Nurse Tuan worked with a client three weeks ago to get them set up with a community-based mental health-care treatment plan to help with the client's diagnosis of major depressive disorder. Tuan decides to make a follow-up call to the client to ask them how they're doing. What step in the nursing process does Tuan's action represent?

Correct Answer: B

Rationale: The correct answer is B: evaluation. Evaluation is the step in the nursing process where the nurse assesses the client's response to the implemented plan of care to determine if the goals were met and if any modifications are needed. In this scenario, Nurse Tuan is following up with the client to assess how they are doing after the community-based mental health-care treatment plan was put in place. This action allows Tuan to evaluate the effectiveness of the plan and make any necessary adjustments. Incorrect Choices: A: Assessment is the step where data is collected and analyzed to identify the client's problems and needs. This step precedes the implementation of the treatment plan. C: Implementation is the step where the nurse puts the plan of care into action. Tuan has already implemented the plan and is now assessing its effectiveness. D: Planning is the step where the nurse develops a comprehensive plan of care based on the assessment data. Tuan has already completed this step by setting up the community-based mental health-care

Correct Answer: B

Rationale: The correct answer is B because the caseworker is trying to avert a potential relapse and preserve stability in Charlie's life by initiating a discussion about his future living arrangements. By addressing this issue proactively, the caseworker can help Charlie transition smoothly when his father can no longer care for him, minimizing disruptions and maintaining his mental health. Choice A is incorrect because it only focuses on arranging housing for Charlie after his father's death, without considering the immediate impact on Charlie's stability. Choice C is incorrect as it assumes a crisis will occur, which may not be the case if proactive steps are taken. Choice D is incorrect because it may not be realistic or beneficial to make Charlie realize he will soon live independently without proper planning and support.

Correct Answer: D

Rationale: The correct answer is D: Social cognition. Ophelia's inability to recognize familiar faces at the reunion indicates a deficit in social cognition, which involves the ability to understand and interact with others socially. This deficit is not related to lower-level cognitive domains like memory or attention (choice A), delirium threshold (choice B), or executive function which is more related to planning and decision-making (choice C). Social cognition impairment can manifest as difficulty recognizing faces, interpreting social cues, or understanding others' emotions, all of which are evident in Ophelia's situation.

Correct Answer: A

Rationale: The correct answer is A: Compare the client's baseline blood pressure with the client's current blood pressure. This is the first step to assess for orthostatic hypotension which can be a side effect of psychiatric medications. It is important to rule out any potential medication-induced hypotension before making any changes to the client's medication regimen. Choice B is incorrect because abruptly stopping psychiatric medications can lead to withdrawal symptoms and exacerbate the client's condition. Choice C is incorrect because while assessing coping skills and stress levels is important, addressing the client's current symptoms of dizziness and difficulty walking takes precedence. Choice D is incorrect as using an alcohol-based mouthwash is unrelated to the client's symptoms and may not address the underlying cause of the client's issues.

Correct Answer: A

Rationale: The correct answer is A because placing a daily calendar in the kitchen helps individuals with Alzheimer's disease maintain a sense of time and routine. This aids in reducing confusion and anxiety. Choice B is incorrect as it does not directly address the cognitive needs of the individual. Choice C is incorrect as it may not be feasible or necessary for everyone. Choice D is incorrect as maintaining a consistent routine is beneficial for individuals with Alzheimer's disease to reduce disorientation.

Correct Answer: D

Rationale: The correct answer is D because personal care homes typically house a small number of residents (6-10 people) and provide 24-hour supervision by health care attendants. This option aligns with the concept of personal care homes offering a more intimate and personalized level of care compared to larger facilities. Choice A is incorrect because personal care homes are not typically run by families, and the level of supervision provided is more formal and professional. Choice B is incorrect as personal care homes do not usually involve residents living in apartments with roommates. Choice C is incorrect because personal care homes typically do not house 50 people together and provide more personalized care in smaller groups.

Correct Answer: A

Rationale: The correct answer is A: Continuity of care. This is a major goal in the recovery process of schizophrenia as it emphasizes ongoing support and treatment beyond the acute phase. Continuity of care ensures consistent monitoring, medication management, therapy, and support services, which are essential for long-term recovery. Shorter in-patient stays (B) focus more on acute management rather than sustained recovery. Immediate crisis stabilization (C) is important but not the primary long-term goal. Social engagement (D) is beneficial but not as critical as continuity of care for sustained recovery.

Correct Answer: B

Rationale: The correct answer is B: evaluation. Evaluation is the step in the nursing process where the nurse assesses the client's response to the implemented plan of care to determine if the goals were met and if any modifications are needed. In this scenario, Nurse Tuan is following up with the client to assess how they are doing after the community-based mental health-care treatment plan was put in place. This action allows Tuan to evaluate the effectiveness of the plan and make any necessary adjustments. Incorrect Choices: A: Assessment is the step where data is collected and analyzed to identify the client's problems and needs. This step precedes the implementation of the treatment plan. C: Implementation is the step where the nurse puts the plan of care into action. Tuan has already implemented the plan and is now assessing its effectiveness. D: Planning is the step where the nurse develops a comprehensive plan of care based on the assessment data. Tuan has already completed this step by setting up the community-based mental health-care

Correct Answer: C

Rationale: The correct answer is C because it addresses the participant's concern about stigma by emphasizing the importance of psychiatric medication for mental health, just like medication for physical health. This response validates the participant's feelings and educates on the significance of treating mental health conditions. A: This response may come off as dismissive and does not provide a supportive or educational approach. B: While it suggests confidentiality, it does not address the underlying issue of stigma and may not empower the participant to feel more comfortable with medication. D: This response does not provide a constructive solution or empower the participant to manage stigma related to taking psychiatric medication.