When it is suggested that a stress management therapy group have its membership limited to 15 participants, the nurse manager responds:

Correct Answer: D

Rationale: The correct answer is D because it addresses the need for effective therapeutic work. By stating that the maximum number supporting therapeutic work is 10, it indicates an understanding of group dynamics and ensures each member receives adequate attention and participation in the group process. Creating two separate groups if there is more interest demonstrates flexibility while maintaining the quality of the therapy sessions. A: This answer limits enrollment based on interest, which may not necessarily correlate with the effectiveness of the therapy group. B: This answer assumes that not everyone who signs up will attend, which does not address the issue of group dynamics and therapeutic effectiveness. C: This answer suggests including additional individuals beyond the 15 limit, which could lead to overcrowding and hinder the therapeutic process.

Correct Answer: D

Rationale: The correct answer is D because assessing the client's understanding is crucial to ensure informed consent and autonomy. By assessing the client's comprehension, the nurse can verify if the client is aware of the potential risks, benefits, and procedures involved in the RCT. This step is essential to uphold the client's rights and ensure they make an informed decision. Choice A is incorrect because it does not address the importance of assessing the client's understanding and may provide false reassurance. Choice B is incorrect as it only focuses on explaining risks without assessing the client's comprehension. Choice C is incorrect as educating the family does not ensure the client's understanding and involvement in decision-making.

Correct Answer: D

Rationale: The correct answer is D because it specifically mentions a method of suicide involving a gun, indicating a higher level of planning and immediacy. This statement suggests a clear intent to harm oneself and poses an immediate risk. Choice A expresses a desire to escape but lacks a specific plan. Choice B indicates a future intent, which may not necessarily pose an immediate risk. Choice C expresses a desire for the suffering to end but does not specify a method, indicating a lower level of immediate risk compared to choice D.

Correct Answer: A

Rationale: The correct answer is A: Dialectical Behavioral Therapy (DBT). DBT is specifically designed for individuals with borderline personality disorder, focusing on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It has shown to be effective in reducing self-harm behaviors and improving overall functioning. CBT (B) may be helpful for some symptoms but lacks the comprehensive approach of DBT. MBCT (C) is primarily used for depression and may not address the specific needs of individuals with borderline personality disorder. ERP (D) is used for anxiety disorders, not BPD.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Valium (Diazepam) is commonly used in alcohol withdrawal due to its long-acting properties and effectiveness in managing symptoms. 2. Ativan (Lorazepam) is also used, but Valium is preferred for its longer duration of action. 3. Librium (Chlordiazepoxide) is another option with a long half-life, but Valium is more commonly used. 4. Sedation is not a benzodiazepine and does not directly address alcohol withdrawal symptoms. In summary, Valium is preferred for alcohol withdrawal due to its long-acting properties, followed by Ativan and Librium. Sedation is not a benzodiazepine and does not treat alcohol withdrawal symptoms.