Which is an example of an interpersonal intervention for a client on an inpatient psychiatric unit?

Correct Answer: D

Rationale: The correct answer is D because acknowledging a positive person in the client's life can provide emotional support and connection, which are crucial for the client's well-being after discharge. This interpersonal intervention focuses on building a supportive network for the client, enhancing their social resources and potentially reducing the risk of relapse. A, B, and C are incorrect because they primarily focus on individual insight and awareness rather than interpersonal relationships. While these interventions may be valuable in therapy, they do not directly address the importance of social support and connection, which is essential for long-term recovery and mental health stability.

Correct Answer: D

Rationale: The correct answer is D because expressing confusion or disbelief about the death of a loved one indicates unresolved grief. A: Remembering positive memories shows acceptance. B: Engaging in new activities indicates coping and moving forward. C: Acknowledging negative traits is part of the grief process. Overall, D stands out as it shows lack of acceptance and understanding of the loss.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the patient's feelings without challenging or dismissing them. It shows empathy and validates the patient's emotions, promoting a therapeutic relationship. Choice B may invalidate the patient's feelings. Choice C may come off as confrontational. Choice D assumes the patient's beliefs and may not address their emotional distress effectively.

Correct Answer: C

Rationale: The correct answer is C: "Focusing." When delving further into a subject, you are exploring in-depth. Similarly, when taking notice of a single idea or word, you are focusing on it specifically. This choice aligns with the concept of narrowing down attention to a singular point. Choices A and B do not capture the essence of concentrating on a single idea but rather imply a broader perspective or providing general leads. Choice D, "Accepting," is irrelevant to the context of focusing on a specific idea or word. Hence, the correct answer is C as it best reflects the act of concentrating on a single element.

Correct Answer: A

Rationale: Rationale: Atonia in REM sleep limits physical movements to prevent acting out dreams and potential physical harm. This is essential for safety during sleep. Myoclonic twitches are natural muscle contractions and do not serve a protective function. Nightmares can still occur during REM sleep despite atonia. Atonia does not directly enhance the dream state or regulate the autonomic nervous system. Therefore, choice A is correct as it aligns with the protective mechanism of atonia in REM sleep.

Correct Answer: A

Rationale: The correct answer is A: Mental illness in an individual was the result of being possessed by demons. During the medieval period, mental illness was often attributed to supernatural causes like demons. This belief led to practices such as exorcisms to 'cure' the person. This answer is correct as it highlights a common belief about mental illness during that time. Summary of why other choices are incorrect: B: A person was removed from a contaminated environment to protect him or her - This choice does not align with the historical perspective of mental health care during the medieval period. C: Exorcisms were used as the primary mode of treatment to cleanse the person of his or her sins - While exorcisms were used, the primary belief was that mental illness was caused by demons, not necessarily sins. D: The focus was on moral treatment to promote the individual's safety and comfort - Moral treatment was a later development in mental health care, not a common belief in the medieval period.

Correct Answer: C

Rationale: The least appropriate action for the nurse is to provide false reassurance that everything will be okay. This can invalidate the patient's feelings and minimize the severity of their crisis. It's crucial for the nurse to acknowledge the patient's emotions and provide support without making unrealistic promises. Supporting cultural beliefs (A) and clarifying misconceptions (D) are important for effective communication. Encouraging the patient to focus on one aspect at a time (B) can help in breaking down overwhelming situations.

Correct Answer: D

Rationale: The correct answer is D: Energy drink containers. Energy drinks are often consumed during manic episodes due to their high caffeine content, which can exacerbate manic symptoms. The medic counting energy drink containers is likely assessing the extent of Luc's consumption, providing valuable information for his medical evaluation and treatment. Hypodermic needles (A) are not typically associated with manic episodes. Fast food wrappers (B) and empty soda cans (C) may not be as directly related to exacerbating manic symptoms compared to energy drinks.

Correct Answer: D

Rationale: The correct answer is D because acknowledging a positive person in the client's life can provide emotional support and connection, which are crucial for the client's well-being after discharge. This interpersonal intervention focuses on building a supportive network for the client, enhancing their social resources and potentially reducing the risk of relapse. A, B, and C are incorrect because they primarily focus on individual insight and awareness rather than interpersonal relationships. While these interventions may be valuable in therapy, they do not directly address the importance of social support and connection, which is essential for long-term recovery and mental health stability.