Which statement about the process of grief is most accurate?

Correct Answer: B

Rationale: The correct answer is B because grief reactions are unique to each individual and may vary in order and timeframe. Grief is not a linear process and can manifest differently in different people. Choice A is incorrect because grief does not follow a set sequence of stages for everyone. Choice C is incorrect as grief can be experienced due to various types of losses, not just death. Choice D is incorrect as it is healthy to express grief both privately and publicly for emotional support.

Correct Answer: B

Rationale: The correct answer is B because encouraging relaxation and breathing techniques can help manage chronic pain by reducing stress and promoting relaxation. This intervention can assist in lowering the perception of pain without relying solely on medication. It empowers the patient to actively participate in their pain management. Choice A is incorrect because focusing only on medication management may lead to over-reliance on drugs and potential side effects. Choice C is incorrect because pain is not always a necessary part of the healing process and should not be dismissed. Choice D is incorrect as physical activity can actually help manage chronic pain by improving circulation and releasing endorphins.

Correct Answer: A

Rationale: The correct answer is A: Building emotional regulation skills. This is the priority goal because individuals with borderline personality disorder often struggle with intense emotions and have difficulty regulating them. By focusing on building emotional regulation skills, the nurse can help the patient manage their emotions effectively, leading to improved coping mechanisms and overall functioning. Improving cognitive distortions (choice B) may be important but addressing emotional dysregulation should take precedence. Enhancing socialization with peers (choice C) and developing coping mechanisms for distress (choice D) are important aspects of treatment, but building emotional regulation skills is foundational for addressing the core symptoms of borderline personality disorder.

Correct Answer: A

Rationale: The correct answer is A: Providing a structured environment with clear boundaries. In an acute manic episode, patients may exhibit impulsive and unpredictable behavior. By providing a structured environment with clear boundaries, such as consistent routines and limits, the patient's safety and well-being are prioritized. This intervention helps prevent potential harm to the patient or others and promotes stability. Choice B is incorrect because allowing the patient to engage in risky behavior can be dangerous and reinforce negative behaviors. Choice C is incorrect because during a manic episode, the patient may not have the capacity to make sound decisions. Choice D is incorrect because reassuring the patient that their feelings are normal may not address the urgent need for safety and stability in the situation.

Correct Answer: B

Rationale: The correct answer is B: Monitoring the patient for suicidal ideation, especially early in treatment. This is important because antidepressants can sometimes increase the risk of suicidal thoughts, especially at the beginning of treatment. By monitoring for suicidal ideation, the nurse can intervene promptly if necessary. Choice A is incorrect because abruptly stopping antidepressants can lead to withdrawal symptoms and worsening of the condition. Choice C is incorrect because antidepressants may take several weeks to start improving mood, so immediate improvement is unlikely. Choice D is incorrect because antidepressants are typically taken consistently, not just when feeling depressed, to maintain therapeutic levels in the body.