A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurse should

Correct Answer: B

Rationale: In this scenario, the correct answer is B) use congruent communication strategies. Demonstrating genuineness with a patient diagnosed with schizophrenia is crucial for building trust and therapeutic rapport. Congruent communication involves aligning verbal and nonverbal cues, being authentic, and showing empathy. By using congruent communication, the nurse can convey a sense of honesty and sincerity, which is essential when interacting with individuals with schizophrenia who may already struggle with trusting others. Option A) restating what the patient says may be helpful in active listening but does not directly address demonstrating genuineness. Option C) using self-revelation can blur professional boundaries and may not be appropriate in a therapeutic setting. Option D) consistently interpreting the patient's behaviors can be seen as imposing the nurse's perspective and may hinder the establishment of a trusting relationship. In an educational context, this question emphasizes the importance of effective communication in mental health nursing. It highlights the value of genuineness and congruence in building therapeutic relationships with individuals experiencing mental health challenges, such as schizophrenia. By understanding and practicing these communication skills, nurses can enhance the quality of care they provide to patients with mental health disorders.

Correct Answer: C

Rationale: In the context of behavioral nursing, understanding the prevalence of different mental health problems is crucial for providing effective care. In this question, the correct answer is C) Major depressive disorder, which has the highest annual prevalence in the United States. Major depressive disorder affects a significant portion of the population, with estimates suggesting that about 17.3 million American adults have experienced at least one major depressive episode. This high prevalence underscores the importance of recognizing and treating this condition in nursing practice. When comparing the other options: A) Schizophrenia is a severe mental disorder, but it has a lower annual prevalence compared to major depressive disorder. B) Panic Disorder and D) Generalized anxiety disorder are common mental health conditions, but they do not have as high an annual prevalence as major depressive disorder in the U.S. Educationally, understanding the prevalence rates of different mental health disorders helps nurses prioritize their clinical assessments, interventions, and resources. By recognizing the high prevalence of major depressive disorder, nurses can be better prepared to address this common mental health issue in their patient populations, promoting better outcomes and quality of care.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Countertransference. Countertransference occurs when a healthcare provider projects their feelings, biases, or past experiences onto a patient, influencing their perceptions and reactions. In this case, the negative feelings towards Ms. V due to her resemblance to the provider's sister indicate unresolved issues from the past interfering with the therapeutic relationship. Option A) Mutuality refers to a sense of shared experience and connection, which is not relevant to the provider's personal reaction to the patient. Option B) Self-System pertains to an individual's cognitive structure and self-concept, not the provider's emotional response. Option C) Self-actualization relates to reaching one's full potential and personal growth, which is not applicable in this context. Educationally, understanding countertransference is crucial in nursing to maintain professionalism, self-awareness, and quality patient care. By recognizing and addressing countertransference, nurses can enhance their therapeutic relationships, improve patient outcomes, and promote their own emotional well-being. It also emphasizes the importance of ongoing self-reflection and seeking supervision or support when needed to navigate complex emotional dynamics in healthcare settings.

Correct Answer: C

Rationale: The correct response for the nurse to provide to Edgar, who says he needs his belt to keep his pants up after a suicide attempt, is option C: "I cannot provide your belt, but I will help you get some pants with an elastic waistband." This response is appropriate because it acknowledges Edgar's need for his belt while also prioritizing safety by offering a suitable alternative. Option A is incorrect because it does not address Edgar's immediate need and lacks empathy. Option B is incorrect as it is too general and does not offer a solution to Edgar's specific request. Option D is incorrect because it delegates the responsibility to another staff member without actively addressing Edgar's needs. In an educational context, it is crucial for nurses to understand the significance of patient safety, especially in situations involving suicide attempts. Providing appropriate responses that balance patient needs with safety protocols is essential in fostering trust and promoting recovery in psychiatric nursing settings. It is also important for nurses to demonstrate empathy and resourcefulness in finding alternative solutions to meet patients' needs.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Selective mutism. Selective mutism is an anxiety disorder characterized by a consistent failure to speak in specific social situations where there is an expectation to speak, despite speaking in other situations. In this case, the child is able to speak in other settings but is consistently unable to speak in class and social situations, indicating selective mutism. Option A) Generalized anxiety disorder involves excessive worry and anxiety about a variety of events or activities, not just speaking in specific situations like selective mutism. Option B) Agoraphobia involves fear and avoidance of situations or places that might cause panic, not necessarily related to speaking. Option C) Separation anxiety disorder is characterized by excessive anxiety about separation from home or major attachment figures, not specifically related to speaking difficulties in social situations. Educationally, understanding the nuances of different anxiety disorders is crucial for nurses working with children. Recognizing selective mutism can help nurses provide appropriate support and interventions to help the child overcome their communication challenges in specific social contexts. It is important to differentiate between anxiety disorders to provide tailored care and support for individuals experiencing these conditions.