Which nursing intervention would be prioritized when caring for a child diagnosed with ID?

Correct Answer: B

Rationale: The correct answer is B because modifying the child's environment to promote independence and encourage impulse control aligns with the holistic care approach for children with Intellectual Disabilities (ID). This intervention focuses on enhancing the child's abilities and autonomy, fostering their development. Encouraging independence and impulse control are key components in managing ID. Choice A is incorrect as it solely focuses on the parents' role without addressing the child's specific needs. Choice C is incorrect as delaying diagnostic studies may hinder early intervention and support. Choice D is incorrect as one-on-one tutorial education may not necessarily address the child's overall development and social interactions.

Correct Answer: D

Rationale: The correct answer is D because providing an environment free of distractions helps the child with ADHD focus on tasks. This intervention helps the child manage their attention difficulties and complete activities more effectively. By minimizing distractions, the child can enhance their concentration and productivity. A: Establishing goals with rewards may be beneficial but does not directly address the issue of distractions. B: Asking the child to repeat instructions may not address the underlying issue of distractibility. C: Providing one-to-one assistance with simple instructions may be helpful, but creating a distraction-free environment is more essential for managing ADHD symptoms.

Correct Answer: C

Rationale: In this scenario, Nurse Trish should inform Marco that the only effective treatment for alcoholism is total abstinence (Option C). This is the correct answer because alcoholism is a chronic, progressive disease that requires complete avoidance of alcohol to achieve successful recovery. Psychotherapy (Option A) can be a helpful adjunct to treatment, addressing underlying psychological issues, but on its own, it is not sufficient to treat alcoholism. Alcoholics Anonymous (A.A.) (Option B) is a valuable support group that can complement treatment but is not the sole treatment for alcoholism. Aversion therapy (Option D) is a method that associates alcohol consumption with unpleasant stimuli to deter drinking but is not as effective or sustainable as total abstinence. Educationally, it is crucial for healthcare professionals to understand the comprehensive approach needed to address alcohol addiction. By emphasizing total abstinence as the only effective treatment, Nurse Trish can guide Marco towards the most successful path to recovery, highlighting the importance of lifestyle changes, support systems, and ongoing self-care in managing addiction.

Correct Answer: C

Rationale: In this scenario, option C) "Focusing on emotional content" is the correct answer. The nurse's response demonstrates a focus on the emotional aspect of the client's statement, acknowledging and addressing the underlying feelings of worry and concern rather than directly engaging with the delusion. Option A) "An example of presenting reality" is incorrect because the nurse did not directly challenge or correct the client's delusion about the medication being tampered with, which would be characteristic of presenting reality. Option B) "Reinforcing the client's delusions" is incorrect because the nurse's response does not validate or support the delusion but rather shifts the focus to the client's emotions. Option D) "A nontherapeutic technique called mind reading" is incorrect as the nurse is not making assumptions about what the client is thinking but rather responding empathetically to the emotional content of the client's statement. Educationally, it is important for healthcare professionals to understand the significance of focusing on the emotional content when communicating with clients experiencing psychosis. By acknowledging and addressing the underlying emotions, nurses can build rapport, trust, and facilitate therapeutic communication while also avoiding reinforcing or challenging delusions directly. This approach promotes a client-centered and empathetic care environment.

Correct Answer: B

Rationale: The correct answer is B) A state of well-being where a person can realize his own abilities, can cope with the normal stresses of life, and work productively. This definition of mental health encompasses a holistic approach that considers emotional, psychological, and social well-being. It emphasizes the capacity to manage stress, maintain relationships, and make meaningful contributions to society. Option A is incorrect because it describes the ability to distinguish reality from hallucinations or delusions, which is related to perception and cognition, not overall mental health. Option C is incorrect as it describes the broader aspects of mental health care, including promotion, prevention, treatment, and rehabilitation, but does not encapsulate the essence of mental health itself. Option D is incorrect as it defines mental health solely by the absence of mental illness, which is an incomplete and limited perspective. Educationally, understanding the definition of mental health is crucial for promoting well-being, reducing stigma, and fostering a supportive environment for individuals experiencing mental health challenges. By grasping the concept of mental health as a state of overall well-being and functioning, individuals can prioritize self-care, seek appropriate support, and contribute to a more inclusive and understanding society.