The nurse is caring for a client in an inpatient mental health setting. The nurse notices that when the client is conversing with other clients, he repeats what they are saying word for word. The nurse interprets this finding and documents it as which of the following?

Correct Answer: D

Rationale: The correct answer is D: Echolalia. Echolalia is the repetition of words or phrases spoken by others, often seen in clients with mental health disorders. In this scenario, the client repeating others' words indicates a lack of original speech and a possible communication disturbance. Echopraxia (A) is the imitation of movements, not words. Neologisms (B) are made-up words lacking meaning. Tangentiality (C) is a thought disorder where the individual goes off on a tangent unrelated to the topic. Therefore, D is the most appropriate choice in this context.

Correct Answer: B

Rationale: The correct answer is B: Cognitive behavioral therapy. This type of therapy is commonly used in conjunction with pharmacologic therapy for bulimia nervosa. Cognitive behavioral therapy helps the client identify and change unhealthy thoughts and behaviors related to eating and body image. It also teaches coping strategies and techniques to manage triggers. Behavioral therapy (A) focuses on changing specific behaviors, while cognitive behavioral therapy (B) combines changing behaviors with addressing thoughts and emotions. Interpersonal therapy (C) focuses on improving relationships and communication skills, which may be beneficial but is not the primary treatment for bulimia nervosa. Family therapy (D) involves the client's family in the treatment process, which can be helpful but is not as directly focused on individual behavior change as cognitive behavioral therapy.

Correct Answer: C

Rationale: The correct answer is C: Ignore the child's rocking behavior. This is the most appropriate intervention because rocking without any danger does not require immediate intervention. It is a self-soothing behavior often seen in children with autism. By ignoring the behavior, the nurse avoids reinforcing it and allows the child to engage in self-regulation. Monitoring the behavior (choice A) is appropriate but does not actively address the behavior. Holding the child (choice B) may disrupt the child's coping mechanism. Placing the child in time out (choice D) is not appropriate as it may be perceived as punishment and increase distress.

Correct Answer: D

Rationale: The correct answer is D because it addresses the specific concern of the client with schizophrenia who also abuses alcohol. By monitoring and reporting any side effects, the nurse can ensure that the client's prescribed medications are adjusted or changed as needed to prevent him from stopping his medication, which could lead to relapse. This approach promotes medication adherence and overall stability, thus reducing the risk of relapse. Option A is incorrect because it lacks proactive measures to support the client's recovery. Option B focuses solely on avoiding triggers related to delusional thinking and does not address the dual diagnosis of schizophrenia and alcohol abuse. Option C, while beneficial, may not fully address the client's unique needs and challenges related to his dual diagnosis.

Correct Answer: D

Rationale: The correct answer is D: Substance Abuse and Mental Health Services Administration (SAMHSA). SAMHSA is a government agency that provides the most up-to-date evidence-based research, programs, and practices related to mental illness and addictions. They offer resources for healthcare professionals to access reliable information and guidelines for treatment and interventions. SAMHSA is specifically focused on mental health and substance abuse issues, making it the most appropriate choice for the nurse to consult. The other options, such as the American Psychiatric Association, American Psychological Association, and Clinician's Quick Guide to Interpersonal Psychotherapy, may have relevant information but do not specialize in mental illness and addictions like SAMHSA does.