A nurse introduces the matter of a contract during the first session with a new patient because contracts

Correct Answer: B

Rationale: The correct answer is B because contracts in a therapeutic setting are meant to clearly outline the roles and responsibilities of both the nurse and the patient. By establishing expectations and boundaries, a contract helps ensure mutual understanding and agreement on the treatment process. Choice A is incorrect because contracts are not just about what the nurse will do, but also about the patient's responsibilities. Choice C is incorrect as contracts focus on the practical aspects rather than the emotional dynamics. Choice D is incorrect because while contracts provide structure, they do not prevent parties from ending the relationship if necessary.

Correct Answer: C

Rationale: The correct answer is C: Brahmans. In Hinduism, Brahmans are considered the highest caste due to their traditional role as priests and scholars who perform religious rituals and preserve sacred knowledge. They are tasked with upholding spiritual and moral values in society. Kshatriyas are the warrior caste, Vaisyas are the merchant and farmer caste, and Untouchables are considered outside the caste system and historically faced discrimination. Brahmans hold the highest social status and are respected for their spiritual knowledge and leadership in religious practices.

Correct Answer: C

Rationale: The correct answer is C: Ensure a quiet, nondisrupting environment. This is the first step because creating a peaceful setting is essential for relaxation techniques to be effective. It helps the patient focus and unwind. - Choice A is incorrect as assuming a relaxed position comes after setting the environment. - Choice B is incorrect as advising the patient to let sensations happen is a later step in the process. - Choice D is incorrect as instructing the patient to take a deep breath is also a subsequent step once the environment is conducive to relaxation.

Correct Answer: B

Rationale: The correct answer is B because in stepfamilies, caring for the children can be a primary stressor to the marital partners due to the complexities of blending different family dynamics. This can lead to increased tension and challenges in the relationship, impacting mental health. Explanation: 1. Stepfamilies involve integrating individuals from previous relationships, leading to potential conflicts and adjustments. 2. Caring for children from previous relationships can create additional stress and strain on the marital partners. 3. Balancing different parenting styles and expectations can lead to disagreements and increased stress levels. 4. These stressors can contribute to mental health issues such as anxiety, depression, and relationship conflicts within stepfamilies. Summary: Choice A is incorrect as it generalizes about middle-aged childless adults without considering individual circumstances. Choice C is incorrect as separation due to relocation may not always result in additional support from extended family. Choice D is incorrect as mental health outcomes in same-sex families can vary and may not always demonstrate lower rates of depression

Correct Answer: D

Rationale: The correct answer is D: Ineffective coping. The patient is exhibiting intense anger, acting out behaviors, and expressing negative emotions, indicating a maladaptive response to stress. Ineffective coping addresses the inability to manage stressors and emotions effectively. A: Disturbed thought processes typically involve cognitive impairments or disorganized thinking, which is not the primary issue presented here. B: Low self-esteem focuses on negative self-perception, which may not be the root cause of the patient's current distress. C: Hopelessness pertains to a sense of despair and pessimism about the future, which may not be the main concern in this case. In summary, the patient's behaviors and statements suggest a lack of effective coping mechanisms, making "Ineffective coping" the most appropriate nursing diagnosis.