Some cultures have lower rates of diagnosed conduct disorders than observed in Western societies. The lower rate of incidence may be contributed to:

Correct Answer: C

Rationale: The correct answer is C because parents' limited tolerance for externalizing behavior can lead to fewer cases of conduct disorders being diagnosed. This is because parents in these cultures may intervene and address behavioral issues before they escalate to the level of a diagnosed disorder. Choices A and B do not necessarily lead to lower rates of diagnosed conduct disorders, as strict parenting with corporal punishment can actually exacerbate behavior problems, and cultural expression of anger does not directly relate to conduct disorders. Choice D is incorrect because widespread acceptance of conduct disorders would likely lead to higher rates of diagnosis, not lower.

Correct Answer: C

Rationale: The correct answer is C: lack of consistent funding. Workforce reentry programs often struggle with securing consistent funding to support their operations and services. This challenge can hinder the program's ability to sustain long-term impact and effectively assist individuals in reentering the workforce. Without stable funding, programs may face difficulties in maintaining staff, resources, and program continuity. This can ultimately impact the program's success in helping clients achieve successful workforce reintegration. Choices A, B, and D are incorrect because: A: an excess of employers who are eager to work with clients - While having a network of supportive employers is beneficial, the main challenge lies in securing funding to sustain the program's operations. B: a lack of evidence-based practice (EBP) demonstrating their effectiveness - While evidence-based practice is important, it is not the main challenge faced by workforce reentry programs. Funding is a more critical issue for program sustainability. D: too many resources that can cause confusion for clients - Having resources is generally

Correct Answer: B

Rationale: The correct answer is B: client preferences. In the EBP model, client preferences play a crucial role in decision-making. When Nurse Sheila adjusts the client's plan of care after talking with them, she is considering the client's individual needs, values, and preferences. This aligns with the client-centered approach of EBP, where decisions are made collaboratively with the client. Incorrect choices: A: Best available research - While research is important in EBP, in this scenario, the focus is on the client's preferences rather than solely relying on research evidence. C: Nursing expertise - While nursing expertise is valuable, in this case, the emphasis is on incorporating the client's input into the plan of care. D: Review of evidence - While reviewing evidence is a component of EBP, in this scenario, the main focus is on the client's preferences rather than the evidence alone.

Correct Answer: D

Rationale: The correct answer is D: Termination phase. In this phase, the goals of therapy have been met, and the client is reflecting on their progress and expressing their feelings about ending therapy. The client's statement about needing to keep coming back indicates that they are aware of the progress made and are preparing to end the therapeutic relationship. A: Pre-interaction phase occurs before the nurse-client relationship is established. B: Orientation phase is when the nurse and client establish rapport and set goals. C: Working phase is when the therapeutic work is being done to achieve goals. Therefore, the client's statement falls in the Termination phase as they are acknowledging the progress made and preparing to end therapy.

Correct Answer: B

Rationale: The correct answer is B because maintaining client confidentiality is a fundamental principle in nursing ethics. By using the client's full name on a submitted record, the student has breached confidentiality. The instructor's priority intervention should be to correct this error and remind the student of the importance of safeguarding client information. Choices A, C, and D are incorrect because they do not address the primary issue of confidentiality breach. Reinforcing accurate documentation (A) is important but secondary to confidentiality. Choice C and D are incorrect as client incompetency or involuntary commitment does not automatically negate the need for confidentiality.