Correct Answer: B

Rationale: The correct answer is B: The child is found making small fires in the backyard. This behavior is related to the traumatic experience of the family home being destroyed in a wildfire. The child may be trying to process and cope with the trauma by reenacting the event through play. This behavior reflects a need for control and a way to express emotions associated with the traumatic experience.

A: The child crying because they are the smallest child in their class is unrelated to the traumatic experience of the wildfire.
C: The child being rude to their siblings when things do not go their way is more likely a behavioral response to frustration rather than directly related to the traumatic experience of the wildfire.
D: The child insisting on having their own way when playing with friends is a common behavior for children and is not specifically indicative of trauma from a wildfire.

Correct Answer: C

Rationale: The correct answer is C: Take aspirin for headaches. The nurse should request this referral to address the client's reported headache. It is essential to address the client's physical health needs to promote overall well-being. Referring to a spiritual advisor (
A) is not appropriate for addressing the immediate health concern. Expecting swelling in hands and feet (
B) is unrelated. Eating foods high in potassium (
D) is important for overall health but not urgent in this situation.

Correct Answer: A

Rationale: The correct answer is A: Ask the client about the lethality of their plan. This is the correct action because assessing the lethality of the client's plan is crucial in determining the level of risk and the necessary interventions. By understanding the specifics of the plan, the nurse can assess the immediacy and severity of the situation, enabling appropriate interventions to be implemented promptly. Encouraging the client to focus on the positive aspects of life (
B) may overlook the seriousness of the situation. Reassuring the client that everything will work out (
C) may minimize the client's feelings and not address the immediate risk. Allowing the client time alone to self-reflect (
D) can be dangerous if the plan is highly lethal.

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: A

Rationale: The correct answer is A because stress is a common cause of depressed mood. Stress can lead to feelings of sadness and hopelessness. High blood pressure (
B), elevated heart rate (
C), and renal dysfunction (
D) are not typically direct causes of depressed mood. High blood pressure and elevated heart rate are more closely associated with physical health, while renal dysfunction is related to kidney function, not mental health.
Therefore, A is the best choice as it aligns with common triggers of depression.