A nurse is working with a patient who adheres to an alternative medicine practice that contradicts traditional medical treatments. The best approach for the nurse to take is:

Correct Answer: B

Rationale: The correct answer is B because it promotes a patient-centered approach by respecting the patient's cultural beliefs and fostering collaboration. This approach acknowledges the importance of the patient's beliefs while working towards integrating both traditional and alternative treatments when possible. This approach enhances patient trust and compliance. Explanation of other choices: A: This choice disregards the patient's autonomy and cultural beliefs, potentially leading to mistrust and non-adherence to treatment. C: Ignoring the patient's beliefs can result in a breakdown of communication and trust, hindering the therapeutic relationship. D: Referring the patient solely to another provider for alternative medicine disregards the nurse's role in promoting holistic care and collaboration.

Correct Answer: B

Rationale: The correct answer is B because providing education about the importance of stopping compulsive behaviors is crucial in treating OCD. By understanding the negative impact of compulsions, the patient can be motivated to work towards reducing them. Encouraging compulsive behaviors (A) reinforces the cycle of OCD and does not address the root cause. Relaxation techniques (C) may help manage anxiety but do not target the core symptoms of OCD. While discussing intrusive thoughts (D) is beneficial, addressing compulsive behaviors is more directly related to treating OCD.

Correct Answer: B

Rationale: The correct answer is B because encouraging relaxation and breathing techniques can help manage chronic pain by reducing stress and promoting relaxation. This intervention can assist in lowering the perception of pain without relying solely on medication. It empowers the patient to actively participate in their pain management. Choice A is incorrect because focusing only on medication management may lead to over-reliance on drugs and potential side effects. Choice C is incorrect because pain is not always a necessary part of the healing process and should not be dismissed. Choice D is incorrect as physical activity can actually help manage chronic pain by improving circulation and releasing endorphins.

Correct Answer: A

Rationale: The correct answer is A: Building emotional regulation skills. This is the priority goal because individuals with borderline personality disorder often struggle with intense emotions and have difficulty regulating them. By focusing on building emotional regulation skills, the nurse can help the patient manage their emotions effectively, leading to improved coping mechanisms and overall functioning. Improving cognitive distortions (choice B) may be important but addressing emotional dysregulation should take precedence. Enhancing socialization with peers (choice C) and developing coping mechanisms for distress (choice D) are important aspects of treatment, but building emotional regulation skills is foundational for addressing the core symptoms of borderline personality disorder.

Correct Answer: A

Rationale: The correct answer is A: Providing a structured environment with clear boundaries. In an acute manic episode, patients may exhibit impulsive and unpredictable behavior. By providing a structured environment with clear boundaries, such as consistent routines and limits, the patient's safety and well-being are prioritized. This intervention helps prevent potential harm to the patient or others and promotes stability. Choice B is incorrect because allowing the patient to engage in risky behavior can be dangerous and reinforce negative behaviors. Choice C is incorrect because during a manic episode, the patient may not have the capacity to make sound decisions. Choice D is incorrect because reassuring the patient that their feelings are normal may not address the urgent need for safety and stability in the situation.