A client's husband is visiting his wife during visiting hours. A nurse walking by hears him verbally abuse the client. Which nursing response is appropriate?

Correct Answer: B

Rationale: The correct answer is B because reminding the client's husband of the unit rules is the appropriate nursing response in this situation. This action sets clear boundaries and addresses the inappropriate behavior directly. Asking the client to ask her husband to leave (Option A) puts the burden on the client and may escalate the situation. Asking the husband to come to the nurse's station (Option C) may not address the immediate need to address the abusive behavior. Sitting with the client and her husband to discuss anger issues (Option D) is not appropriate at this time as it does not address the immediate need to stop the verbal abuse.

Correct Answer: C

Rationale: The correct answer is C because a decrease in admission frequency to inpatient psychiatric hospitals indicates improved mental health stability and reduced need for acute care. This outcome shows that the in-home mental health care has been effective in managing the patient's condition. A: Need for continued intensive monitoring in the home suggests ongoing high risk and lack of progress. B: Need for crisis intervention services on an ongoing basis indicates persistent instability and inability to manage symptoms effectively. D: Dependence on parents to participate in care may imply lack of independence and personal growth in managing one's mental health.

Correct Answer: C

Rationale: The correct answer is C: Makes himself lunch when he is hungry. This behavior demonstrates adaptation to the new environment as it shows independence and self-care skills. Choosing to prepare a meal when hungry indicates the individual is adjusting to living in the group home by taking care of his basic needs. Options A, B, and D are not necessarily indicative of adaptation to the new environment as they could be influenced by external factors or personal preferences without necessarily reflecting effective adjustment to the group home setting.

Correct Answer: B

Rationale: The correct answer is B because having the client write down information after being directly given the correct information is most effective for clients with schizophrenia. This method helps reinforce learning through repetition and aids memory retention. Writing down information also allows the client to refer back to it for reinforcement. A: Engaging the client in trial and error learning can be frustrating and overwhelming for someone with schizophrenia, leading to confusion. C: Asking the client to guess at the correct answer may increase anxiety and decrease confidence, which can hinder the learning process. D: Using colorful visual aids may be distracting and overwhelming for a client with schizophrenia, making it harder to focus on the information being presented.

Correct Answer: B

Rationale: The correct answer is B, recognizing the signs of danger, as it is crucial to be able to identify potential threats before devising an escape plan or identifying safe places. By recognizing signs of danger, the client can proactively assess risky situations and take necessary precautions. This step is vital in ensuring the client's safety and preventing harm. Option A, devising an escape route, would be ineffective if the client cannot recognize the signs of danger to know when to use the route. Option C, identifying a safe place to hide, is not as effective as recognizing signs of danger since hiding may not always be a viable solution. Option D, identifying a signal to indicate it is safe to leave, would not be effective if the client cannot accurately assess when it is safe to leave. Recognizing signs of danger is the foundational step in creating a comprehensive safety plan.