A client diagnosed with a personality disorder has a nursing diagnosis of impaired social interaction. Which is a correctly written, short-term outcome related to this diagnosis?

Correct Answer: B

Rationale: The correct answer is B. This outcome is specific, measurable, achievable, relevant, and time-bound (SMART). It focuses on discussing behaviors impeding social interaction, promoting self-awareness, and facilitating therapeutic communication. Choice A is too broad and lacks specificity. Choice C addresses specific behaviors but lacks a focus on self-awareness or communication. Choice D addresses anxiety management, which is not directly related to impaired social interaction. In summary, choice B is the most appropriate as it directly addresses the nursing diagnosis and promotes therapeutic communication and self-reflection.

Correct Answer: A

Rationale: The correct answer is A because effective nurse-patient communication is guided by principles of empathy, respect, and genuine concern. Patients value feeling understood and supported, which can foster trust and rapport. This approach helps alleviate the nurse's fear of saying the wrong thing by emphasizing the importance of good intentions and empathy. Choice B is incorrect because it assumes the patient is solely focused on talking and not listening, which can undermine effective communication. Choice C is incorrect because a patient's history does not guarantee immunity to harm from insensitive comments. Choice D is incorrect as it incorrectly generalizes about individuals with mental illness and forgiveness tolerance.

Correct Answer: A

Rationale: The correct answer is A because four-point restraints are used for clients who pose an imminent danger to themselves or others due to violent behavior, such as being hostile and threatening. Restraints should only be utilized as a last resort to ensure safety. Choices B, C, and D do not warrant the use of restraints as they do not involve immediate physical harm or danger. De-escalation techniques and alternative interventions should be attempted before resorting to restraint use.

Correct Answer: B

Rationale: The correct answer is B. This outcome is specific, measurable, achievable, relevant, and time-bound (SMART). It focuses on discussing behaviors impeding social interaction, promoting self-awareness, and facilitating therapeutic communication. Choice A is too broad and lacks specificity. Choice C addresses specific behaviors but lacks a focus on self-awareness or communication. Choice D addresses anxiety management, which is not directly related to impaired social interaction. In summary, choice B is the most appropriate as it directly addresses the nursing diagnosis and promotes therapeutic communication and self-reflection.

Correct Answer: A

Rationale: The correct answer is A: WBC 3,000/mm3. A low white blood cell count (WBC) can indicate bone marrow suppression from chemotherapy, leading to increased risk of infection. Reporting this value is crucial for timely intervention. B: Hemoglobin 14 g/dl is within the normal range and not typically a concern in this scenario. C: Platelet count of 250,000/mm3 is within the normal range and does not pose an immediate threat to the client. D: aPTT of 30 seconds is within the normal range and is not directly related to the client's current condition of breast cancer and chemotherapy.