The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?

Correct Answer: B

Rationale: The correct answer is B because the statement reflects the hallmark symptom of agoraphobia, which is the fear of leaving one's safe space. The patient expresses the irrationality of their fear but still feels unable to go out. Choice A indicates optimism and a belief in overcoming the fear, not consistent with agoraphobia. Choice C suggests social support for staying home, which is not a characteristic of agoraphobia. Choice D implies the ability to go out with motivation, which is not in line with the persistent fear and avoidance seen in agoraphobia.

Correct Answer: C

Rationale: The correct answer is C: Cultural brokering. In this scenario, the nurse offering to find an interpreter for the patient demonstrates cultural brokering by facilitating communication between the patient and the medical staff despite the language barrier. Cultural brokering involves bridging the gap between different cultures to ensure effective communication and understanding in healthcare settings. Milieu therapy (A) focuses on creating a therapeutic environment, conflict resolution (B) involves resolving conflicts between individuals or groups, and structured interaction (D) refers to planned interactions with a specific purpose. In this case, the nurse's intervention goes beyond these options by directly addressing the cultural and communication needs of the patient.

Correct Answer: D

Rationale: Step 1: Interpersonal differentiation is important in family systems as it refers to individual family members' ability to maintain their own identity while remaining connected to the family unit. Step 2: Assessing interpersonal differentiation helps the nurse understand how well family members can balance autonomy and connection within the family. Step 3: This assessment is crucial for identifying healthy functioning within the family system and potential issues related to boundaries, enmeshment, and rule acceptance. Step 4: In contrast, choices A, B, and C focus more on specific aspects of family dynamics, but they do not directly address individual family members' ability to maintain their identity within the system.

Correct Answer: D

Rationale: Step 1: Identify Type D personality - Type D personality is characterized by negative emotions, social inhibition, and a tendency to suppress emotions. Step 2: Analyze the choices - Option D fits the criteria as the man reacts negatively to almost everything and does not discuss his feelings with anyone, demonstrating social inhibition and negative emotions. Step 3: Eliminate incorrect choices - Option A displays aggression, not social inhibition. Option B shows introverted behavior, not necessarily negative emotions. Option C involves peer pressure and poor decision-making, not social inhibition or negative emotions. Summary: Choice D is correct as it aligns with the characteristics of a Type D personality - negative emotions and social inhibition. Choices A, B, and C do not exhibit these specific traits.

Correct Answer: D

Rationale: The correct answer is D: Tardive dyskinesia. Tardive dyskinesia is a potential side effect of long-term antipsychotic use, including chlorpromazine. It is characterized by involuntary repetitive movements, such as lip smacking or tongue protrusion. The nurse should monitor the client for early signs of tardive dyskinesia to prevent irreversible damage. Choices A, B, and C are incorrect: A: Weight loss is not typically associated with chlorpromazine use; in fact, weight gain is more common. B: Torticollis is a condition characterized by a twisted neck, which is not a common side effect of chlorpromazine. C: Hypoglycemia is not a known side effect of chlorpromazine; instead, it is more commonly associated with other medications like insulin or sulfonylureas.