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: 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.

Correct Answer: B

Rationale: The correct answer is B: Cogentin. The client is displaying symptoms of acute dystonia, a side effect of antipsychotic medications like risperidone. Cogentin, also known as benztropine, is a common treatment for acute dystonia as it acts as an anticholinergic agent, helping to alleviate muscle rigidity and spasms. Benzodiazepines (Choice A) are not typically used for treating acute dystonia. Propranolol (Choice C) is a beta-blocker used for anxiety and heart conditions, not for acute dystonia. Valbenazine (Choice D) is a medication used for treating tardive dyskinesia, not acute dystonia.

Correct Answer: D

Rationale: The correct answer is D because it directly provides the client with essential information about the medication's purpose and potential benefits, promoting understanding and cooperation. Choice A is incorrect as it is directive and does not explain the medication's purpose. Choice B is incorrect as it focuses on the doctor's decision rather than the client's understanding. Choice C is incorrect as it deflects from addressing the client's concerns directly.

Correct Answer: B

Rationale: The correct answer is B because it highlights the essential skills required in mental health nursing - complex communication and critical thinking. Mental health nurses work with patients facing multidimensional issues, requiring them to adapt and problem-solve effectively. This response acknowledges the challenges and emphasizes the importance of these skills in providing quality care. Option A is incorrect as it focuses on the perceived safety of the environment and nurse-to-patient ratios, which are not directly related to the maintenance of clinical nursing skills. Option C is incorrect because while some mental health settings may use high technology monitoring equipment, this does not address the core clinical skills essential for nursing practice. Option D is incorrect as it trivializes the challenges faced by psychiatric nurses by comparing them to medical-surgical nurses. Pain and suffering are not the only indicators of nursing skill and expertise.