The nurse is conducting a family assessment. When asked about her children's performance at school, the single mother reported that her oldest, a 10-year-old, 'does OK with schoolwork but doesn't have any interest in being friends with the kids in her school.' To further investigate this situation the nurse asks the:

Correct Answer: C

Rationale: The correct answer is C because asking the child what she does at home after school can provide insights into her social interactions, interests, and possible reasons for not having friends at school. This approach allows the nurse to understand the child's daily routine, activities, and possible areas for intervention or support. A: Asking the child directly why she doesn't have friends may not yield accurate information as the child may not be able to articulate her feelings or may not be comfortable discussing the issue openly. B: Inquiring about the younger children's friendships is not relevant to understanding the oldest child's situation and may not provide meaningful insights. D: Involving the teacher or counselor without understanding the child's perspective first may not address the underlying reasons for her lack of friends and may not be the most appropriate initial step in the assessment process.

Correct Answer: D

Rationale: The correct answer is D because it specifically mentions a method of suicide involving a gun, indicating a higher level of planning and immediacy. This statement suggests a clear intent to harm oneself and poses an immediate risk. Choice A expresses a desire to escape but lacks a specific plan. Choice B indicates a future intent, which may not necessarily pose an immediate risk. Choice C expresses a desire for the suffering to end but does not specify a method, indicating a lower level of immediate risk compared to choice D.

Correct Answer: A

Rationale: The correct answer is A: Dialectical Behavioral Therapy (DBT). DBT is specifically designed for individuals with borderline personality disorder, focusing on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It has shown to be effective in reducing self-harm behaviors and improving overall functioning. CBT (B) may be helpful for some symptoms but lacks the comprehensive approach of DBT. MBCT (C) is primarily used for depression and may not address the specific needs of individuals with borderline personality disorder. ERP (D) is used for anxiety disorders, not BPD.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Valium (Diazepam) is commonly used in alcohol withdrawal due to its long-acting properties and effectiveness in managing symptoms. 2. Ativan (Lorazepam) is also used, but Valium is preferred for its longer duration of action. 3. Librium (Chlordiazepoxide) is another option with a long half-life, but Valium is more commonly used. 4. Sedation is not a benzodiazepine and does not directly address alcohol withdrawal symptoms. In summary, Valium is preferred for alcohol withdrawal due to its long-acting properties, followed by Ativan and Librium. Sedation is not a benzodiazepine and does not treat alcohol withdrawal symptoms.

Correct Answer: A

Rationale: Rationale: Propranolol (Inderal) is a beta-blocker commonly used to manage physical symptoms associated with anxiety, such as tremors and rapid heart rate. It is effective for performance anxiety, social phobia, and panic disorder by reducing physiological symptoms without affecting cognitive functions. Other choices like B, C, and D are not indicated for these conditions and do not target the cardiovascular symptoms associated with anxiety.