The nurse is counseling a family whose 4-year-old child has mild mental retardation. The nurse is working with the family on realistic long-term goals. Which of the following would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C: Achieving independent functioning of the child as an adult. This is the most appropriate long-term goal as it focuses on empowering the child to lead a fulfilling and independent life despite their condition. It emphasizes working towards maximizing the child's potential and enhancing their quality of life. A: Locating suitable residential placement for the child is not the most appropriate long-term goal as it does not focus on the child's independence and potential growth. B: Finding a foster home for the child is not suitable as it does not address the child's long-term development and independence. D: Preventing the onset of psychiatric disorders in the child is important but may not be the most relevant long-term goal as it does not directly address the child's mental retardation or focus on their independent functioning as an adult.

Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct: 1. Assessment findings in mental illness reflect a person's cultural patterns: This belief acknowledges the importance of cultural considerations in understanding and addressing mental health issues. 2. By recognizing cultural patterns in assessment findings, the nurse can provide more personalized and effective care. 3. Understanding cultural influences can help the nurse advocate for patient-centered care during multidisciplinary care planning. 4. This belief aligns with the principles of cultural competence and patient advocacy in healthcare. Summary: - Choice A is incorrect as mental illnesses can have biological, psychological, and social determinants in addition to cultural factors. - Choice B is incorrect as it generalizes specific disorders without considering individual and cultural variations. - Choice C is incorrect as symptoms can manifest differently across cultures due to various factors beyond just the disorder itself.

Correct Answer: D

Rationale: The correct answer is D because anxiety and depression in an incest survivor are considered normal reactions to posttraumatic events. Survivors often experience these symptoms as a result of the trauma they have endured. It is important for the survivor to understand that these reactions are common and part of the healing process. Choice A is incorrect because complete eradication of these symptoms may not be realistic. Choice B is incorrect as it downplays the seriousness of the survivor's experience. Choice C is incorrect because labeling the symptoms as abnormal may further stigmatize the survivor.

Correct Answer: B

Rationale: The correct answer is B because the statement suggests a potential misunderstanding or negative perception of the baby's behavior. The nurse should explore further to address any underlying issues, provide education, and offer support. Choice A is a personal decision. Choice C reflects a common desire for support. Choice D is a general acknowledgment of the challenges of parenting. By exploring statement B, the nurse can ensure the well-being of both the mother and the baby.

Correct Answer: A

Rationale: The correct order of Maslow's hierarchy of needs is A: physiological, safety/security, belonging and love/social, esteem, self-actualization. This order follows Maslow's theory that individuals must satisfy lower level needs before progressing to higher level needs. Physiological needs like food and water are the most basic and must be met first, followed by safety/security needs. Belonging and love/social needs come next, then esteem needs such as recognition and respect, leading to self-actualization, the highest level of realizing one's potential. Choice B is incorrect as it starts with esteem and self-actualization, skipping physiological and safety needs. Choice C is incorrect as it starts with belonging and love/social needs, skipping physiological, safety, and esteem needs. Choice D is incorrect as it starts with safety/security, skipping physiological needs and has a different order of esteem and belonging needs.