To provide culturally competent care, the nurse should

Correct Answer: D

Rationale: The correct answer is D because providing culturally competent care involves identifying strategies that align with the patient's cultural context. This includes understanding the patient's beliefs, values, and practices to deliver care that is respectful and effective. Choice A focuses on interpretation rather than action. Choice B involves assumptions about individual perceptions. Choice C is about reducing ethnocentrism, which may not be the primary goal of cultural competence.

Correct Answer: D

Rationale: The correct answer is D because providing culturally competent care involves identifying strategies that align with the patient's cultural context. This includes understanding the patient's beliefs, values, and practices to deliver care that is respectful and effective. Choice A focuses on interpretation rather than action. Choice B involves assumptions about individual perceptions. Choice C is about reducing ethnocentrism, which may not be the primary goal of cultural competence.

Correct Answer: D

Rationale: The correct answer is D because expressing confusion or disbelief about the death of a loved one indicates unresolved grief. A: Remembering positive memories shows acceptance. B: Engaging in new activities indicates coping and moving forward. C: Acknowledging negative traits is part of the grief process. Overall, D stands out as it shows lack of acceptance and understanding of the loss.

Correct Answer: C

Rationale: Step 1: Homeless individuals often face extreme stressors like lack of shelter, food, and safety. Step 2: Coping mechanisms are crucial for survival in such challenging conditions. Step 3: Resiliency refers to the ability to adapt and thrive despite adversity. Step 4: Therefore, the correct choice is C, as coping with extreme stressors demonstrates resiliency. Summary: A is incorrect because strong community supports may not always be available. B is incorrect since homeless individuals may not have access to family resources. D is incorrect as local governmental intervention may not directly impact individual resiliency.

Correct Answer: C

Rationale: The correct answer is C because the client stating that he feels better as he interacts more with other clients is a significant indicator of worsening suicidal risk. This change in behavior, from being consistently depressed to feeling better with social interaction, could indicate a sudden shift in mood, which may signal a potential spike in impulsivity and risk-taking behavior, including suicidal ideation. A, B, and D are incorrect: A: Expressing feeling more depressed can be a sign of deteriorating mental health, but it doesn't necessarily indicate an immediate increase in suicidal risk. B: Lethargy and isolation are common symptoms of depression and may not directly correlate with a sudden increase in suicidal risk. D: If the energy level and degree of depression remain the same, it may not indicate a worsening of suicidal risk unless other significant changes in behavior or mood are observed.

Correct Answer: C

Rationale: The least appropriate action for the nurse is to provide false reassurance that everything will be okay. This can invalidate the patient's feelings and minimize the severity of their crisis. It's crucial for the nurse to acknowledge the patient's emotions and provide support without making unrealistic promises. Supporting cultural beliefs (A) and clarifying misconceptions (D) are important for effective communication. Encouraging the patient to focus on one aspect at a time (B) can help in breaking down overwhelming situations.

Correct Answer: D

Rationale: The adult in the question demonstrates positive self-esteem, feeling happy and recognizing the relationship between effort and outcomes. This aligns with Level 5 on the mental health continuum, indicating high mental health and well-being. Level 1 represents severe mental health issues, Level 2 reflects low self-esteem, and Level 3 indicates moderate mental health challenges. Therefore, the correct answer is D as it best describes the individual's positive mindset and healthy perspective on life.

Correct Answer: B

Rationale: The correct answer is B: Risk for Injury. The priority nursing diagnosis in this scenario is based on the client's physical symptoms and potential harm to himself. The client's tremors, anxiety, elevated pulse and blood pressure, increased temperature, and diaphoresis indicate symptoms of alcohol withdrawal, which can lead to seizures or delirium tremens. The client is at risk for injury due to these physiological manifestations. Disturbed Thought Processes (A) may be present, but addressing the risk for injury takes precedence. Ineffective Coping (C) and Ineffective Denial (D) may be relevant, but they are not as urgent as ensuring the client's safety from potential harm during alcohol withdrawal.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the patient's feelings without challenging or dismissing them. It shows empathy and validates the patient's emotions, promoting a therapeutic relationship. Choice B may invalidate the patient's feelings. Choice C may come off as confrontational. Choice D assumes the patient's beliefs and may not address their emotional distress effectively.