What is one of the main mental health challenges currently facing the young adult population?

Correct Answer: D

Rationale: The correct answer is D: transitional challenges. Young adults often face significant changes in various aspects of their lives such as transitioning from school to work or moving out of their parents' home. This can lead to stress, anxiety, and depression. Developmental delays (A) typically refer to delays in reaching developmental milestones during childhood. An increase in comorbidities (B) may not necessarily be the main mental health challenge faced by young adults. Polypharmacy (C) is the use of multiple medications, which is more related to physical health challenges rather than mental health challenges in young adults. In summary, transitional challenges are the main mental health challenge for young adults due to the significant life changes they experience during this period.

Correct Answer: B

Rationale: The correct answer is B. This outcome is specific, measurable, achievable, relevant, and time-bound (SMART). It focuses on discussing behaviors impeding social interaction, promoting self-awareness, and facilitating therapeutic communication. Choice A is too broad and lacks specificity. Choice C addresses specific behaviors but lacks a focus on self-awareness or communication. Choice D addresses anxiety management, which is not directly related to impaired social interaction. In summary, choice B is the most appropriate as it directly addresses the nursing diagnosis and promotes therapeutic communication and self-reflection.

Correct Answer: A

Rationale: The correct answer is A because four-point restraints are used for clients who pose an imminent danger to themselves or others due to violent behavior, such as being hostile and threatening. Restraints should only be utilized as a last resort to ensure safety. Choices B, C, and D do not warrant the use of restraints as they do not involve immediate physical harm or danger. De-escalation techniques and alternative interventions should be attempted before resorting to restraint use.

Correct Answer: A

Rationale: The correct answer is A because not allowing a patient to have visitors violates their right to social interaction and support. Patients have the right to visitors unless it poses a risk to their health or safety. Choice B is not a violation as searching belongings is a standard procedure for safety. Choice C is not a violation as placing a patient on continuous observation is necessary for their safety. Choice D is not a violation as using physical restraint is justified to prevent harm to staff or other patients.

Correct Answer: C

Rationale: The correct answer is C because during the first interview with a patient with a psychiatric disorder, it is crucial for the nurse to address relationship parameters to establish a therapeutic alliance, discuss the contract to clarify roles and expectations, ensure confidentiality to build trust, and explain termination to manage expectations. These aspects lay the foundation for a successful therapeutic relationship. A: Trust, congruence, attitudes, and boundaries - While trust and boundaries are important, they are part of relationship parameters addressed in choice C. Congruence and attitudes are more about the nurse's behavior than issues to address with the patient initially. B: Goals, resistance, unconscious motivations, and diversion - These are important aspects, but they are more relevant in later stages of therapy after a strong therapeutic alliance has been established. D: Transference, countertransference, intimacy, and developing resources - These are advanced concepts that may be addressed later in therapy as trust and rapport are established.