A nursing instructor is describing the nurse-patient relationship to a group of nursing students. Which of the following would the instructor emphasize as crucial for establishing and maintaining the relationship?

Correct Answer: C

Rationale: The correct answer is C: Self-awareness. Self-awareness is crucial in the nurse-patient relationship as it involves understanding one's own thoughts, emotions, values, and biases. This awareness helps nurses maintain objectivity, empathy, and effective communication with patients. By being self-aware, nurses can identify and manage their own feelings and reactions, leading to better understanding and connection with patients. Rationale for other choices: A: Rapport is important in building relationships, but self-awareness is essential for understanding and managing one's own behaviors and reactions within the relationship. B: Empathy is crucial for understanding and sharing patients' emotions, but self-awareness is fundamental for ensuring empathy is genuine and not influenced by personal biases. D: Values are important in guiding ethical decision-making, but self-awareness is necessary for recognizing how personal values may affect the nurse-patient relationship.

Correct Answer: B

Rationale: The correct answer is B because sensory decline in older adults can impact their ability to process information, potentially affecting the results of a mental status examination. This is crucial as sensory deficits can lead to misinterpretation of cues, affecting the assessment of mental health issues. Choices A, C, and D are incorrect as they do not directly address the impact of sensory function on mental health assessment. Choice A is incorrect as decline in functioning is not necessarily a uniform pattern in all older adults. Choice C is incorrect as it focuses on the impact of sensory function on medication reactions rather than mental health assessment. Choice D is incorrect as it discusses changes in cognitive abilities rather than the direct impact of sensory decline on mental status examination.

Correct Answer: C

Rationale: The correct answer is C because instituting strict restrictions on the patient's activity is not appropriate when a patient is at imminent risk for suicide. This can increase feelings of hopelessness and powerlessness, potentially exacerbating the risk. Listening intently and nonjudgmentally (A), validating feelings (B), and using cognitive interventions to foster hope (D) are all appropriate strategies that can help support the patient and address the underlying issues contributing to their suicidal ideation. It is important to focus on therapeutic interventions that promote safety and provide support rather than imposing strict restrictions.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Lamotrigine can cause a serious skin rash called Stevens-Johnson syndrome, so it's crucial for the client to notify their physician immediately if a skin rash develops. 2. Monitoring blood levels is not typically required for lamotrigine. 3. Watching salt intake is not directly related to lamotrigine use. 4. While lamotrigine can rarely affect liver function, it is not the primary concern compared to the potential serious skin rash.

Correct Answer: A

Rationale: The correct answer is A: Impulsivity. In bulimia nervosa, individuals often engage in impulsive behaviors such as binge eating followed by purging. This is a key characteristic of the disorder. Impulsivity can manifest as a lack of control over eating behaviors. Panic (B), hyperactivity (C), and delusions (D) are not typically associated with bulimia nervosa. Panic attacks may occur in some cases, but it is not a defining feature of the disorder. Hyperactivity and delusions are not common symptoms of bulimia nervosa.