A nurse is assessing a patient and uses the Recent Life Changes Questionnaire as part of the assessment. The nurse determines that the patient has experienced a major life crisis with which score on the questionnaire?

Correct Answer: D

Rationale: The Recent Life Changes Questionnaire assigns a numerical value to different life events. Major life crises are associated with higher scores on the questionnaire. The correct answer is D (450) because it represents a significantly high score indicating a major life crisis. Choices A, B, and C have lower numerical values, which do not reflect the severity of a major life crisis. Therefore, D is the correct choice for identifying a major life crisis based on the Recent Life Changes Questionnaire.

Correct Answer: B

Rationale: The correct answer is B: cognitive distortion. The patient is exhibiting cognitive distortion by making extreme and irrational generalizations based on their negative experiences. They are engaging in black-and-white thinking, where they see things in all-or-nothing terms. This type of distorted thinking can lead to feelings of hopelessness and helplessness. Self-esteem deficit (A) would involve negative feelings about oneself, which is not explicitly stated in the patient's statement. Deficit in motivation (C) refers to a lack of drive or desire to pursue goals, which is not evident in the patient's statement. Deficit in love and belonging (D) pertains to lacking social connections, which is not the focus of the patient's statement.

Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct: 1. A counselor's main function is to provide emotional support and guidance. 2. Listening to a client review feelings related to difficulties allows the counselor to understand the client's emotional state. 3. This understanding helps the counselor provide appropriate support and guidance. 4. Answer D aligns with the core function of a counselor, which is to listen and support clients emotionally. Summary: A: Incorrect. This choice focuses on providing information, which is not the primary function of a counselor. B: Incorrect. This choice pertains to collaborative care planning, not the emotional support role of a counselor. C: Incorrect. This choice refers to a different role, not that of a counselor providing emotional support.

Correct Answer: C

Rationale: The correct answer is C because discussing changes and evaluating outcomes with the patient is essential for closure and reflection on the therapeutic relationship. This process allows both the nurse and patient to reflect on progress made and set realistic expectations for the future. This promotes a sense of closure and empowerment for the patient. Choice A is incorrect because avoiding upsetting the patient by shifting focus does not address the need for closure and reflection. Choice B is incorrect because giving a personal telephone number blurs professional boundaries and may hinder the patient's ability to move on independently. Choice D is incorrect because offering to meet the patient for coffee and conversation three times a week crosses professional boundaries and does not promote a healthy termination of the therapeutic relationship.

Correct Answer: C

Rationale: The correct answer is C: schizotypal personality disorder. This disorder is characterized by magical thinking, where individuals believe they can influence events through unrelated actions. This is a key feature of schizotypal personality disorder, along with other symptoms such as odd beliefs or behaviors, social anxiety, and eccentricity. A: Obsessive-compulsive personality disorder is characterized by perfectionism, rigidity, and control, not magical thinking. B: Schizoid personality disorder is characterized by social detachment and limited emotional expression, not magical thinking. D: Avoidant personality disorder is characterized by extreme shyness and fear of rejection, not magical thinking. In summary, schizotypal personality disorder is the correct answer due to its specific association with magical thinking, distinguishing it from the other options.