Which statement made by a nurse who manages care for a number of culturally diverse Hispanic clients demonstrates an understanding of the challenges this assignment presents?

Correct Answer: B

Rationale: The correct answer is B: "There are many differences between Hispanic subcultures." This answer demonstrates an understanding of the complexity and diversity within the Hispanic community, emphasizing that there is not a monolithic Hispanic culture but rather various subcultures with distinct customs, traditions, and beliefs. Understanding these differences is crucial for providing culturally competent care. Rationale: 1. Option A focuses on language proficiency, not cultural diversity. 2. Option C mentions religious needs but does not address the broader complexity of Hispanic culture. 3. Option D makes a generalization about Hispanic children, not addressing the diversity within Hispanic communities. In summary, the correct answer acknowledges and respects the diverse nature of Hispanic subcultures, highlighting the importance of recognizing and understanding these differences to provide effective care.

Correct Answer: C

Rationale: The correct answer is C: Role modeling language that is respectful to those with mental illnesses. Nurses can advocate for individuals with mental illness by demonstrating and promoting respectful language use, which helps reduce stigma and promote understanding. This approach empowers both the individual and others to use language that is sensitive and non-discriminatory. By setting an example through their own communication, nurses can positively influence interactions with individuals dealing with mental illness. Choices A, B, and D are incorrect because: A: Encouraging all clients to be aware of their communication may not directly address the issue of stigma and may inadvertently place the responsibility solely on the individual with mental illness. B: Teaching a client diagnosed with schizophrenia to avoid pressured speech is important for their well-being but does not directly address advocating for individuals with mental illness in the context of stigma and language use. D: Engaging in therapeutic communication is essential in nursing practice but does not specifically focus on advocating for individuals with mental illness regarding language and stigma.

Correct Answer: B

Rationale: The correct answer is B because reinforcing the client's ability to interrupt intrusive paranoid thoughts addresses a primary symptom of schizophrenia, which is distorted thinking patterns. Helping the client develop skills to challenge and manage these thoughts is a key aspect of schizophrenia treatment. A: Arranging stress management classes may be helpful but does not directly address the primary symptom of distorted thinking. C: Working on a budget for independent living is important but does not directly target the primary symptom of schizophrenia. D: Supporting the client to stop using alcohol may be beneficial, but it does not directly address the primary symptom of distorted thinking associated with schizophrenia.

Correct Answer: C

Rationale: The correct answer is C because the client meets the criteria for psychiatric homebound care by experiencing severe panic attacks when trying to leave the home. This indicates significant impairment in functioning outside the home. Explanation: 1. Criterion met: The client's severe panic attacks prevent her from leaving the home, indicating a need for care within the home environment. 2. Impairment in functioning: The client's panic attacks significantly impact her ability to engage in daily activities outside the home. 3. Duration of symptoms: The client has experienced these severe panic attacks for the last 5 years, indicating a chronic and persistent condition. Summary of other choices: A: Depression alone does not necessarily warrant psychiatric homebound care. B: Delusions related to paranoid schizophrenia do not inherently restrict the client to homebound care. D: Obsessive-compulsive behaviors, while impactful, do not specifically require homebound care unless they severely impair functioning outside the home.

Correct Answer: C

Rationale: Rationale for choice C (correct answer): 1. Chronotherapy involves timed exposure to light and darkness to regulate sleep patterns. 2. The nurse suggests the client can administer the treatments at home once trained, indicating it's feasible. 3. This empowers the client to continue treatment while balancing work obligations. 4. It ensures continuity of care and adherence to the therapy plan. Summary of other choices: A: Incorrect - Chronotherapy requires multiple treatments over several weeks, not just a few days. B: Incorrect - While some employers may provide sick leave, it's not guaranteed and may not cover the entire treatment duration. D: Incorrect - While outpatient alternatives may be discussed, administering at home is more practical for this client's situation.