Correct Answer: B

Rationale: Verbigeration refers to the constant repetition of certain words or phrases, which is not described in the scenario. Pressured speech is a common symptom of bipolar disorder and other mental health conditions. It typically occurs when a person is experiencing manic episodes. During this time, a person may feel compelled to speak quickly, erratically, and without stopping. Neologism refers to the creation of new words or phrases that only have meaning to the individual using them. This is not described in the scenario. Perseveration refers to the repetition of a particular response, such as a word, phrase, or gesture, despite the absence or cessation of a stimulus. This is not described in the scenario.

Correct Answer: D

Rationale: While consultation is an important part of the discharge planning process, it is not the point at which the process of preparing for client discharge should begin. The point of termination is when the discharge process is completed, not when it begins. The rehabilitation phase is a part of the recovery process, but it is not the point at which the process of preparing for client discharge should begin. The process of preparing for client discharge should ideally begin upon admission. This allows for comprehensive planning and coordination of care post-discharge.

Correct Answer: A

Rationale: Diagnostic data is a crucial part of a mental health admission assessment. This includes information about the patient's current and past mental health issues, as well as any relevant medical conditions. While orientation (awareness of time, place, and person) is often assessed during a mental health admission assessment, it is not the primary component of the assessment. Intelligence testing is not typically included in a mental health admission assessment. The focus of the assessment is on the patient's mental health needs, not their intellectual abilities. While a diagnosis may be determined as a result of a mental health admission assessment, the diagnosis itself is not included in the assessment. The assessment is used to gather the information needed to make a diagnosis.

Correct Answer: B

Rationale: While understanding a patient's past experiences can provide context for their current emotional state, it may not directly address the immediate risk of suicide. It's important to focus on the present situation and the patient's current feelings. If a patient has a specific plan for suicide, it indicates a higher level of risk. By asking about their plan, the nurse can assess the immediacy and severity of the patient's suicidal intent. This information is crucial for determining the appropriate level of care and intervention. This question could be interpreted as validating or encouraging the patient's suicidal thoughts. It's essential to promote safety and positive coping strategies, rather than focusing on the perceived benefits of suicide. While it's important to understand the feelings driving a patient's suicidal thoughts, asking why they want to end their life can come across as judgmental. It's more helpful to ask about their feelings and listen empathetically.

Correct Answer: C

Rationale: The primary nursing care intervention for an adolescent patient diagnosed with schizophrenia involves educating the patient and their family about the importance of medication adherence. Schizophrenia is a chronic condition that often requires long-term medication management. Ensuring adherence to prescribed medication regimens can significantly improve symptom management and overall quality of life.