A home health nurse is making a home visit to a psychiatric patient who was recently discharged from a mental health unit. During the visit, the nurse plans on clarifying with the patient when she will return for the next home visit. During which stage would the nurse discuss the next home visit with the patient?

Correct Answer: A

Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship. Summary of other choices: B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit. C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit. D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit

Correct Answer: D

Rationale: The correct answer is D because when assessing a patient's legal sanity or competency, the focus should be on the individual's mental state and capacity to understand their actions, not their social network. A: The ability to distinguish right from wrong is essential as it relates to legal standards for sanity. B: Understanding the nature of the act is crucial in determining competency. C: Evaluating the defendant's mental state at the time of the act helps in understanding their mental capacity during the incident. Incorrect choices A, B, and C are directly related to assessing legal sanity and competency, while choice D is not relevant to this assessment.

Correct Answer: C

Rationale: The correct answer is C: Severe anxiety. Relief behaviors indicate that the client is trying to alleviate overwhelming anxiety. Severe anxiety is characterized by extreme discomfort and impaired functioning, leading individuals to resort to relief behaviors. Mild anxiety (choice A) typically involves mild uneasiness, whereas moderate anxiety (choice B) involves increased nervousness. Panic (choice D) is characterized by an overwhelming sense of terror and loss of control, which is more intense than relief behaviors suggest in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship. Summary of other choices: B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit. C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit. D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit

Correct Answer: B

Rationale: The correct answer is B: personal health literacy. Personal health literacy refers to an individual's ability to access, understand, evaluate, and communicate health information to make informed decisions about their health. This term specifically focuses on an individual's skills and capabilities in managing health-related information. A: Advanced directives are legal documents that outline an individual's wishes regarding medical treatment in the event they are unable to communicate their preferences. This is not the same as the ability to understand and apply health-related information. C: Organizational health literacy refers to an organization's capacity to provide health information and services effectively to its members or employees. This choice does not address an individual's personal ability to manage health information. D: Information literacy is the ability to access, evaluate, and use information effectively. While this is a related concept, personal health literacy is more specific to health-related information and decision-making.