The nurse tells group members that they will be working on expressing conflicts during the current group session. Which phase of group development is represented?

Correct Answer: C

Rationale: The correct answer is C: Working phase. During the working phase of group development, members engage in tasks and work towards achieving the group's goals. In this scenario, the nurse indicating that the group will be focusing on expressing conflicts aligns with the working phase, where members actively participate in discussions and address issues within the group dynamic. This phase is characterized by increased cohesion and collaboration among members. A: Planning (formation) phase - This phase involves the initial formation of the group and setting goals. It is focused on getting to know each other and establishing structure, not specifically addressing conflicts. B: Orientation phase - This phase involves introductions and setting norms. While conflicts may arise during this phase as members adjust, the primary focus is on establishing roles and expectations. D: Termination phase - This phase marks the end of the group, where members reflect on their experiences. It is not the phase for actively addressing conflicts within the group.

Correct Answer: B

Rationale: Step-by-step rationale: 1. The New Freedom Commission emphasizes consumer and family empowerment in mental health care. 2. Involving consumers and families as driving forces ensures individualized and effective care. 3. This approach aligns with person-centered care principles. 4. Empowering consumers and families promotes collaboration and shared decision-making. 5. This goal enhances mental health outcomes and promotes recovery. Summary: Choice B is correct because it reflects the emphasis on consumer and family involvement in mental health care by the New Freedom Commission. Choices A, C, and D are incorrect as they do not align with the key focus of consumer and family empowerment in the Commission's goals.

Correct Answer: C

Rationale: The correct answer is C: Nutrition: Less than body requirements/Maintains nutrient intake for metabolic needs. Rationale: 1. Donald is cachexic, indicating severe malnutrition. 2. Multiple scabs suggest poor wound healing due to malnutrition. 3. Lower extremity edema can be a sign of protein deficiency. 4. The nursing diagnosis of Nutrition: Less than body requirements fits Donald's clinical presentation. 5. The expected outcome of Maintains nutrient intake for metabolic needs addresses the goal of improving Donald's nutritional status. Summary: A: Risk for injury/Remains free from injury - Not the best choice as Donald's primary issue is malnutrition, not injury risk. B: Ineffective denial/Accepts responsibility for behavior - Not relevant to the physical health issues presented by Donald. D: Risk for suicide/Expresses feelings, plans for the future - Donald's symptoms do not suggest a risk for suicide.

Correct Answer: A

Rationale: The correct answer is A: People can become aggressive and violent when their basic needs are threatened. In a disaster situation, individuals may experience fear, stress, and uncertainty, leading to heightened emotions and potential aggression. This response is a natural survival instinct when basic needs such as safety, shelter, and food are threatened. Anticipating this response allows the nurse to prepare for managing potential conflicts and ensuring the safety of both victims and responders. Choices B and C are incorrect because people involved in a disaster may prioritize their own survival and well-being before helping others, depending on the situation. Losses incurred during a disaster can have significant long-term effects on victims, such as trauma, grief, and financial hardship. Choice D is incorrect because the psychological distress associated with disasters may not always be immediately felt, as some individuals may initially be in a state of shock or disbelief before processing their emotions.

Correct Answer: B

Rationale: The correct answer is B: Acetylcholine. Alzheimer's disease is characterized by a decrease in acetylcholine levels in the brain, leading to cognitive decline. Acetylcholine plays a crucial role in memory and learning. Other neurotransmitters like serotonin, dopamine, and norepinephrine are not as directly linked to Alzheimer's pathology. Serotonin is more associated with mood regulation, dopamine with reward and movement, and norepinephrine with arousal and stress response. Therefore, the instructor would emphasize acetylcholine due to its specific involvement in the disease process.

Correct Answer: B

Rationale: The correct answer is B: Tension. In impulse-control disorders, the individual typically experiences increasing tension or anxiety before engaging in impulsive behavior. This tension builds up and leads to a sense of urgency to act, overriding rational decision-making. This initial tension is a key emotional aspect that precedes the impulsive act. Remorse (choice A) and regret (choice C) occur after the act, as the individual reflects on their actions. Pleasure (choice D) is experienced during or after the impulsive behavior, but it is not the first emotional aspect that occurs. Therefore, understanding and addressing the tension is crucial in managing impulse control disorders.

Correct Answer: D

Rationale: The correct answer is D because cultural considerations are crucial in nursing care. Step 1: Assessing the patient's culture is essential to understanding behaviors like eye contact. Step 2: Filipino culture may view direct eye contact as disrespectful or submissive. Step 3: Lack of cultural awareness can hinder effective interventions. Step 4: Interventions should be culturally sensitive to be impactful. Summary: A: Focused on technique, not cultural relevance. B: Neglects the nurse's role in holistic care. C: Assumes negative emotions without evidence.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates empathy and reflects the client's feelings. It acknowledges the client's emotions without judgment, which can help establish trust. Choice A is incorrect as it can come off as dismissive. Choice B is inappropriate as it diverts attention from the client's feelings. Choice C is also incorrect as it can be perceived as confrontational and may discourage the client from expressing their emotions further. In summary, option D is the most appropriate response as it shows empathy and validates the client's emotions.

Correct Answer: B

Rationale: The correct answer is B: echopraxia. Echopraxia is the behavior of mimicking someone else's movements. In this scenario, the client copying the provider's actions fits the definition of echopraxia. Echolalia (choice A) is the repetition of words or phrases, not movements. Stereotypy (choice C) refers to repetitive or ritualistic movements, not necessarily copying another person. Posturing (choice D) involves assuming and maintaining a rigid or bizarre posture, not mimicking movements like in the given scenario. Therefore, echopraxia is the most appropriate term to describe the client's behavior in this situation.