A client asks the evening shift nurse,"How do you feel about my refusing to attend group therapy this morning?" The nurse responds,"How did your refusing to attend group make you feel?" This nurse is using which communication technique?

Correct Answer: C

Rationale: The correct answer is C: Therapeutic use of "reflection." This communication technique involves mirroring the client's feelings or thoughts back to them, allowing them to explore their own emotions. In this scenario, the nurse is reflecting the client's feelings back to them by asking how their refusal to attend group therapy made them feel. This encourages self-exploration and insight. A: Therapeutic use of "restatement" involves repeating the client's words to show understanding, which is not demonstrated in the scenario. B: Nontherapeutic use of "probing" involves asking direct questions that may feel intrusive, which is not the case here. D: Nontherapeutic use of "interpreting" involves offering interpretations or judgments, which is not demonstrated in the scenario.

Correct Answer: A

Rationale: The correct answer is A: Implement suicide precautions. This is the highest priority intervention because the patient has a plan for suicide, which poses an immediate risk to their safety. Implementing suicide precautions involves ensuring the patient's safety by removing any potential means of self-harm, closely monitoring their behavior, and providing constant supervision to prevent any suicide attempts. Choice B is incorrect because offering high-calorie snacks and fluids frequently does not address the immediate risk of suicide. Choice C is incorrect because assisting the patient to identify personal strengths is important for building self-esteem but is not the highest priority when the patient is at risk of suicide. Choice D is incorrect because observing the patient for therapeutic effects of antidepressant medication is important but ensuring the patient's safety takes precedence when there is a risk of suicide.

Correct Answer: A

Rationale: The correct answer is A: provide for the patient's safety. This is the highest priority because the patient is exhibiting behaviors that indicate distress and potential harm to themselves or others. Ensuring the patient's safety is the immediate concern to prevent any accidents or dangerous situations. Choice B is incorrect because encouraging clarification of feelings is not the priority when the patient is in a state of distress and potential danger. Choice C is incorrect as respecting personal space is important but not the most critical in this urgent situation. Choice D is also incorrect as offering an outlet for energy is not the immediate need when the patient is displaying alarming behaviors.

Correct Answer: B

Rationale: The correct answer is B (82) because a higher score indicates better functioning on the Global Assessment of Functioning (GAF) scale. A score of 82 indicates minimal symptoms with good functioning in all areas. Choice A (94) would suggest superior functioning, which does not align with minimal symptoms. Choices C (75) and D (63) indicate lower functioning and more significant symptoms, which are not consistent with the patient's presentation of minimal symptoms and good functioning. Therefore, B is the most appropriate choice based on the information provided.

Correct Answer: C

Rationale: Rationale: C is correct because by recognizing prejudicial ideas, the nurse can work on changing learned behaviors through self-reflection and education. This process leads to personal growth and the ability to provide unbiased care. A is incorrect because self-awareness is necessary but not sufficient for a therapeutic relationship. B is incorrect as influencing patients with biases is unethical. D is incorrect as formulating values and morals is a continuous process not solely dependent on self-awareness.