A client on an inpatient psychiatric unit states,"My mother hates me. My father is a drunk. Right now, I am homeless." The nurse responds,"Let's talk more about your feelings toward your mother." Which is a description of the technique used by the nurse?

Correct Answer: A

Rationale: The correct answer is A because the nurse is using questions or statements to help the client expand on a topic of importance, which in this case is the client's feelings towards their mother. By encouraging the client to talk more about their feelings, the nurse is facilitating a deeper exploration of the client's emotions and thoughts. This technique fosters trust, empathy, and a therapeutic relationship. Incorrect Choices: B: The nurse is not asking the client to select a topic for discussion but rather guiding the conversation based on the client's initial statement. C: While the nurse is delving further into the client's feelings about their mother, the focus is on the client's emotions rather than a subject or idea. D: The nurse is not being persistent with questioning but rather offering a supportive and open-ended approach to exploring the client's feelings.

Correct Answer: D

Rationale: The correct answer is D: never demonstrate. The rationale is that the desired outcome was for the patient to sleep for a minimum of 5 hours nightly within 7 days. However, the patient only sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap, which does not meet the desired outcome. Therefore, the nurse would document that the patient has never demonstrated the desired outcome of sleeping for a minimum of 5 hours nightly within 7 days. Choices A, B, and C are incorrect because the patient did not consistently, often, or sometimes demonstrate meeting the desired outcome.

Correct Answer: C

Rationale: The correct answer is C: Imbalanced nutrition. This is the priority because it addresses the client's physiological needs, which are essential for survival and overall well-being. The nurse should prioritize addressing basic needs such as nutrition before addressing psychological or social needs. Anxiety (A), powerlessness (B), and impaired social interaction (D) are important but secondary to addressing the client's immediate physiological needs. It is important to address the most critical issue first to ensure the client's health and safety.

Correct Answer: A

Rationale: The correct answer is A because the nurse is using questions or statements to help the client expand on a topic of importance, which in this case is the client's feelings towards their mother. By encouraging the client to talk more about their feelings, the nurse is facilitating a deeper exploration of the client's emotions and thoughts. This technique fosters trust, empathy, and a therapeutic relationship. Incorrect Choices: B: The nurse is not asking the client to select a topic for discussion but rather guiding the conversation based on the client's initial statement. C: While the nurse is delving further into the client's feelings about their mother, the focus is on the client's emotions rather than a subject or idea. D: The nurse is not being persistent with questioning but rather offering a supportive and open-ended approach to exploring the client's feelings.

Correct Answer: C

Rationale: The correct answer is C because it shows a mentally healthy perspective of taking responsibility and being proactive in making positive changes for the benefit of the family. By acknowledging the need for personal growth and willingness to change behavior, this family member demonstrates self-awareness and a commitment to improving relationships. Choice A is incorrect as it deflects responsibility by comparing oneself to others. Choice B reminisces about the past without addressing current issues or solutions. Choice D is not a healthy approach as it suggests avoidance rather than addressing and working through familial conflicts.