Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention?

Correct Answer: B

Rationale: The correct answer is B because regular depression screening for adolescent and teenage students can help identify and address mental health issues early. This intervention is proactive and preventive, aligning with mental health promotion goals. Option A focuses on education but may not reach all individuals at risk. Option C provides support but is reactive rather than preventive. Option D targets a specific population and resource access but lacks the proactive nature of screening for early intervention.

Correct Answer: D

Rationale: The correct answer is D because it reflects the principles of operant conditioning by utilizing positive reinforcement. By acknowledging the verbally aggressive patient for complimenting another patient's drawing, you are reinforcing a positive behavior (complimenting) to increase the likelihood of it recurring. This aligns with operant conditioning's concept of reinforcing desired behaviors to promote learning and behavior change. Choices A, B, and C do not directly reflect operant conditioning principles. A focuses on promoting a love for learning through reading, which is more related to classical conditioning. B involves journaling to express feelings, which is more aligned with cognitive-behavioral therapy. C suggests cuddling a newborn, which is more about bonding and attachment rather than operant conditioning.

Correct Answer: B

Rationale: The correct answer is B: Hildegard Peplau. Peplau's theory of interpersonal relations emphasized the therapeutic nurse-client relationship, which greatly influenced psychiatric nursing practice. Her framework focused on nurse-patient communication, understanding patient behavior, and promoting patient growth and development. This approach revolutionized how psychiatric nurses engage with and care for patients. A: Harry Stack Sullivan was a psychiatrist known for interpersonal theory, which has relevance in psychiatric nursing but not as impactful as Peplau's work. C: Erik Erikson was a developmental psychologist whose stages of psychosocial development are relevant to understanding patients in psychiatric nursing, but Peplau's theory directly informs nursing practice. D: Ivan Pavlov was a physiologist known for classical conditioning, which is not directly related to psychiatric nursing practice.

Correct Answer: B

Rationale: The correct answer is B: Care for hard-to-engage, seriously ill patients. ACT is an evidence-based, multidisciplinary approach designed for individuals with severe mental illnesses who have difficulty engaging with traditional mental health services. It offers intensive, team-based support to address the complex needs of this population, including housing, medication management, and social support. This approach is particularly beneficial for homeless individuals with schizophrenia, as it provides ongoing, personalized care to help them stabilize and reintegrate into the community. Incorrect choices: A: Psychiatric home care - ACT is not limited to home care but involves a comprehensive, community-based approach. C: Outpatient community mental health center care - While ACT involves community-based care, it is more intensive and individualized than standard outpatient services. D: A comprehensive emergency service model - ACT is focused on providing ongoing, long-term support rather than emergency services.

Correct Answer: A

Rationale: Step 1: Asking the patient about treatment expectations demonstrates patient-centered care, a core QSEN competency. Step 2: Patient involvement in decision-making enhances safety and quality of care. Step 3: It promotes effective communication and collaboration, key QSEN competences. Step 4: Seeking recertification for CPR is important but not directly related to QSEN competencies. Step 5: Monitoring social media is not a reliable source for healthcare opinions and does not reflect QSEN principles. Step 6: Consulting with a dietician about cultural preferences aligns with cultural competence but is not specific to all QSEN competencies.