The nurse is working in a shelter for homeless men. When planning the care for these clients, the nurse integrates understanding that men who have been homeless for a long period of time often feel a sense of which of the following?

Correct Answer: A

Rationale: Step 1: Depersonalization is a common psychological response to prolonged homelessness, where individuals may feel disconnected from their own identity and emotions. Step 2: Homelessness can lead to loss of personal autonomy, resulting in depersonalization as a coping mechanism. Step 3: Depersonalization helps individuals distance themselves from the harsh reality of their circumstances. Step 4: Strong coping skills (B), self-efficacy (C), and fear of failure (D) are less likely as prolonged homelessness can erode self-esteem and confidence, leading to feelings of depersonalization instead.

Correct Answer: D

Rationale: The correct answer is D because assessing the client's social and cultural norms is crucial in understanding their behavior within the context of their community. By considering these norms, the evaluator can differentiate between normal variations and potential signs of mental illness. Understanding social and cultural influences helps in providing effective and culturally sensitive interventions. Choice A is incorrect because creativity is not a definitive indicator of mental illness. Choice B is incorrect as the inability to face problems can be a symptom of mental illness, but it is not the most important assessment. Choice C is incorrect as the intensity of emotional reactions alone does not determine mental illness; it must be considered in relation to social and cultural norms.

Correct Answer: A

Rationale: The correct answer is A: Hildegarde Peplau. Peplau is known for her work on interpersonal relations in nursing, emphasizing the therapeutic nurse-patient relationship. She developed the Theory of Interpersonal Relations, which focuses on the nurse's role in facilitating the patient's growth and development. Through this theory, nurses use themselves as therapeutic tools to promote healing. Florence Nightingale is known for her contributions to nursing practice, but not specifically for therapeutic use of self. Dorothea Dix was a mental health advocate, not directly related to therapeutic nurse-patient relationship. Sigmund Freud is known for psychoanalytic theory, which is not directly related to nurse-patient interactions.

Correct Answer: C

Rationale: Rationale: 1. Alcohol consumption affects psychomotor skills similarly to sleep deprivation. 2. Both can impair cognitive functions, reaction times, and decision-making abilities. 3. Alcohol disrupts sleep patterns, leading to similar impairments as sleep deprivation. 4. Excessive alcohol consumption can result in accidents and fatalities, similar to sleep-deprived individuals. Summary: A: Sleeping in excess of 10 hours does not typically lead to psychomotor impairments like sleep deprivation. B: Misuse of caffeine products may cause alertness but does not mimic the psychomotor impairments of sleep deprivation. D: Working more than 40 hours per week may lead to fatigue but does not directly cause psychomotor impairments similar to sleep deprivation.

Correct Answer: B

Rationale: The correct answer is B: Nurse Practice Act. This legislation is enacted by each state and territory to define the scope of nursing practice, standards of care, licensure requirements, and regulations. It is the primary legal framework that governs nursing practice within a specific jurisdiction. Research function (A) and evidence-based practice guidelines (C) focus on guiding clinical practice but do not have the same legal authority as the Nurse Practice Act. Building a nursing database (D) may support research and practice, but it does not establish legal nursing practice.