When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?

Correct Answer: C

Rationale: The correct answer is C: Advocacy. The nurses have advocated for the care of persons diagnosed with mental illness by writing letters to their elected representatives in opposition to the legislation that reduces funding for mental health care. Advocacy involves actively supporting a cause or policy to influence decision-makers for the betterment of a specific group or issue. In this scenario, the nurses have demonstrated advocacy by speaking out on behalf of individuals with mental illness to protect their access to necessary care and support. Choices A, B, and D are incorrect because they do not accurately describe the nurses' actions in this context.

Correct Answer: C

Rationale: The correct answer is C: Hypothyroidism. Hypothyroidism is a common trigger for major depressive disorder due to its impact on hormone levels, particularly thyroid hormones that regulate mood. When thyroid levels are imbalanced, it can lead to symptoms of depression. Pain (choice A), hypertension (choice B), and Crohn's disease (choice D) can also contribute to depression but are not as directly linked to triggering major depressive disorder compared to hypothyroidism.

Correct Answer: C

Rationale: Rationale: The correct response is C. When someone is in emotional pain to the extent of contemplating suicide, their ability to think clearly and rationally is often compromised. This is especially true in the case of sudden or impulsive suicides. Therefore, the therapist's best response would be to explain that the husband's emotional turmoil likely clouded his judgment and prevented him from leaving a note. Incorrect Choices: A: This choice assumes impulsivity, but it doesn't address the husband's emotional state. B: While this choice considers the impact on Gladys, it doesn't directly address the husband's mental state. D: This choice focuses on Gladys' potential interpretation rather than the husband's state of mind.

Correct Answer: A

Rationale: The correct answer is A because hospice care focuses on enhancing the quality of life for patients with terminal illnesses and their families. It provides holistic support, including pain management, emotional and spiritual care, and practical assistance. By bringing up hospice care, the nurse is offering a compassionate approach that aims to ensure comfort and dignity for Holly during her end-of-life journey. Choice B is incorrect because hospice care does not necessarily mean the end of all treatments. It shifts the focus from curative treatments to palliative care, but it still provides medical support to manage symptoms and improve comfort. Choice C is incorrect as hospice care does not provide curative treatment. It focuses on comfort care and symptom management rather than trying to cure the terminal illness. Choice D is incorrect because hospice care is not about hastening death. It aims to provide support and comfort during the natural end-of-life process, not to aggressively end life.

Correct Answer: B

Rationale: The correct answer is B: the client's cultural background. Before touching the client to offer comfort, the nurse should consider the client's cultural background to ensure that the gesture is appropriate and respectful. Different cultures have varying attitudes towards touch, and what may be comforting in one culture could be inappropriate or invasive in another. Understanding the client's cultural background helps the nurse provide culturally sensitive care. Incorrect choices: A: the client's recent vital signs - Vital signs are important for assessing physical health, but they are not directly relevant to offering comfort through touch in this situation. C: if the doctor should be notified - Notifying the doctor is not necessary before offering comfort through touch. It is more important to consider the client's needs and preferences. D: if the client has been sad recently - While the client's emotional state is important, it is not the primary consideration before offering comfort through touch. Cultural background plays a more crucial role in determining the appropriateness of touch.