A client states,"I don't know what the pills are for or why I am taking them, so I don't want them." Which is an example of the therapeutic communication technique of"giving information"?

Correct Answer: D

Rationale: The correct answer is D because it directly provides the client with essential information about the medication's purpose and potential benefits, promoting understanding and cooperation. Choice A is incorrect as it is directive and does not explain the medication's purpose. Choice B is incorrect as it focuses on the doctor's decision rather than the client's understanding. Choice C is incorrect as it deflects from addressing the client's concerns directly.

Correct Answer: B

Rationale: The correct answer is B: Teaching parenting skills. This activity aligns with community-based primary prevention by focusing on educating and empowering individuals to prevent health issues before they occur. Teaching parenting skills helps promote healthy behaviors and positive outcomes for children and families. A: Medication follow-up is more aligned with secondary prevention, focusing on early detection and treatment. C: Substance abuse counseling is important but falls under tertiary prevention, addressing existing issues rather than preventing them. D: Making a referral for family therapy is also more related to secondary or tertiary prevention, as it involves addressing existing family dynamics or issues.

Correct Answer: A

Rationale: The correct answer is A because it shows active listening and empathy by acknowledging the patient's nonverbal cue. By stating "I notice you keep looking toward the door," the nurse demonstrates understanding and opens up the opportunity for the patient to express any concerns or reasons for their behavior. This response validates the patient's feelings and encourages further communication. Choice B is incorrect because it dismisses the patient's behavior and does not address the underlying issue of why the patient is looking toward the door. Choice C is incorrect as it assumes the patient wants to end the discussion without confirming the patient's actual feelings or reasons for looking toward the door. Choice D is incorrect because it jumps to a solution without first addressing the patient's nonverbal communication. It may not be the environment that is causing the discomfort, so moving may not be the best approach without further exploration.

Correct Answer: D

Rationale: The correct answer is D because the publication of the first psychiatric nursing text, "Nursing Mental Disease" by Harriet Bailey, represents the foundational development of psychiatric-mental health nursing practice. This event predates the other choices and laid the groundwork for the field. The other choices occurred later in the timeline of psychiatric-mental health nursing practice. A: Publication of Standards of Psychiatric-Mental Health Nursing by the ANA - This event would have come after the publication of the first psychiatric nursing text and reflects the establishment of standardized practices in the field. B: Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice - This event is more specialized and would have developed after the broader standards of psychiatric-mental health nursing were established. C: Establishment of the first graduate program in psychiatric nursing at Rutgers University - The development of a graduate program typically follows the establishment of foundational texts and standards in a field.

Correct Answer: B

Rationale: The correct answer is B: Anxiety. In Peplau's model of nursing, the nurse helps patients identify and understand their feelings, with anxiety being a key component in mental illness. The nurse assists the patient in exploring and managing their anxiety, leading to improved mental health outcomes. Self-care (C) is important but not a specific key component in Peplau's model. Suffering (A) is a broad term and not a central focus of Peplau's theory. Nonverbal behaviors (D) are important in communication but not a key component in Peplau's model for mental illness care.