A patient with severe burn injuries is irritable, angry, and belittles the nurses. As a nurse changes a dressing, the patient screams, 'Don't touch me! You are so stupi You will make it worse!' Which action by the nurse will best help to diffuse the patient's anger?

Correct Answer: D

Rationale: The correct answer is D because it demonstrates empathy, respect, and collaboration. By acknowledging the patient's feelings and involving them in the decision-making process, the nurse shows understanding and promotes a sense of control. This approach can help diffuse the patient's anger and improve cooperation during the procedure. A: This option may escalate the patient's anger by implying they are incapable, leading to further resistance. B: Blaming the patient for their injuries can worsen the situation and create a hostile environment. C: Leaving the room without addressing the patient's emotions may exacerbate their feelings of abandonment and escalate the situation.

Correct Answer: D

Rationale: The correct answer is D: Integrating mental and physical health in one setting. This approach ensures that individuals with SMI receive holistic care addressing both their mental and physical health needs simultaneously. By having mental health professionals collaborate with medical providers in one setting, communication barriers are reduced, leading to more effective treatment. This integrated approach also helps in better coordination of care and ensures that all aspects of the individual's health are considered. Choice A (Seeking medical attention at the emergency department) is incorrect because it does not address the long-term need for integrated care for individuals with SMI. Choice B (Having a community clinic in the area where the SMI live) might help with accessibility but does not guarantee the integration of mental and physical health services. Choice C (Medicating the patient before a medical examination) is inappropriate as it does not address the underlying issue of healthcare disparity for individuals with SMI.

Correct Answer: B

Rationale: The correct answer is B: Eat 15 g of fiber per day. This is because increasing fiber intake helps alleviate constipation by promoting bowel movement and softening stool. Fiber-rich foods like fruits, vegetables, whole grains, and legumes are recommended during pregnancy. Option A is incorrect as vitamins and supplements should not be reduced without consulting a healthcare provider. Option C is incorrect as pregnant women are generally advised to drink at least 64 ounces of water daily for hydration and to prevent constipation. Option D is incorrect as drinking hot water with lemon juice may not have a significant impact on constipation compared to increasing fiber intake.

Correct Answer: B

Rationale: The correct answer is B: Empowerment. Empowerment refers to the level of choice, influence, and control that users of mental health services can exercise over events in their lives. It involves empowering individuals to make decisions and take actions that enhance their well-being. Emotional regulation (A) refers to the ability to manage and control emotions. Mutual negotiation (C) involves reaching agreements through discussion and compromise. Self-determination (D) is the right of individuals to make choices about their own lives. However, empowerment specifically focuses on giving individuals the ability to exert influence and control over their circumstances, making it the most appropriate term in this context.

Correct Answer: B

Rationale: The correct answer is B because inviting a patient to a staff picnic blurs the boundaries of the therapeutic relationship. This action may create confusion for the patient about the professional relationship with the nurse, potentially leading to ethical concerns and compromising the therapeutic alliance. The other choices are incorrect because: A promotes dependency, C assumes a specific therapeutic benefit without evidence, and D assumes integration into community living without proper assessment or planning.