What question by the nurse leader is helpful in managing a monopolizing member of a group?

Correct Answer: D

Rationale: The correct answer is D because it shifts the focus away from the monopolizing member and encourages participation from others, balancing the group dynamic. By asking who else would like to share feelings about the issue, the nurse leader promotes equal participation and prevents one member from dominating the discussion. A is incorrect because it directly addresses the monopolizing member's emotions, potentially escalating the situation. B is incorrect because it only addresses the individual's process, not the group dynamic. C is incorrect because it delves into personal experiences, which may not be relevant to the group's discussion.

Correct Answer: B

Rationale: The correct answer is B: Cogentin. The client is displaying symptoms of acute dystonia, a side effect of antipsychotic medications like risperidone. Cogentin, also known as benztropine, is a common treatment for acute dystonia as it acts as an anticholinergic agent, helping to alleviate muscle rigidity and spasms. Benzodiazepines (Choice A) are not typically used for treating acute dystonia. Propranolol (Choice C) is a beta-blocker used for anxiety and heart conditions, not for acute dystonia. Valbenazine (Choice D) is a medication used for treating tardive dyskinesia, not acute dystonia.

Correct Answer: D

Rationale: The correct answer is D because it directly provides the client with essential information about the medication's purpose and potential benefits, promoting understanding and cooperation. Choice A is incorrect as it is directive and does not explain the medication's purpose. Choice B is incorrect as it focuses on the doctor's decision rather than the client's understanding. Choice C is incorrect as it deflects from addressing the client's concerns directly.

Correct Answer: B

Rationale: The correct answer is B because it highlights the essential skills required in mental health nursing - complex communication and critical thinking. Mental health nurses work with patients facing multidimensional issues, requiring them to adapt and problem-solve effectively. This response acknowledges the challenges and emphasizes the importance of these skills in providing quality care. Option A is incorrect as it focuses on the perceived safety of the environment and nurse-to-patient ratios, which are not directly related to the maintenance of clinical nursing skills. Option C is incorrect because while some mental health settings may use high technology monitoring equipment, this does not address the core clinical skills essential for nursing practice. Option D is incorrect as it trivializes the challenges faced by psychiatric nurses by comparing them to medical-surgical nurses. Pain and suffering are not the only indicators of nursing skill and expertise.

Correct Answer: B

Rationale: The correct answer is B: Teaching parenting skills. This activity aligns with community-based primary prevention by focusing on educating and empowering individuals to prevent health issues before they occur. Teaching parenting skills helps promote healthy behaviors and positive outcomes for children and families. A: Medication follow-up is more aligned with secondary prevention, focusing on early detection and treatment. C: Substance abuse counseling is important but falls under tertiary prevention, addressing existing issues rather than preventing them. D: Making a referral for family therapy is also more related to secondary or tertiary prevention, as it involves addressing existing family dynamics or issues.