A client states, "I hear voices that tell me that I am evil." Which outcome related to these symptoms should the nurse expect this client to accomplish by discharge?

Correct Answer: C

Rationale: The correct answer is C because identifying events that trigger anxiety and hallucinations is a crucial step in managing auditory hallucinations. By recognizing these triggers, the client can develop coping strategies to reduce anxiety and potentially decrease the frequency or intensity of the voices. A is incorrect because verbalizing the reason for the derogatory statements does not address the underlying triggers causing the hallucinations. B is incorrect because completely eliminating auditory hallucinations is often a challenging goal and may not be realistic for all clients. D is incorrect because integrating hallucinations into one's personality structure is not a recommended or evidence-based approach in mental health practice.

Correct Answer: B

Rationale: The correct answer is B - to advocate for the patient's wishes. The nurse should ensure the physician is aware of the patient's preferences and wishes regarding end-of-life care. Advocating for the patient's autonomy and ensuring their wishes are respected is crucial in providing patient-centered care. Choices A and C involve overstepping the nurse's role by either blindly following orders or suggesting treatment without proper authority. Choice D is inappropriate as it implies the nurse should manipulate the physician's perspective. Advocating for the patient's wishes promotes ethical and compassionate care in end-of-life situations.

Correct Answer: C

Rationale: The correct answer is C: Democratic. The charge nurse's leadership style is democratic because she involves all group members in the decision-making process by eliciting their opinions and organizing a vote. This approach allows for input from everyone, promotes collaboration, and ensures that all voices are heard. A: Laissez-faire is incorrect because the charge nurse is actively involved in the decision-making process. B: Autocratic is incorrect because the charge nurse is not making decisions unilaterally without input from others. D: Scientific is incorrect as it does not accurately describe the charge nurse's leadership style in this context, which is more focused on group consensus and participation.

Correct Answer: D

Rationale: The correct answer is D, Intake & output (I&O) graphic sheet. This sheet records all fluids a patient consumes and eliminates, providing crucial information on fluid balance. It helps healthcare providers monitor hydration status and detect abnormalities. Choice A, the critical care flow sheet, focuses on critical care parameters like medications and procedures. Choice B, vital signs graphic sheet, tracks vital signs such as temperature, pulse, and blood pressure. Choice C, health assessment flow sheet, documents general health assessment findings, not specifically fluid loss. Overall, the I&O graphic sheet is the best choice for monitoring fluid loss in a patient.

Correct Answer: C

Rationale: The correct answer is C because collaborating with a client while developing a nursing care plan empowers the client to actively participate in decision-making about their own care, respecting their autonomy. This intervention allows the client to express their preferences, values, and needs, leading to a more individualized and client-centered approach. A: Establishing client-centered goals is important but doesn't necessarily demonstrate direct commitment to client autonomy as it may not involve active collaboration with the client. B: Assessing for complications is essential for client safety but doesn't directly involve the client in decision-making. D: Encouraging ambulation is beneficial for patient recovery but may not fully engage the client in the decision-making process regarding their care.