Correct Answer: A

Rationale:
Correct Answer: A

Rationale: Asking the client about the lethality of their plan is crucial in assessing the level of risk for self-harm. It helps determine the immediacy and seriousness of the situation. This information guides the nurse in developing a safety plan and appropriate interventions. Encouraging the client to focus on the positive aspects of life (
B) may overlook the severity of the situation. Reassuring the client that everything will work out (
C) may minimize their feelings and not address the underlying issue. Allowing the client time alone to self-reflect (
D) can be dangerous if the plan is lethal, as it increases the risk of harm.

Correct Answer: A

Rationale:
Correct Answer: A: The stress from my new job could be the cause of my depressed mood.


Rationale: Stress is a common trigger for depression. Acknowledging the impact of a new job on mental well-being shows an understanding of how external factors can contribute to mood changes. This client statement demonstrates insight into the potential link between stress and depression.

Summary:
B: High blood pressure is a physical health condition and not typically directly linked to depressed mood.
C: Elevated heart rate may indicate anxiety or stress, but it is not a direct cause of depression.
D: Renal dysfunction is a medical issue that may affect mood indirectly but is not a common primary cause of depression.

Correct Answer: B

Rationale: The correct answer is B. A child with a parent in prison is considered to have experienced an adverse childhood experience (ACE) due to the significant impact of parental incarceration on a child's well-being, emotional health, and development. This situation can lead to feelings of abandonment, shame, stigma, and disruption in family dynamics.

Choices A, C, and D do not directly indicate exposure to ACEs as they involve normal childhood experiences or academic challenges that are not inherently traumatic.
Therefore, option B is the most appropriate response for identifying a child who has experienced an ACE.

Correct Answer: A

Rationale: The correct answer is A: "This procedure will cause me to have brief seizures." This answer is correct because ECT involves inducing controlled seizures to help alleviate symptoms of certain mental health conditions. The client understanding this aspect of the procedure demonstrates awareness of what to expect.

Choices B, C, and D are incorrect. B is incorrect because ECT usually requires multiple treatments for effectiveness. C is incorrect as a pre-ECT workup is typically necessary for safety reasons. D is incorrect because clients are usually instructed to fast before the procedure.

Correct Answer: C

Rationale: The correct answer is C: The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic. Clozapine is a second-generation antipsychotic used for treatment-resistant schizophrenia. It is crucial for the nurse to discuss the importance of continued medication adherence even after acute symptoms improve to prevent relapse. Option A is incorrect because tyramine interactions are more relevant for MAOIs, not clozapine. Option B is incorrect as clozapine does not typically require fluid restriction. Option D is incorrect as routine red blood cell monitoring is essential for detecting clozapine-induced agranulocytosis, but it is not the most important topic to discuss with the client at this time.