A client on an in-patient psychiatric unit tells the nurse, "I should have died because I am totally worthless." In order to encourage the client to continue talking about feelings, which should be the nurse's initial response?

Correct Answer: C

Rationale: The correct initial response is C: "You've been feeling sad and alone for some time now?" This response acknowledges the client's emotions and opens up the conversation for further exploration. By reflecting the client's feelings back to them, the nurse shows empathy and encourages the client to continue sharing their emotions. It validates the client's experience without judgment or minimizing their feelings. Choice A is incorrect as it shifts the focus to the family's feelings, which may not be helpful in addressing the client's immediate emotional distress. Choice B is incorrect as it invalidates the client's current feelings by suggesting they will change with time. Choice D is incorrect as it does not directly address the client's expressed feelings of worthlessness and may come across as dismissive.

Correct Answer: A

Rationale: The correct answer is A because in traditional Asian American families, the father typically holds the authority in decision-making. This cultural norm influences how care decisions are made within the family. The father's role as the authority figure means that his opinions and decisions are highly regarded and often determine the course of action. This dynamic can impact the entire family's approach to care, including healthcare choices, financial decisions, and overall well-being. Choice B is incorrect because it goes against the traditional gender roles in Asian American families where the father usually holds the primary authority. Choice C is incorrect as it focuses on individual decision-making, which may not align with the collective decision-making process often seen in Asian American families. Choice D is incorrect because emotional communication styles, while important, may not be the primary factor influencing decision-making about care in Asian American families.

Correct Answer: C

Rationale: The correct answer is C: Western, biomedical. The patient's focus on returning to work and managing emails indicates a perspective aligned with Western biomedical views, which prioritize physical health and treatment over spiritual or holistic approaches. This is evident in the patient's concern about productivity and work responsibilities, reflecting a biomedical understanding of illness as a disruption to daily life activities. Choices A, B, and D are incorrect as they do not align with the patient's emphasis on work and productivity, which are more in line with Western biomedical perspectives.

Correct Answer: C

Rationale: The correct answer is C because it acknowledges the unit rules without dismissing the client's request. By informing the client that they can make the call the next day, the nurse ensures that the client's needs are addressed while also upholding the unit's policies. Option A enables the rule-breaking behavior, which is inappropriate. Option B shames the client, which is not therapeutic. Option D minimizes the client's request and assumes they are not capable of making decisions, which is not empowering. Option C is the most appropriate response as it respects both the client's needs and the unit's rules.

Correct Answer: B

Rationale: The correct answer is B because it reflects an understanding of Histrionic Personality Disorder (HPD) characteristics. Individuals with HPD often have shallow and fleeting relationships, using them to fulfill their dependency needs. This statement shows awareness of the quality of relationships typically seen in individuals with HPD. Choice A is incorrect as it focuses on the dramatic style rather than the depth of relationships. Choice C is incorrect because individuals with HPD often struggle with maintaining deep, meaningful relationships due to their shallow and attention-seeking behavior. Choice D is incorrect as paying attention to details is not a characteristic commonly associated with HPD and does not address the quality of relationships.