The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?

Correct Answer: A

Rationale: The correct answer is A: Major depression. Physical neglect during childhood can lead to feelings of worthlessness and hopelessness, which are common symptoms of major depression. The nurse should assess the client for signs such as persistent sadness, changes in appetite or sleep, low energy, and thoughts of suicide. B: Schizophrenia is a severe mental disorder characterized by hallucinations and delusions, not directly related to childhood neglect. C: Narcissistic personality disorder is a personality disorder characterized by a grandiose sense of self-importance, not typically linked to childhood neglect. D: Panic disorder is an anxiety disorder characterized by recurrent panic attacks, not directly associated with childhood neglect.

Correct Answer: C

Rationale: The correct answer is C: Desire waning with age. As individuals age, their sexual desires and behaviors may change. In this case, Phillip may be experiencing a decrease in his desire for exhibitionism as he grows older. This is a common phenomenon as people's sexual interests and behaviors can evolve over time. A: An increasing sense of shame - While shame could potentially be a factor, it is not the most likely reason for the change in Phillip's behavior. B: Disgust over his lack of control - This choice does not directly address the decrease in thrill experienced by Phillip and is less likely to be the primary reason for his change in behavior. D: Progression into actual assault - This choice is not supported by the information provided in the question and is an extreme assumption without any evidence.

Correct Answer: A

Rationale: The correct answer is A: Weight loss. Levothyroxine is a thyroid hormone replacement medication used to treat hypothyroidism. When the medication is effective, it helps normalize the body's thyroid hormone levels, which can lead to an increase in metabolism and potential weight loss. This is a common therapeutic effect seen in patients with hypothyroidism. Summary of other choices: B: Decreased blood pressure - Levothyroxine is not primarily used to treat hypertension, so a decrease in blood pressure would not be a direct indication of the medication's effectiveness. C: Absence of seizures - Levothyroxine does not directly affect seizure activity, so this would not be a typical indicator of its effectiveness. D: Decrease inflammation - Levothyroxine is not specifically indicated for reducing inflammation, so a decrease in inflammation would not be a direct measure of the medication's effectiveness in treating hypothyroidism.

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the interrupting patient's needs while respecting the current patient's time. By informing the interrupting patient that the current session has 5 more minutes, the nurse sets clear expectations and boundaries. This approach prioritizes both patients' needs and manages the situation effectively. A: Inviting the interrupting patient to join in the session with the current patient may not be appropriate as it could compromise the current patient's confidentiality and disrupt the ongoing session. B: Directly refusing to talk with the interrupting patient may come off as dismissive and unprofessional, potentially escalating the situation. C: Ending the current session abruptly to attend to the interrupting patient disregards the current patient's time and needs, leading to a poor patient experience.

Correct Answer: A

Rationale: Rationale: A: The nurse advocating for a mentally ill client's access to mental health services aligns with the advocacy role, ensuring the client's needs are met. B: Focusing on improving self-care knowledge is important but not necessarily advocating for the client's rights or needs. C: Explaining unit rules and ensuring comfort in the environment is more about patient education and safety than advocacy. D: Monitoring for medication side effects is crucial, but it does not specifically address advocating for the client's rights or needs.