The key to asking culturally competent assessment questions is to:

Correct Answer: A

Rationale: Rationale: A: Removing bias ensures questions are neutral and unbiased, crucial for culturally competent assessment. B: Simple wording may overlook nuances or cultural context, leading to misinterpretations. C: Focusing on age and gender may not address other cultural factors that influence individuals. D: While culture impacts various aspects of life, recognizing this alone doesn't ensure bias-free questions.

Correct Answer: B

Rationale: The correct answer is B because teaching stress management techniques to new mothers promotes prevention and empowerment, aligning with the shift towards preventive mental health care. By educating mothers on managing stress, potential mental health issues can be addressed proactively. Rationale for other choices: A: Assessing for suicidal ideations is important for safety but focuses on managing existing disabilities rather than preventive care. C: Accommodating a client's preference for liquid medications is client-centered care, but does not necessarily shift the focus towards prevention. D: Scheduling a follow-up visit ensures continuity of care but does not address preventive measures.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates the client's understanding of her own agency and ability to take control of her situation. By acknowledging her strength to leave if she feels threatened, the client shows an awareness of her own capabilities and empowerment. This statement indicates that the client is moving towards autonomy and taking steps to ensure her safety. Choice A reflects a sense of fatalism and resignation, which does not demonstrate competence. Choice C minimizes the abuse by attributing it to an external factor (anger management issue) rather than recognizing it as a pattern of behavior. Choice D relies on the abuser's promises rather than the client's own actions and decision-making, which does not indicate competence.

Correct Answer: C

Rationale: The correct answer is C: Educating local citizen groups on the needs and experiences of the mentally ill in their community. This intervention addresses the root cause of stigma - lack of understanding and awareness. By educating the community, misconceptions can be corrected, empathy can be cultivated, and stigma can be reduced. Choice A does not directly address stigma reduction but rather focuses on minimizing reliance on the community. Choice B, while promoting acceptance, may not necessarily tackle stigma at its core. Choice D, improving socialization skills, is beneficial but may not address the systemic issue of stigma. Ultimately, educating the community is key to fostering a more inclusive and supportive environment for individuals with mental illness.

Correct Answer: D

Rationale: The correct answer is D because food intake before electroconvulsive therapy (ECT) can increase the risk of aspiration during the procedure, which can be life-threatening. Buttered toast, cooked cereal, tea, and juice are considered solid food items that should be avoided before ECT to prevent complications. Choices A, B, and C are not immediate contraindications for canceling the ECT session. A: The client's wife being late does not impact the safety of the procedure. B: Taking antihypertensive medication does not pose a direct risk before ECT. C: Fitful sleep and bad dreams do not indicate a need for cancellation unless related to a medical emergency.