A nurse is working with a patient who is recovering from substance abuse. Which of the following is most important in helping the patient maintain long-term recovery?

Correct Answer: C

Rationale: The correct answer is C because providing a structured support system and encouraging ongoing therapy are essential for long-term recovery. This approach helps the patient address underlying issues, learn coping mechanisms, and build a strong support network. Medication may be helpful, but it is not the most important factor. Avoiding socializing is not sustainable and may lead to isolation. Reassuring the patient without addressing the root causes of addiction is not effective in promoting long-term recovery.

Correct Answer: A

Rationale: The correct answer is A: Decreased energy and motivation. In major depressive disorder, individuals commonly experience a persistent feeling of sadness or loss of interest in activities they once enjoyed, leading to decreased energy levels and motivation. This symptom is known as anhedonia. Options B, C, and D are incorrect because increased energy and impulsivity (B) are more characteristic of manic episodes in bipolar disorder, elevated mood and grandiosity (C) are symptoms of bipolar disorder's manic phase, and increased appetite and weight gain (D) are seen in atypical depression, not major depressive disorder.

Correct Answer: A

Rationale: The correct answer is A: Over-involvement. This is because the nurse's strong emotional response to the client, based on their similarities to the nurse's estranged spouse, may lead to over-involvement in the client's care. The nurse may project unresolved feelings or issues onto the client, impacting their ability to maintain appropriate professional boundaries. Summary: B: Misuse of honesty - Not directly related to the emotional response of the nurse towards the client. C: Indifference - Opposite of over-involvement, unlikely to result from the described scenario. D: Rescue - While the nurse may feel compelled to rescue the client due to their emotional response, over-involvement is a more direct result.

Correct Answer: A

Rationale: The correct answer is A: State Boards of Nursing. State Boards of Nursing are responsible for regulating the nursing profession, including determining the titles that registered nurses can use and their scope of practice. They establish legal requirements for nursing licensure and define the standards of practice for nurses. Professional organizations (B) may provide guidelines but do not have the legal authority to determine titles or scope of practice. Custom as a standard of care (C) varies and may not always align with legal regulations. Institutional policies and procedures (D) are specific to each healthcare facility and do not have the authority to define the legal scope of practice for nurses.

Correct Answer: C

Rationale: Consultation most often occurs during the Planning phase of the nursing process. During this phase, the nurse collaborates with other healthcare professionals to develop a comprehensive plan of care for the patient. This involves seeking input, advice, and expertise from various team members to ensure the best possible outcome for the patient. The Planning phase is where all the gathered information from the Assessment phase is synthesized and used to create specific interventions and goals for the patient. Consultation helps in refining the plan and ensuring that it aligns with evidence-based practices and interdisciplinary perspectives. Summary of other choices: A: Assessment - Involves collecting data about the patient's health status. Consultation typically happens after the assessment phase. B: Diagnosis - Involves analyzing data to identify health problems. Consultation is not primarily focused on making a diagnosis. D: Evaluation - Involves assessing the effectiveness of the care plan. Consultation is more focused on developing the plan rather than evaluating it.