A nurse notices that a homeless client with a mental health disorder is frequently misunderstood by staff due to stereotypes. What should the nurse prioritize to support this client?
Educating staff about the effects of stereotypes and implicit bias on behavior.
Avoiding interaction between the client and staff to prevent conflict.
Ensuring that all staff focus only on clinical data to make treatment decisions.
Encouraging the client to find another facility with better-trained staff.
The Correct Answer is A
Choice A reason: Educating staff about stereotypes and implicit bias is the most effective intervention. Staff awareness reduces discriminatory behavior, promotes equitable treatment, and fosters a supportive environment for the client. This action addresses the root cause of misunderstanding and improves care quality.
Choice B reason: Avoiding interaction between staff and the client is harmful. It isolates the client, denies them necessary care, and perpetuates stigma rather than resolving it.
Choice C reason: Focusing only on clinical data ignores the importance of holistic care. While clinical data is essential, stereotypes influence interpretation and decision-making. Staff must be trained to recognize and mitigate bias.
Choice D reason: Encouraging the client to find another facility shifts responsibility away from the current staff and places undue burden on the client. It does not solve systemic issues and may worsen the client’s access to care.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Encouraging confrontation of stressors during exhaustion is harmful. At this stage, the client’s adaptive mechanisms are depleted, and confrontation may worsen physical and psychological strain.
Choice B reason: Educating on the fight-or-flight response is informative but not therapeutic. While knowledge is useful, it does not directly alleviate exhaustion symptoms or promote recovery.
Choice C reason: Relaxation techniques such as deep breathing are appropriate because they reduce sympathetic nervous system activation, lower blood pressure, and promote parasympathetic recovery. These techniques help restore balance and mitigate the harmful effects of prolonged stress.
Choice D reason: Advising stimulants is unsafe and counterproductive. Stimulants increase physiological strain, worsen exhaustion, and may lead to dependency or adverse health outcomes.
Correct Answer is C
Explanation
Choice A reason: Three tablets equal 112.5 mg, which is below the prescribed dose. Administering this amount would underdose the patient, leading to subtherapeutic effects and poor symptom control.
Choice B reason: Two tablets equal 75 mg, which is half the prescribed dose. This would result in significant underdosing and ineffective management of depression.
Choice C reason: Four tablets equal exactly 150 mg, which matches the prescribed dose. This ensures therapeutic effectiveness and safety, making it the correct choice.
Step 1: Ordered dose = 150 mg.
Step 2: Tablet strength = 37.5 mg per tablet.
Step 3: (150 mg ÷ 37.5 mg) = 4 tablets.
Result = 4 tablets.
Choice D reason: Six tablets equal 225 mg, which exceeds the prescribed dose by 75 mg. This would risk overdose and adverse effects such as hypertension, serotonin syndrome, or gastrointestinal disturbances.
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