Which action of a mental health nurse case manager reflects the activity of service planning?

Correct Answer: D

Rationale: The correct answer is D because holding a care conference for a client who is having difficulty returning to school reflects service planning. This involves coordinating and organizing resources, collaborating with stakeholders, and developing a comprehensive plan to address the client's specific needs. Option A focuses on problem identification and seeking resources, not on planning services. Option B involves immediate follow-up but does not necessarily involve comprehensive planning. Option C focuses on a specific appointment with a nutritionist and does not encompass overall service planning for the client's needs.

Correct Answer: D

Rationale: The correct answer is D: Interpersonal psychotherapy. This therapy focuses on improving interpersonal relationships and communication skills to address emotional issues. In the scenario, the person sought help for feelings related to survivor's guilt, which falls under the scope of interpersonal psychotherapy. The counselor likely helped the person process emotions, improve coping strategies, and enhance social support. A: Systematic desensitization is used to treat phobias by gradually exposing the individual to the feared object or situation to reduce anxiety. B: Psychoanalysis involves exploring unconscious conflicts and childhood experiences over an extended period. C: Behavior modification focuses on changing specific behaviors through reinforcement and punishment techniques.

Correct Answer: D

Rationale: The correct next comment for the nurse is D: "Are you comfortable conversing in English, or would you prefer to have a translator present?" This is the best choice because it directly addresses the patient's language preference and ensures effective communication. By asking this question, the nurse demonstrates cultural sensitivity and respect for the patient's linguistic needs. It also shows a willingness to accommodate the patient's communication preferences, promoting trust and understanding in the healthcare setting. Choice A is incorrect as it focuses on the patient's journey to the U.S., which is unrelated to the immediate healthcare assessment. Choice B assumes the patient needs help from a family member without first assessing the patient's language proficiency. Choice C, while offering an interpreter, does not directly inquire about the patient's language preference, potentially overlooking the patient's comfort level with English.

Correct Answer: A

Rationale: The correct answer is A because repeatedly checking the location of car keys is a common symptom of obsessive-compulsive disorder (OCD). This behavior reflects obsessive thoughts about losing the keys and compulsive actions to alleviate anxiety. Choice B indicates physical symptoms, not OCD. Choice C suggests social anxiety, not OCD. Choice D indicates symptoms of post-traumatic stress disorder, not OCD. Therefore, choice A is the best indicator of possible OCD due to the specific repetitive behavior related to obsessive thoughts.

Correct Answer: D

Rationale: The correct answer is D, "We can pray together if you'd like." This is the most appropriate spiritual nursing intervention because it acknowledges and respects the patient's faith, offers emotional support, and fosters a connection between the nurse and the patient. It shows empathy and understanding of the patient's spiritual needs during a challenging time. Explanation for why the other choices are incorrect: A: Taking the patient to visit the nurse's church may not align with the patient's faith and may not be comfortable for the patient. B: Requiring the patient to belong to the same church as the nurse to go to heaven is imposing the nurse's beliefs on the patient, which is inappropriate. C: Offering guided imagery may be helpful for relaxation, but it does not directly address the patient's spiritual needs or provide the emotional support that praying together can offer.