There appears to be a power struggle among the members of an outpatient therapeutic support group. Which event that occurred during a session demonstrates a need for the leader to intervene?

Correct Answer: A

Rationale: The correct answer is A. In this scenario, consistent debates hindering decision-making indicate a power struggle. The leader should intervene to facilitate productive discussions and maintain group cohesion. Choice B demonstrates individual frustration, not a group dynamic issue. Choice C shows members monopolizing, but not necessarily a power struggle. Choice D reflects a disagreement, but not a power struggle within the group. Therefore, Choice A is the most critical issue requiring intervention.

Correct Answer: D

Rationale: Step-by-step rationale for why Answer D is correct: 1. Accessing information on evidence-based practices shows the nurse's commitment to staying informed about psychopharmacology advancements. 2. Being knowledgeable about medications helps in making informed decisions for client care, ultimately leading to better outcomes. 3. Understanding evidence-based practices enhances the nurse's ability to provide safe and effective medication management. 4. By accessing information on best practices, the nurse demonstrates a proactive approach to enhancing professional psychiatric nursing practice. Summary: Answer D is correct because it directly addresses the impact of advancements in psychopharmacology on client outcomes and professional psychiatric nursing practice by emphasizing the importance of staying informed and using evidence-based practices. Other choices do not specifically highlight the nurse's understanding of the impact of psychopharmacology advancements.

Correct Answer: D

Rationale: Rationale: The correct answer is D. The nurse should assess the middle-aged adult experiencing depression after the death of a parent for possible use of CAM therapies because depression is a common mental health condition that CAM therapies can help alleviate. The client's emotional distress and grief may benefit from holistic approaches like mindfulness meditation or acupuncture. It is important to address mental health conditions with appropriate interventions, and CAM therapies can be a valuable supplement to traditional treatments. Summary: A: While sexual identity issues are important, they do not necessarily indicate a need for CAM therapies in this context. B: Early onset dementia is a neurological condition, and CAM therapies may not be the primary focus for treatment. C: Chronic pain from a knee injury may require more conventional medical interventions before exploring CAM therapies for pain management.

Correct Answer: A

Rationale: The correct answer is A because the fundamental concept of DBT is that patients are doing the best they can. This acknowledges that individuals are trying their best with the skills they currently have. Radical acceptance (C) is a core principle in DBT, but it is not the most fundamental concept. While mindfulness (D) is a key component of DBT, it is not the overarching fundamental concept. Motivation and willingness to change (B) are important in therapy, but the primary focus of DBT is on accepting where the patient is currently at in their journey.

Correct Answer: A

Rationale: The correct answer is A: Potential for seizures. Abruptly discontinuing benzodiazepines can lead to withdrawal symptoms, including seizures, due to the sudden decrease in GABA activity in the brain. This can result in serious health risks. Option B is incorrect as side effects are not the primary reason for gradual tapering. Option C is unrelated, as serotonin syndrome is associated with other types of medications. Option D is incorrect because withdrawal symptoms, not side effects, are the main concern when stopping benzodiazepines abruptly.