A nurse is caring for a client who is in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate?

Correct Answer: B

Rationale: The correct answer is B: Eat 15 g of fiber per day. This is because increasing fiber intake helps alleviate constipation by promoting bowel movement and softening stool. Fiber-rich foods like fruits, vegetables, whole grains, and legumes are recommended during pregnancy. Option A is incorrect as vitamins and supplements should not be reduced without consulting a healthcare provider. Option C is incorrect as pregnant women are generally advised to drink at least 64 ounces of water daily for hydration and to prevent constipation. Option D is incorrect as drinking hot water with lemon juice may not have a significant impact on constipation compared to increasing fiber intake.

Correct Answer: D

Rationale: The correct answer is D because NGRI clients are treated in a hospital setting due to their mental illness, and their discharge is determined by the courts based on their mental state at that time. GBMI clients, on the other hand, are usually treated in a hospital setting but their discharge is typically handled through the correctional system, not the courts. Therefore, D is the most appropriate choice as it accurately distinguishes the discharge process for NGRI clients from GBMI clients. Choices A, B, and C are incorrect because they do not accurately depict the differences in treatment and discharge processes between NGRI and GBMI clients.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates active listening, empathy, and encourages further exploration of the patient's experience without dismissing or invalidating their feelings. By asking James to share more about his experience, it shows that you are engaged, caring, and willing to understand his perspective. This approach can help build trust and rapport with the patient, which is important in therapeutic communication. Option A is incorrect because it denies the patient's experience and may lead to feelings of invalidation. Option B is incorrect as it dismisses the patient's feelings of fear and may come across as patronizing. Option D is incorrect as it focuses more on reassurance rather than addressing the patient's emotional distress and exploring their experience.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy by acknowledging the client's emotions and inviting them to express their feelings. By saying "I can see that you are upset. Tell me how you feel," the nurse shows understanding and validates the client's experience. This response focuses on the client's perspective and emotions, fostering a supportive and empathetic connection. Choice B focuses more on the nurse's emotions rather than the client's, which may not fully address the client's needs. Choice C shifts the focus to the nurse's past experiences, which may not resonate with the client or address their current feelings. Choice D reflects the nurse's emotions without directly addressing the client's experience, lacking the focus on the client's feelings that is central to empathy.

Correct Answer: D

Rationale: The correct answer is D because involving peers in teaching promotes active learning, peer support, and a sense of belonging. Adolescents often respond positively to peer influence and are more likely to engage in discussions and activities when peers are involved. This strategy also fosters teamwork and problem-solving skills, which are essential for addressing drug abuse issues. A, B, and C are incorrect because they focus on passive learning methods such as handing out pamphlets, showing videos, and lecturing with quizzes. These methods may not effectively engage at-risk adolescents or provide the necessary support and interactive learning experience that involving peers can offer.