Which standardized rating scale will the nurse specifically include in the assessment of a newly admitted patient diagnosed with major depressive disorder?

Correct Answer: D

Rationale: The correct answer is D: Beck Inventory. This is because the Beck Inventory is a standardized rating scale specifically designed to assess the severity of depression symptoms. It includes questions related to mood, cognition, and physical symptoms commonly seen in major depressive disorder. A: The Mini-Mental State Examination (MMSE) is used to assess cognitive function, not depression symptoms. B: The Body Attitude Test is used to assess body image and attitudes, not depression symptoms. C: The Global Assessment of Functioning Scale (GAF) is used to assess overall functioning, but it does not specifically focus on depression symptoms like the Beck Inventory does. In summary, the Beck Inventory is the most appropriate choice as it is specifically tailored to assess depression symptoms in patients with major depressive disorder, making it the ideal standardized rating scale for this scenario.

Correct Answer: B

Rationale: The correct answer is B because summarizing the essence of the patient's comments in your own words demonstrates active listening and understanding, fostering a therapeutic relationship. This helps clarify and validate the patient's feelings. Choice A violates the principle of avoiding personal opinions in therapeutic communication. Choice C disrupts the patient's processing time and may hinder open communication. Choice D focuses on the caregiver's approval rather than the patient's feelings, which is not therapeutic.

Correct Answer: B

Rationale: The correct answer is B because asking about the number of infections in the past 6 months helps identify the impact of chronic stress on physical health. Chronic stress weakens the immune system, making individuals more susceptible to infections. The other choices focus on immediate symptoms or coping mechanisms for stress, not long-term consequences on physical health. Choice A relates to sleep issues, which can be a result of stress but not a direct consequence on physical health. Choice C focuses on exercise, which is important for overall health but may not directly address the impact of chronic stress. Choice D addresses stress management techniques, which are important for coping but do not directly assess the physical health consequences of chronic stress.

Correct Answer: A

Rationale: The correct answer is A: Reduce stress and anxiety. Dark humor can serve as a coping mechanism to help individuals in high-stress environments like first responders and healthcare providers manage their emotions. By finding humor in difficult situations, they can temporarily alleviate stress and anxiety. Choice B is incorrect because reliving the experience can actually increase distress. Choice C is incorrect as dark humor does not rectify moral distress but may provide temporary relief. Choice D is incorrect as the primary purpose of dark humor is not to alert others but to cope with personal stress.

Correct Answer: D

Rationale: The correct answer is D because the behavior of the 8-year-old boy play-acting as a police officer and causing fear in other children could be a potential symptom of traumatization. Traumatized children may exhibit behaviors that mimic traumatic events they have experienced or witnessed. This behavior could be the boy's way of processing or expressing his own trauma. Option A is incorrect as there is no evidence of a need to dominate others. Option B is incorrect as there is no indication of the boy inventing traumatic events. Option C is incorrect as there is no clear indication of a need to develop close relationships in this context.