Stacy's mother states to the nurse that it is hard to see Stacy with no hair. The best response for the nurse is:

Correct Answer: D

Rationale: Rationale: - Option D is correct because it acknowledges the mother's concern, provides reassurance, and educates about the temporary nature of the hair loss due to the treatment. - It shows empathy, offers hope, and addresses the mother's emotional distress in a supportive and informative manner. Summary: - Option A ignores the mother's feelings and does not address the underlying concern. - Option B is dismissive and invalidates the mother's emotions, lacking empathy. - Option C suggests suppressing emotions, which can be harmful and does not address the mother's concern.

Correct Answer: B

Rationale: The correct answer is B because it accurately defines mental health as a state of overall well-being where an individual can recognize their abilities, manage normal life stressors, and function effectively. This definition takes into account the holistic nature of mental health, emphasizing not just the absence of illness but also the presence of positive qualities. Option A is incorrect as it specifically refers to the symptom of psychosis, not mental health as a whole. Option C is incorrect as it focuses on different aspects of mental health care rather than the definition of mental health itself. Option D is incorrect as it only defines mental health in terms of the absence of illness, which is an oversimplified and incomplete understanding.

Correct Answer: C

Rationale: The correct answer is C: Ensure the safety of the victim. This is the primary nursing intervention for a victim of child abuse because ensuring the safety of the child is the most urgent and critical priority. By ensuring the safety of the victim, the nurse can prevent further harm and protect the child from ongoing abuse. Assessing the scope of the problem (choice A) and analyzing family dynamics (choice B) are important but secondary to ensuring the immediate safety of the child. Teaching coping skills (choice D) can be beneficial, but it is not the primary intervention needed to address the immediate safety concerns of a child abuse victim.

Correct Answer: A

Rationale: The correct answer is A because returning the child to school immediately with family support helps them confront their fears gradually, reducing anxiety over time. This approach exposes the child to the school environment in a supportive manner, promoting desensitization. Choice B only provides information but doesn't address the child's emotional distress. Choice C may exacerbate the child's anxiety by singling them out, making them feel more self-conscious. Choice D may create dependency and hinder the child's ability to cope independently.

Correct Answer: D

Rationale: The correct answer is D: Administering Librium as ordered. This is the priority because Librium is a medication prescribed for specific therapeutic reasons, such as managing withdrawal symptoms or anxiety. Administering it as ordered ensures the client's safety and well-being. Monitoring vital signs (A) is important but not the priority over administering necessary medication. Providing a quiet, dim room (B) and encouraging fluids and nutrition (C) are important for comfort and health but do not address immediate medical needs like medication administration.