The nurse is managing the care of an older adult who has recently immigrated to the United States from an Asian country. The client is depressed and is neither sleeping nor eating well. In order to best facilitate the client's care in a culturally competent manner, the nurse:

Correct Answer: C

Rationale: Rationale: 1. Choice C is correct as it involves discussing interventions with the family, respecting the client's cultural norms and involving them in the care plan. 2. Choice A assumes family involvement without assessing the client's preferences or cultural beliefs, potentially imposing Western values. 3. Choice B focuses solely on individual assessment without considering the importance of family dynamics in the client's culture. 4. Choice D addresses dietary concerns but overlooks the holistic approach of involving the family in the care plan.

Correct Answer: B

Rationale: The correct answer is B because asking the client directly about suicidal ideations with a plan to hurt himself is the most immediate and appropriate intervention to assess the client's safety. This approach allows the nurse to directly address the potential risk of suicide and initiate appropriate interventions if necessary. Placing the client on suicide precautions (choice A) without assessing the client's thoughts may be premature and intrusive. Supporting the client about the shirt (choice C) does not address the underlying concern of suicidal behavior. Simply documenting the behavior (choice D) without taking immediate action to assess and address the risk is insufficient in ensuring the client's safety.

Correct Answer: C

Rationale: Step-by-step rationale for why choice C is correct: 1. Choice C acknowledges that some CAM therapies have been proven to have a positive impact on mental health conditions. 2. As a nurse, being aware and open to the appropriate use of these therapies can enhance the quality of care provided to mentally ill individuals. 3. By embracing evidence-based practices, the nurse can integrate effective CAM therapies into the treatment plan. 4. It demonstrates a patient-centered approach by considering the potential benefits of CAM therapies for individual clients. 5. This response aligns with the principles of holistic nursing care and evidence-based practice in mental health. Summary: Choice A focuses solely on the client's interest without considering evidence-based practice. Choice B emphasizes the controversial nature of CAM without recognizing its potential benefits. Choice D implies a lack of confidence in CAM therapies without acknowledging their proven efficacy. Choice C stands out for its evidence-based approach and patient-centered care in considering the positive impact of CAM therapies on mental health conditions.

Correct Answer: A

Rationale: Beta blockers are given for anxiety as they help slow heart rate and decrease blood pressure, reducing physical symptoms of anxiety like palpitations and sweating. This is achieved by blocking the effects of adrenaline on the heart and blood vessels. Ataxia, sexual dysfunction, and urinary retention are not typical side effects of beta blockers and are not relevant to their use in treating anxiety.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. BuSpar is an anxiolytic medication that may take weeks to reach full effectiveness. 2. Patient education is crucial to manage expectations and ensure compliance. 3. Informing the patient about the delayed onset helps prevent premature discontinuation. Summary: B: Alternative medications - Not relevant to informing the patient before discharge. C: Severe headache - Not a common side effect of BuSpar. D: Urinary retention - Not a common side effect of BuSpar.