A nursing instructor is asking a student to explain the care given for tic disorders and Tourette syndrome. What statement demonstrates that the student understands the concept?

Correct Answer: A

Rationale: The correct answer is A: One effective type of behavioral therapy used for tics is CBIT. This is correct because Comprehensive Behavioral Intervention for Tics (CBIT) is a well-established and evidence-based therapy for managing tics in individuals with tic disorders, including Tourette syndrome. CBIT focuses on teaching individuals techniques to monitor and control their tics through behavioral strategies. Choice B is incorrect because there are treatments available for Tourette syndrome, including medications and behavioral therapies like CBIT. Choice C is incorrect because not all people with tic disorders will have them for their entire lives; some may see improvement over time. Choice D is incorrect because Tourette syndrome typically starts in childhood, usually between the ages of 2 and 12 years old, not after age eighteen.

Correct Answer: B

Rationale: The correct answer is B: The nurse expresses a sense of discomfort and limits behaviors. This is the appropriate intervention because it establishes clear boundaries and communicates the nurse's discomfort while maintaining a therapeutic relationship. By expressing discomfort and setting limits, the nurse asserts their personal space and ensures a safe environment for both parties. Choice A is incorrect because ignoring the behavior doesn't address the issue and may compromise the nurse's well-being. Choice C is incorrect as it passively accepts the invasion of personal space without addressing the discomfort. Choice D is incorrect as it immediately escalates the situation to a confrontational level, which may not be necessary at this stage and could harm the therapeutic relationship.

Correct Answer: B

Rationale: The correct answer is B. Peplau's interpersonal theory emphasizes the importance of nurse-patient relationships and therapeutic communication. Using assertive communication helps build trust, address the patient's needs, and promote a therapeutic relationship. Rewarding desired behaviors (A) is behaviorist in nature and does not address the underlying emotional issues. Changing the patient's self-concept (C) is a long-term process that may not be appropriate for immediate care. Administering medications (D) may provide temporary relief but does not address the underlying emotional issues or promote therapeutic communication.

Correct Answer: B

Rationale: The correct answer is B: Quality and Safety Education for Nurses (QSEN). This is because QSEN is an initiative that focuses on improving the quality and safety of healthcare by providing education and resources for nurses. It aims to prepare nurses with the knowledge, skills, and attitudes necessary to enhance patient outcomes and reduce medical errors. Choice A is incorrect because it does not accurately represent the purpose of QSEN. Choice C is incorrect as it does not mention the focus on safety and quality in nursing care. Choice D is incorrect as it does not capture the comprehensive nature of the QSEN initiative.

Correct Answer: C

Rationale: The correct answer is C because it focuses on de-escalation by providing reassurance and support to the patient. By telling the patient to stop running and take a deep breath, the nurse acknowledges the patient's distress and offers assistance. This approach aims to help the patient regain control in a calming manner. Choice A is incorrect because asking for an example may not address the immediate need for de-escalation. Choice B is incorrect as physically restraining the patient could escalate the situation further. Choice D is incorrect as it may provoke feelings of fear or lack of control in the patient by mentioning seclusion.