The nurse is managing the care of a client who recently lost his job and is diagnosed with mild situational depression. During the assessment interview, the client volunteered that he stopped attending school in the 8th grade. The nurse is satisfied that a client's lack of formal education has not become a risk factor to his mental health when he:

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Reflecting on his problem and formulating a realistic plan to find another job shows the client's ability to cope and problem-solve, indicating resilience. 2. This demonstrates that the client is actively engaging in positive behaviors to address his situation, which is crucial in managing situational depression. 3. By formulating a plan, the client shows motivation and initiative, which are essential in overcoming challenges. 4. Options A, C, and D do not directly address the client's situation of job loss and his need to find employment, making them less relevant in this context.

Correct Answer: A

Rationale: The correct answer is A because establishing a mobile mental health clinic in a rural farming community directly addresses the issue of access to mental health care for an underserved group. This intervention ensures that individuals in remote areas have access to much-needed mental health services. In contrast, choices B, C, and D do not specifically target an underserved group. Choice B focuses on stress management for specific personnel, choice C targets eating disorders screenings in schools, and choice D educates parents on signs of depression but does not directly address access to mental health services for an underserved group. Therefore, choice A is the best option for meeting the needs of an underserved population.

Correct Answer: B

Rationale: The correct answer is B because it highlights the universal susceptibility to mental illness, emphasizing the importance of advocacy to reduce stigma. Mental health issues can affect anyone regardless of age, gender, or background. By acknowledging this, nurses can advocate for increased understanding and support for those struggling with mental illness. A: While stigmatization does increase stress, this does not directly explain the basis for nursing advocacy. C: Mental illness being chronic does not explain the rationale behind advocating to eliminate stigma. D: While the mentally ill deserve support, this choice does not address the underlying reason for advocacy focused on stigma reduction.

Correct Answer: B

Rationale: The correct answer is B because enrolling the client in an in-home psychiatric nursing service that provides medication by injection ensures medication adherence. This intervention eliminates the need for the client to remember to take oral medication, reducing the risk of noncompliance. Inpatient admission (A) may not address the root cause of noncompliance and can be restrictive. Outpatient daycare (C) may not directly address medication adherence. A compliance contract (D) may not address the practical challenges of medication administration. Overall, choice B directly addresses the issue of medication noncompliance by providing a practical solution.

Correct Answer: C

Rationale: Correct Answer: C Rationale: Inserting a bite-block into the client's mouth prior to the delivery of the electrical stimulus helps prevent the client from biting down on their tongue or injuring their teeth during the seizure. This is crucial for minimizing the risk of injury during ECT treatment. Incorrect Choices: A: Timing the seizure to not last more than 60 seconds is not directly related to minimizing the risk of injury during ECT treatment. B: Monitoring the client's EEG for changes in wave patterns is important for assessing the effectiveness of the treatment but does not directly minimize the risk of injury. D: Applying a cuff to the client's ankle for blood pressure monitoring is important for general monitoring but does not directly address the risk of injury during the seizure.