. Studies have identified specific genetic markers and hereditary patterns associated with the disorder. This explanation is supported by scientific evidence and is widely accepted in the field of psychiatry. Choice A is incorrect because while family dynamics may influence the course of the disorder, it is not considered a direct cause. Choice C is incorrect as dopamine dysregulation is more commonly associated with schizophrenia, not schizoaffective disorder. Choice D is incorrect as birth order has not been identified as a significant factor in the development of schizoaffective disorder.

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