Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?

Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct: 1. Assessment findings in mental illness reflect a person's cultural patterns: This belief acknowledges the importance of cultural considerations in understanding and addressing mental health issues. 2. By recognizing cultural patterns in assessment findings, the nurse can provide more personalized and effective care. 3. Understanding cultural influences can help the nurse advocate for patient-centered care during multidisciplinary care planning. 4. This belief aligns with the principles of cultural competence and patient advocacy in healthcare. Summary: - Choice A is incorrect as mental illnesses can have biological, psychological, and social determinants in addition to cultural factors. - Choice B is incorrect as it generalizes specific disorders without considering individual and cultural variations. - Choice C is incorrect as symptoms can manifest differently across cultures due to various factors beyond just the disorder itself.

Correct Answer: C

Rationale: The correct answer is C because using a sticker chart to document the child's accomplishments can provide positive reinforcement for desired behaviors in children with ADHD. This method helps track progress and rewards the child for their achievements, promoting self-esteem and motivation. It is an effective tool in behavior management. Incorrect answers: A: Using a strict discipline program may not be effective for children with ADHD as it can lead to negative outcomes and emotional distress. B: Giving plenty of options can overwhelm a child with ADHD, making decision-making challenging and potentially increasing impulsivity. D: Creating a lively environment is beneficial, but it may not address the specific needs of a child with ADHD in terms of behavior management and focus.

Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct: 1. Assessment findings in mental illness reflect a person's cultural patterns: This belief acknowledges the importance of cultural considerations in understanding and addressing mental health issues. 2. By recognizing cultural patterns in assessment findings, the nurse can provide more personalized and effective care. 3. Understanding cultural influences can help the nurse advocate for patient-centered care during multidisciplinary care planning. 4. This belief aligns with the principles of cultural competence and patient advocacy in healthcare. Summary: - Choice A is incorrect as mental illnesses can have biological, psychological, and social determinants in addition to cultural factors. - Choice B is incorrect as it generalizes specific disorders without considering individual and cultural variations. - Choice C is incorrect as symptoms can manifest differently across cultures due to various factors beyond just the disorder itself.

Correct Answer: D

Rationale: The correct answer is D: Physical health. Successful aging is not solely dependent on physical health, as individuals can still age successfully despite some physical health challenges. Capacity to adapt to change, engagement in life, and stability with reliable social support are key qualities that contribute significantly to successful aging. Adapting to changes helps individuals cope with life transitions, staying engaged in life promotes mental well-being, and having stable social support enhances overall quality of life. Therefore, physical health, while important, is considered least important compared to the other qualities in contributing to successful aging.

Correct Answer: D

Rationale: The correct answer is D because it encourages the group member to take ownership of their situation. By asking them what solution they think would work best, the nurse empowers the individual to think critically and problem-solve for themselves. This approach promotes self-reflection and self-efficacy, which are important in the therapeutic process. Choice A is incorrect as it suggests avoiding the issue rather than addressing it directly. Choice B, while acknowledging the behavior, does not prompt the individual to actively engage in finding a solution. Choice C focuses on analyzing the behavior rather than facilitating problem-solving. Overall, choice D is the best option as it encourages autonomy and empowers the individual to take charge of their own progress.

Correct Answer: A

Rationale: Step 1: The behavior of grabbing toys impulsively and demanding them immediately reflects primitive, instinctual desires. Step 2: The Id, as per psychoanalytic theory by Freud, operates on the pleasure principle, seeking immediate gratification of basic needs and desires. Step 3: The Id is present from birth and represents innate drives such as hunger, aggression, and pleasure. Step 4: In this scenario, the child's impulsive and immediate desire for toys aligns with the characteristics of the Id. Summary: The other choices are incorrect because the Ego focuses on reality and mediates between the Id and Superego, the Superego represents internalized societal norms and values, and the Preconscious is part of the mind that holds thoughts not currently in awareness.

Correct Answer: C

Rationale: Rationale: According to Maslow's hierarchy of needs, self-fulfillment is the highest level of need, representing personal growth and reaching one's full potential. This is known as self-actualization. Clients who discuss feelings of self-fulfillment are considered highly evolved and mature as they have satisfied lower-level needs and are focused on personal growth. Choices A, B, and D relate to lower levels of needs such as safety, belongingness, and esteem respectively, which are not as advanced as self-fulfillment. Therefore, choice C is the correct answer as it aligns with the highest level of need in Maslow's hierarchy.

Correct Answer: A

Rationale: The correct answer is A: Altruism. Altruism refers to selflessly helping others, even at the expense of one's own needs or emotions. In this scenario, the nurse who was not promoted initially displayed altruism by supporting the new manager and helping with the transition. This behavior shows a positive and supportive response towards others despite personal disappointment. Summary of other choices: B: Suppression involves consciously ignoring or pushing down unwanted emotions or thoughts, which is not evident in the nurse's response. C: Intellectualization is a defense mechanism where one focuses on facts and logic to distance themselves from emotions, which is not applicable in this scenario. D: Reaction formation is when one displays behaviors opposite to their true feelings, which does not align with the nurse's supportive and helpful response.

Correct Answer: A

Rationale: The correct answer is A: Selective serotonin reuptake inhibitor (SSRI). SSRIs are commonly prescribed for depression due to their effectiveness in improving mood and reducing suicidal ideation. They are considered first-line treatment for depression. Mood stabilizers (B) are typically used for bipolar disorder, not major depressive disorder. Tricyclic antidepressants (C) have more side effects and are not as commonly prescribed as SSRIs. Atypical antipsychotics (D) are often used as adjunctive therapy for depression with psychotic features, but SSRIs are the primary treatment choice for depression without psychotic symptoms.