Terry is a young male in a chemical dependency program. Recently he has become increasingly distracted and disengaged. The nurse concludes that Terry is:

Correct Answer: D

Rationale: Step 1: Terry's increasing distraction and disengagement suggest a lack of readiness for change. Step 2: This behavior is common in individuals not prepared to address their issues. Step 3: Option D, "Not ready to change," accurately reflects Terry's current state. Summary: Option A is incorrect as boredom does not capture the severity of Terry's behavior. Option B, depression, is not supported by the information provided. Option C, bipolar disorder, is unlikely given the limited symptoms described.

Correct Answer: D

Rationale: The correct answer is D because the publication of the first psychiatric nursing text, "Nursing Mental Disease" by Harriet Bailey, represents the foundational development of psychiatric-mental health nursing practice. This event predates the other choices and laid the groundwork for the field. The other choices occurred later in the timeline of psychiatric-mental health nursing practice. A: Publication of Standards of Psychiatric-Mental Health Nursing by the ANA - This event would have come after the publication of the first psychiatric nursing text and reflects the establishment of standardized practices in the field. B: Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice - This event is more specialized and would have developed after the broader standards of psychiatric-mental health nursing were established. C: Establishment of the first graduate program in psychiatric nursing at Rutgers University - The development of a graduate program typically follows the establishment of foundational texts and standards in a field.

Correct Answer: D

Rationale: The correct answer is D: Schizophreniform disorder. This disorder is characterized by symptoms similar to schizophrenia but lasting between 1 to 6 months. In this case, the client has been experiencing delusions, hallucinations, catatonic excitement, echopraxia, loose associations, and pressured speech for the past 3 months. This aligns with the timeframe and symptomatology of schizophreniform disorder. A: Schizophrenia is a long-term mental disorder lasting for at least 6 months. The client's symptoms have been present for only 3 months, making schizophrenia less likely. B: Schizoaffective disorder involves both psychotic symptoms and mood disturbances. There is no mention of mood disturbances in the client's presentation, making this choice less likely. C: Brief Psychotic disorder involves sudden onset of psychotic symptoms lasting less than 1 month. The client's symptoms have been present for 3 months, ruling out this diagnosis. In summary, the client's presentation of symptoms

Correct Answer: A

Rationale: The correct answer is A because it shows active listening and empathy by acknowledging the patient's nonverbal cue. By stating "I notice you keep looking toward the door," the nurse demonstrates understanding and opens up the opportunity for the patient to express any concerns or reasons for their behavior. This response validates the patient's feelings and encourages further communication. Choice B is incorrect because it dismisses the patient's behavior and does not address the underlying issue of why the patient is looking toward the door. Choice C is incorrect as it assumes the patient wants to end the discussion without confirming the patient's actual feelings or reasons for looking toward the door. Choice D is incorrect because it jumps to a solution without first addressing the patient's nonverbal communication. It may not be the environment that is causing the discomfort, so moving may not be the best approach without further exploration.

Correct Answer: B

Rationale: The correct answer is B: social media platforms. They are commonly used for hosting online communities and support groups due to their user-friendly interface, accessibility, and communication features. Social media allows for easy interaction among members, sharing information, and building a sense of community. Video game forums (A) are more focused on gaming discussions. Encrypted email services (C) prioritize privacy and security in communication, not community-building. Corporate intranets (D) are internal networks for employees, not suitable for client and family support groups.