Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?

Correct Answer: D

Rationale: Rationale: Naltrexone (Revia) is the correct answer because it is commonly prescribed for both alcoholism and opioid addiction. It works by blocking the effects of opioids and alcohol in the brain, reducing cravings and helping with relapse prevention. Methadone (A) is primarily used for opioid addiction, while bromocriptine (B) is not commonly used for addiction treatment. Disulfiram (C) is specifically for alcoholism and works by causing unpleasant effects if alcohol is consumed.

Correct Answer: A

Rationale: The correct answer is A because using the term 'sadness' instead of 'depression' shows cultural sensitivity. In many Asian cultures, mental health terms like 'depression' can carry stigma and be taboo. By using a milder term like 'sadness,' the nurse acknowledges and respects the cultural nuances around mental health. This approach can help build trust and rapport with the Asian-American community. Choices B, C, and D are incorrect because they do not directly address cultural sensitivity in the same way as choice A. Anticipating an Asian-American teenager's education level or focusing on an older person's views on alcohol and evaluating cognitive abilities do not demonstrate the same level of cultural sensitivity as being mindful of the language used when discussing mental health.

Correct Answer: B

Rationale: The correct answer is B because generic crisis intervention aims to assist as many individuals in crisis as quickly as possible to minimize harm and provide immediate support. This approach focuses on rapidly addressing the crisis and ensuring the safety and well-being of those involved. Introducing the nurse as a caring resource (A) may be part of the intervention process, but it is not the primary focus. Removing the individual from immediate sources of stress (C) may be necessary in some situations but is not always feasible or effective as the first step. Serving as a liaison between the individual and needed services (D) is important, but it is not the primary goal of generic crisis intervention, which prioritizes immediate assistance and support.

Correct Answer: B

Rationale: The correct answer is B because constructing a genogram is an effective way to visually represent a client's family history, including relationships and health conditions. Genograms provide a comprehensive overview of family dynamics and can aid in identifying patterns of health issues. This method allows for organized documentation of information gathered, enhancing data accuracy and analysis. Choice A is incorrect as there is no universally accepted definition of family, which can vary culturally and individually. Choice C is incorrect as the Family Apgar tool assesses family functioning, not specific family structures. Choice D is incorrect because gathering information on at least four generations may not always be necessary or feasible, and the depth of information is more important than the number of generations.

Correct Answer: C

Rationale: The correct answer is C: Providing counseling. Peplau, a renowned nursing theorist, emphasized the importance of the nurse-client relationship and therapeutic communication in psychiatric nursing. Counseling is a fundamental aspect of the nurse's role in helping clients explore thoughts, emotions, and behaviors to promote healing and growth. It allows for a deeper understanding of the client's needs and facilitates positive change. Managing the milieu (A) focuses on the physical environment, not the therapeutic relationship. Caring for physiological needs (B) is important but does not capture the essence of Peplau's theory. Documenting client behaviors (D) is crucial for monitoring progress but does not directly align with Peplau's emphasis on therapeutic communication.