A patient has been admitted to the psychiatric unit for acute psychosis. Which action by the nurse best demonstrates effective therapeutic communication?

Correct Answer: B

Rationale: The correct answer is B because using silence and body language allows the patient to feel supported and encourages self-reflection. Silence gives the patient space to process thoughts and feelings without feeling rushed. It also demonstrates active listening and empathy. Choice A is incorrect because asking direct, probing questions may feel intrusive and overwhelming for a patient experiencing acute psychosis. Choice C is incorrect because telling the patient to stop being paranoid and to focus on reality is dismissive and can worsen the patient's symptoms. Choice D is incorrect because giving advice on how the patient should feel disregards the patient's emotions and autonomy in the therapeutic process.

Correct Answer: B

Rationale: The correct answer is B: "I need to monitor my blood glucose levels regularly." This statement indicates effective teaching because monitoring blood glucose levels is essential for managing diabetes. Regular monitoring helps the patient understand how their body responds to food, exercise, and medications. It allows for adjustments in the treatment plan to maintain blood sugar levels within target range. A: Taking insulin injections daily may be necessary for some patients with diabetes, but this alone does not indicate effective teaching as monitoring blood glucose levels is also critical. C: Stopping diabetes medications without healthcare provider's guidance can be dangerous and indicates a lack of understanding about the chronic nature of diabetes. D: Neglecting diet and relying solely on medications is not an effective approach to managing diabetes. Diet plays a crucial role in controlling blood sugar levels.

Correct Answer: A

Rationale: The correct answer is A: Encouraging the patient to express feelings of loss and grief. This is important because undergoing a mastectomy can evoke strong emotions such as loss and grief. By encouraging the patient to express these feelings, the nurse can provide emotional support and help the patient cope effectively. Choice B is incorrect as it dismisses the patient's emotional needs and may lead to suppression of emotions. Choice C is incorrect because discouraging questions hinders the patient's understanding and may cause anxiety. Choice D is incorrect as it invalidates the patient's emotions and may lead to feelings of inadequacy. Encouraging the patient to express feelings of loss and grief is crucial in promoting emotional healing and overall well-being during the postoperative period.

Correct Answer: A

Rationale: The correct answer is A. Relaxation exercises help calm the patient's physiological response during a panic attack by activating the parasympathetic nervous system. This can reduce symptoms of anxiety. Encouraging relaxation also empowers the patient to self-manage their anxiety. Choices B and C do not address the root of the issue and may even exacerbate the panic attack. Choice D, encouraging the patient to talk about the stressor, may be beneficial in the long term but might be overwhelming during a panic attack.

Correct Answer: C

Rationale: The correct answer is C: Administering antipsychotic medication as prescribed. This is the priority intervention because medication management is crucial in treating schizophrenia to help manage symptoms and prevent relapse. Providing a structured environment (A) and education about symptoms (D) are important but not as critical as ensuring the patient receives the necessary medication. Encouraging group therapy (B) can be beneficial, but medication management takes precedence in the initial treatment phase.