Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?

Correct Answer: B

Rationale: The correct answer is B, "When did you have your last drink?" This question is crucial in assessing the patient's current alcohol intake and potential withdrawal symptoms. Knowing this information helps determine the urgency of medical intervention and monitoring. Choice A focuses on past experiences, not immediate concerns. Choice C is important but does not address the patient's current condition. Choice D is relevant for treatment planning but not as urgent as knowing the last drink time for immediate assessment.

Correct Answer: C

Rationale: The correct answer is C because the primary factor that makes an event a crisis is the ineffectiveness of one's usual coping strategies. When an event overwhelms an individual's ability to cope with it using their usual strategies, it can lead to a crisis. Choice A is incorrect because the type of loss alone does not determine if an event is a crisis. Choice B is incorrect as the nature of stress is subjective and can vary among individuals. Choice D is incorrect because the preexistence of a stress-related mental illness is not necessarily a prerequisite for an event to be considered a crisis.

Correct Answer: C

Rationale: The correct answer is C because recommending changes to a client's care plan based on information from randomized controlled research trials directly aligns with evidence-based practice. This action involves using the best available evidence to inform and improve client care, which is a key principle of evidence-based practice. By utilizing research trials, the nurse ensures that interventions are based on proven effectiveness rather than assumptions or personal beliefs. Option A is incorrect because subscribing to a journal alone does not guarantee application of evidence-based practice. Option B involves participation in a research study, which may not directly translate to immediate improvement in client care. Option D focuses on recruiting clients for a research project rather than directly applying evidence to individual client care plans.

Correct Answer: B

Rationale: The correct answer is B because the client not relapsing in three years indicates a positive outcome from the family's involvement in psychoeducational programming. This suggests that the family's support has contributed to the client's stability and well-being. Choice A is incorrect as living with parents alone does not demonstrate the effectiveness of psychoeducational programming. Choice C is incorrect as supplementing disability income does not directly show the client's improvement. Choice D is also incorrect as providing transportation to a job does not specifically relate to the client's schizophrenia treatment outcome.

Correct Answer: B

Rationale: The correct answer is B: The APRN-PMH exercises a greater degree of autonomy when providing care. This is because an Advanced Practice Registered Nurse (APRN-PMH) has advanced education and training, allowing them to diagnose, prescribe medications, and provide comprehensive psychiatric care independently. This higher level of autonomy distinguishes them from Registered Nurses (RN-PMH) who work under the supervision of APRNs or physicians. Incorrect choices: A: Only the APRN-PMH is responsible for milieu management - Incorrect, as RN-PMH can also be responsible for milieu management in psychiatric settings. C: Only the RN-PMH provides medication education to the client - Incorrect, as APRN-PMH can also provide medication education. D: The RN-PMH has less experience working with the mentally ill - Incorrect, as experience levels can vary among individuals regardless of their title as RN-PMH or APRN-PMH.