Which scenario describes an individual in Erikson's developmental stage of"old age" exhibiting a negative outcome of despair?

Correct Answer: D

Rationale: The correct answer is D because it reflects the negative outcome of despair in Erikson's stage of "old age." In this stage, individuals reflect on their lives and may feel satisfied or dissatisfied. Option D shows the woman feeling anger and dissatisfaction, indicating despair. Choice A involves a woman struggling with caregiving, which could be a challenge but doesn't necessarily reflect despair. Choice B describes someone reflecting on their life, which is a positive aspect of this stage. Choice C shows a man openly discussing his accomplishments and failures, which is a healthy way of coping and doesn't indicate despair.

Correct Answer: D

Rationale: The correct answer is D: Psychotherapy. Advanced practice psychiatric/mental health nurses have specialized training to provide psychotherapy, which involves conducting therapy sessions to address mental health issues. This intervention requires advanced knowledge and skills in assessing, diagnosing, and treating complex psychiatric conditions. Basic level registered nurses typically do not have the expertise or training to conduct psychotherapy. A: Coordination of care - Both basic level and advanced practice nurses can coordinate care for patients, although advanced practice nurses may take on a more comprehensive role in care coordination. B: Health teaching - Both basic level and advanced practice nurses can provide health teaching to patients about mental health conditions and treatment options. Advanced practice nurses may have a deeper understanding of mental health concepts. C: Milieu therapy - Both basic level and advanced practice nurses can participate in creating a therapeutic environment for patients. Advanced practice nurses may have a more significant role in developing and implementing milieu therapy strategies.

Correct Answer: D

Rationale: The correct answer is D because hearing evil voices indicating potential psychosis or severe mental health issues requiring immediate attention. This statement suggests possible hallucinations and command hallucinations that pose a risk to the individual and others. It should be the priority focus for the plan of care. A: Trusting family is important but does not indicate immediate safety concern. B: Perception of bad luck may be relevant but not as urgent as potential hallucinations. C: Concern about betrayal is significant but does not pose an immediate risk compared to hearing evil voices.

Correct Answer: C

Rationale: The correct answer is C: Severe anxiety. The person's symptoms indicate severe anxiety. Nausea, dizziness, tachycardia, and hyperventilation are all physical manifestations of severe anxiety. Additionally, the person's statement of feeling like something awful is going to happen, along with an inability to focus, also point towards severe anxiety. Mild anxiety typically wouldn't cause such intense physical symptoms. Moderate anxiety may cause some physical symptoms but not to the extent described in the scenario. Panic level of anxiety would usually involve more extreme symptoms such as a full-blown panic attack, which is not explicitly mentioned in the scenario.

Correct Answer: B

Rationale: The correct answer is B: Public stigma. The nurse's action of addressing the receptionist's derogatory comment about a patient as 'really psycho' indicates an attempt to address public stigma. Public stigma refers to the negative attitudes and beliefs held by society towards individuals with mental health conditions. By discussing the inappropriate language used by the receptionist, the nurse is addressing the perpetuation of negative stereotypes and discrimination against individuals with mental health issues. Incorrect Choices: A: Lack of knowledge - This choice would imply that the nurse is addressing a lack of knowledge about mental health conditions, which is not the main issue in this scenario. C: Label avoidance - This choice would imply that the nurse is avoiding using stigmatizing labels, which is not the main focus of the scenario. D: Self-stigma - This choice would imply that the nurse is addressing the internalized stigma experienced by individuals with mental health conditions, which is not the main issue being addressed in this scenario.