What are nursing interventions for patients in crisis?

Correct Answer: D

Rationale: The correct answer is D because providing a quiet environment and building rapport help establish trust, listening carefully and providing feedback aid in understanding the patient's needs, and assessing support systems and coping skills identify resources for effective intervention. Each intervention plays a crucial role in addressing a patient's crisis by creating a supportive and therapeutic environment, fostering communication, and developing tailored strategies for coping and support. The other options, A, B, and C, only address specific aspects of nursing interventions for patients in crisis, while choice D encompasses a comprehensive approach that considers all essential elements for effective crisis management.

Correct Answer: A

Rationale: The correct answer is A. If the client had a severe addiction problem in the past, prescribing diazepam (a benzodiazepine) PRN for panic disorder may not be appropriate due to the risk of addiction and potential for misuse. The nurse should question this order to ensure the safety and well-being of the client. Choice B (diagnosis of IBS) is not a direct contraindication for diazepam use in panic disorder. Choice C (allergy to meperidine) is unrelated to the prescription of diazepam. Choice D (prescription of lithium carbonate) is not a direct reason to question the diazepam order, as they can be prescribed together for different indications.

Correct Answer: C

Rationale: The correct answer is C: The nurse is required to make sure the proper authority is informed. In this situation, the nurse has a duty to report any form of elder abuse to the appropriate authorities to ensure the client's safety and well-being. Reporting to the proper authority can lead to interventions to protect the client from further harm. Incorrect answers: A: The family member is to be charged for his offense - This is not the nurse's role and may escalate the situation. B: It is a requirement that he be removed for his safety - Removing the client may not address the root cause of the abuse. D: A competency hearing must be scheduled for the client - Competency is not the primary concern in this case; the focus should be on addressing the abuse.

Correct Answer: C

Rationale: The correct answer is C. The client with OCD rearranging the magazines is likely engaging in a compulsive behavior to temporarily reduce the anxiety they are feeling. This action provides the client with a sense of control and relief from their obsessive thoughts, albeit temporarily. This behavior is a manifestation of the client's need to alleviate distress caused by their obsessions. A: While rearranging the magazines may result in a structured environment, the primary motivation is to reduce anxiety, not necessarily to ensure order. B: The client's actions are not primarily intended to show others how to stay organized but rather to cope with their anxiety. D: The client's behavior is not focused on showing the nursing staff they can handle emotions but rather on managing their own distress.

Correct Answer: A

Rationale: The correct answer is A: History of cruelty towards people and animals. Conduct disorder is characterized by persistent patterns of behavior that violate the rights of others, such as aggression towards people or animals. This behavior includes physical harm or cruelty. This symptom is a key feature of conduct disorder and distinguishes it from other disorders. Choices B, C, and D are incorrect as they do not align with the typical symptoms of conduct disorder. High anxiety related to separation from home and family (B) is more indicative of separation anxiety disorder. Constant complaints of physical symptoms (C) are more characteristic of somatic symptom disorder. Confabulation when confronted with inappropriate behaviors (D) is not a typical feature of conduct disorder.