The nurse is working with a child who has engaged in bullying. Which of the following would be most effective for the nurse to implement?

Correct Answer: D

Rationale: The correct answer is D: Social skills training. This is the most effective intervention for a child engaging in bullying because it directly addresses the underlying behavior by teaching appropriate social behaviors and communication skills. Social skills training can help the child understand the impact of their actions, develop empathy, and learn how to interact positively with others. A: Psychoeducation may provide information about bullying but does not necessarily teach the child new skills to change their behavior. B: Bibliotherapy involves reading books to promote understanding, which may not be as effective as directly teaching social skills. C: Early intervention programs are important, but social skills training specifically targets the behavior of bullying and provides practical strategies for change.

Correct Answer: B

Rationale: The correct answer is B: Aggressive behavior signals. In forensic settings, early recognition of aggressive behavior signals is crucial for preventing potential harm. The nurse and client would focus on identifying triggers, developing coping strategies, and establishing safety plans. This approach aligns with the proactive nature of forensic nursing to prevent escalation of violence. Choices A, C, and D are incorrect because medication side effects, informed consent violations, and discharge needs are important but not directly related to early recognition of potential violence in forensic settings.

Correct Answer: C

Rationale: The correct answer is C: monitoring client treatment adherence. Nurses play a key role in ensuring patients comply with their treatment plans. This involves monitoring medication intake, therapy attendance, and following through with other recommended interventions. Nurses do not have the authority to prescribe medication (choice A) or perform surgical procedures (choice D). While some nurses may be trained in providing counseling, conducting psychotherapy sessions (choice B) is typically the role of licensed therapists or psychologists.

Correct Answer: A

Rationale: Step 1: During World War II, many soldiers experienced mental health issues, leading to increased awareness and acceptance of mental illness as commonplace. Step 2: The societal impact of witnessing the psychological effects of war shifted attitudes towards mental health. Step 3: This increased acceptance paved the way for advancements in mental health care and reduced stigma. Step 4: Choice A is correct as it reflects the societal shift towards viewing mental illness as more common and acceptable. Summary: Choice B is incorrect as the biologic understanding of mental illness was not fully developed during World War II. Choice C is incorrect as deinstitutionalization was a later phenomenon, not directly related to the effects of World War II. Choice D is incorrect as the categorization of mental illnesses as psychoses or neuroses predates World War II and was not a direct effect of the war.

Correct Answer: C

Rationale: The correct answer is C because integrative care focuses on treating the whole person, including their body, mind, and spirit. This approach recognizes the interconnectedness of these aspects in promoting overall health and well-being. Choice A is incorrect as it only mentions the physician's diagnosis and patient's response, neglecting the holistic approach of integrative care. Choice B is incorrect as it specifically mentions the nurse's ideas without addressing the broader perspective of integrating body, mind, and spirit. Choice D is incorrect as it prioritizes the diagnosis over addressing the spiritual aspect of care, which is essential in integrative medicine.