You are caring for Naomi who has been arrested and is found to be at risk for alcohol and drug use. Which approach is thought to be most useful in treating Naomi?

Correct Answer: B

Rationale: The correct answer is B because providing an immediate drug/alcohol treatment plan is crucial for addressing Naomi's substance use issue effectively. By providing immediate treatment, Naomi can receive the necessary support and interventions to address her substance use and prevent potential relapse. This approach ensures that Naomi's needs are addressed promptly and increases the likelihood of successful recovery. A: Recommending treatment after release may delay necessary interventions and increase the risk of substance use continuation. C: Immediately withdrawing all medications can be harmful and dangerous, especially without proper medical supervision. D: Isolating the patient can lead to feelings of abandonment and worsen the substance use issue without addressing the root cause.

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the interrupting patient's needs while respecting the current patient's time. By informing the interrupting patient that the current session has 5 more minutes, the nurse sets clear expectations and boundaries. This approach prioritizes both patients' needs and manages the situation effectively. A: Inviting the interrupting patient to join in the session with the current patient may not be appropriate as it could compromise the current patient's confidentiality and disrupt the ongoing session. B: Directly refusing to talk with the interrupting patient may come off as dismissive and unprofessional, potentially escalating the situation. C: Ending the current session abruptly to attend to the interrupting patient disregards the current patient's time and needs, leading to a poor patient experience.

Correct Answer: B

Rationale: The correct answer is B because providing an immediate drug/alcohol treatment plan is crucial for addressing Naomi's substance use issue effectively. By providing immediate treatment, Naomi can receive the necessary support and interventions to address her substance use and prevent potential relapse. This approach ensures that Naomi's needs are addressed promptly and increases the likelihood of successful recovery. A: Recommending treatment after release may delay necessary interventions and increase the risk of substance use continuation. C: Immediately withdrawing all medications can be harmful and dangerous, especially without proper medical supervision. D: Isolating the patient can lead to feelings of abandonment and worsen the substance use issue without addressing the root cause.

Correct Answer: A

Rationale: The correct answer is A because it shows a shift in thinking from a global, negative self-view to a more specific acknowledgement of occasional mistakes. This demonstrates progress in cognitive restructuring, a key component of cognitive-behavioral therapy. Choice B reflects a pattern of negative thinking without self-reflection, while choice C indicates a fear of failure in trying new things. Choice D shows self-criticism without recognition of potential for improvement. Overall, choice A is the most indicative of cognitive-behavioral therapy progress by acknowledging specific instances of behavior rather than a global self-assessment.

Correct Answer: D

Rationale: The correct answer is D: Conduct disorder. Conduct disorder is categorized as an externalizing disorder because it involves behaviors that are directed outward, such as aggression, defiance, and rule-breaking. This disorder is characterized by violating the rights of others and societal norms. In contrast, anxiety (choice A) and depression (choice B) are internalizing disorders, which involve inward-directed emotions and thoughts. Schizophrenia (choice C) is a psychotic disorder marked by disturbances in thinking, emotions, and behavior, and is not classified as an externalizing disorder. Conduct disorder fits the criteria of an externalizing disorder due to its focus on disruptive and antisocial behaviors.

Correct Answer: A

Rationale: The correct answer is A: Cluster A. This cluster includes personality disorders such as paranoid, schizoid, and schizotypal disorders, which are characterized by eccentric, odd, or peculiar behavior, thinking, and beliefs. These individuals often have difficulty forming and maintaining social relationships due to their unusual behaviors and beliefs. Choices B and C (Cluster B and Cluster C) do not specifically encompass personality disorders with eccentric or odd traits. Choice D (General personality disorders) is not a recognized category in the DSM-5 for personality disorders, making it an incorrect choice.

Correct Answer: C

Rationale: The correct answer is C: arthritis. Arthritis is the number one chronic illness according to the National Council on Aging due to its high prevalence among older adults. Arthritis causes joint pain, stiffness, and decreased mobility, impacting quality of life. Heart failure (A) and hypertension (D) are also common chronic conditions but are not ranked as the number one chronic illness by the National Council on Aging. Diabetes (B) is a significant chronic illness but is not the primary focus of the National Council on Aging's ranking. Arthritis's impact on daily functioning and quality of life makes it the top chronic illness for older adults.

Correct Answer: A

Rationale: The correct answer is A: Weight loss. Levothyroxine is a thyroid hormone replacement medication used to treat hypothyroidism. When the medication is effective, it helps normalize the body's thyroid hormone levels, which can lead to an increase in metabolism and potential weight loss. This is a common therapeutic effect seen in patients with hypothyroidism. Summary of other choices: B: Decreased blood pressure - Levothyroxine is not primarily used to treat hypertension, so a decrease in blood pressure would not be a direct indication of the medication's effectiveness. C: Absence of seizures - Levothyroxine does not directly affect seizure activity, so this would not be a typical indicator of its effectiveness. D: Decrease inflammation - Levothyroxine is not specifically indicated for reducing inflammation, so a decrease in inflammation would not be a direct measure of the medication's effectiveness in treating hypothyroidism.

Correct Answer: C

Rationale: The correct answer is C: Desire waning with age. As individuals age, their sexual desires and behaviors may change. In this case, Phillip may be experiencing a decrease in his desire for exhibitionism as he grows older. This is a common phenomenon as people's sexual interests and behaviors can evolve over time. A: An increasing sense of shame - While shame could potentially be a factor, it is not the most likely reason for the change in Phillip's behavior. B: Disgust over his lack of control - This choice does not directly address the decrease in thrill experienced by Phillip and is less likely to be the primary reason for his change in behavior. D: Progression into actual assault - This choice is not supported by the information provided in the question and is an extreme assumption without any evidence.