A psychiatric-mental health nurse is integrating Carl Rogers'theory into the plan of care for a patient with a mental illness. The nurse incorporates understanding of this theory by acknowledging that the therapist accomplishes which of the following?

Correct Answer: D

Rationale: The correct answer is D: Develop unconditional positive regard for the client. In Carl Rogers' theory, unconditional positive regard refers to the therapist's genuine acceptance and support of the client without judgment. This helps create a safe and trusting therapeutic relationship, leading to client growth and self-actualization. Providing validation of terminology (A) may be important but is not the primary focus. Focusing on instinctual drives (B) is more aligned with Freudian theory, not Rogers'. Recognizing basic needs (C) is essential, but it does not capture the essence of Rogers' emphasis on unconditional positive regard.

Correct Answer: D

Rationale: The correct answer is D: Develop unconditional positive regard for the client. In Carl Rogers' theory, unconditional positive regard refers to the therapist's genuine acceptance and support of the client without judgment. This helps create a safe and trusting therapeutic relationship, leading to client growth and self-actualization. Providing validation of terminology (A) may be important but is not the primary focus. Focusing on instinctual drives (B) is more aligned with Freudian theory, not Rogers'. Recognizing basic needs (C) is essential, but it does not capture the essence of Rogers' emphasis on unconditional positive regard.

Correct Answer: A

Rationale: The correct answer is A because paranoia and fear of others stealing belongings can be early signs of schizophrenia's prodromal phase. This is known as paranoid ideation, a common symptom in schizophrenia. B is incorrect because an unusual interest in numbers is not typically associated with schizophrenia's prodromal phase. C is incorrect because lack of interest in athletics is not a specific characteristic of the prodromal phase of schizophrenia. D is incorrect because feeling more comfortable among males is not a typical symptom of schizophrenia's prodromal phase.

Correct Answer: C

Rationale: The correct answer is C because there is a historical link between the first nursing program to admit male students and the first training school for psychiatric nursing. This is important to include in a discussion of the history of psychiatric-mental health nursing as it highlights the progressive nature of nursing education and the integration of male nurses into psychiatric nursing. This connection showcases the evolution of psychiatric nursing training and its significance within the broader history of nursing education. Choices A, B, and D are incorrect: A: Certification for the psychiatric-mental health nursing specialty was not first emphasized by Mary Adelaide Nutting. This statement does not align with the historical development of psychiatric nursing education. B: Psychiatric nurses' role in deinstitutionalization and community mental health centers is not directly related to the history of psychiatric-mental health nursing education, making this choice irrelevant. D: The establishment of the first graduate program in psychiatric nursing in response to psychiatric nursing specialty journals is not historically accurate, as the first training school for psychiatric nursing

Correct Answer: B

Rationale: The correct answer is B: A client is injured while being forcibly placed in four-point restraints because of low staffing. Rationale: 1. Battery is the intentional harmful or offensive touching of another without consent. 2. Forcibly placing a client in restraints without proper justification or consent can be considered harmful touching, potentially leading to legal jeopardy for battery. 3. Low staffing does not justify improper use of restraints, as it is the responsibility of the nurse to ensure safe and appropriate care for the client. Summary of Incorrect Choices: A. Threatening a client with bodily harm is intimidation and coercion, not physical touching, which is required for battery. C. Giving excess medication due to an error is a medication error, not battery. Reporting and addressing the error is crucial to prevent harm. D. Holding a client against their will due to nonadherence may be related to ethical or legal issues, but it does not involve direct physical touching that constitutes battery.

Correct Answer: B

Rationale: The correct answer is B because during the orientation phase of the nurse-client relationship, the purpose and goals of the interaction are established, setting the foundation for the therapeutic relationship. In contrast, choice A refers to the pre-interaction phase where the roles of both parties are clarified, not the contract itself. Choice C involves the working phase, which focuses on achieving the established goals, not termination conditions. Choice D pertains to the termination phase where the relationship is concluded, not where discharge criteria are set. Therefore, B is correct as it directly relates to the establishment of the purpose of the interaction in the nurse-client contract.

Correct Answer: C

Rationale: The correct answer is C: Obtain the patient's permission for the exchange of information. This is the case manager's first action because it ensures the patient's autonomy and right to privacy are respected. It is crucial to obtain the patient's permission before discussing their treatment plan with the family to maintain trust and confidentiality. Without the patient's consent, sharing sensitive information with the family could breach ethical and legal boundaries. In contrast: A: Determining an appropriate location is important but not the first step. B: Supporting the discussion with examples of the patient's behavior is relevant but not as critical as obtaining consent. D: Deciding which family members should participate is premature without the patient's approval.

Correct Answer: D

Rationale: The correct answer is D because confronting the staff member and reporting concerns to a supervisor immediately is crucial for addressing the issue promptly and ensuring patient safety. This approach allows for professional intervention and support. Choice A is incorrect as it may compromise patient care. Choice B may enable the behavior and is not a professional response. Choice C could be appropriate, but immediate action is needed to address the potential risk to patients and the staff member.

Correct Answer: C

Rationale: Rationale: C: Informed consent is critical before initiating medication therapy for a forensic client to ensure the client understands the treatment, risks, and alternatives. Without informed consent, the client's autonomy and rights may be violated. It is essential for ethical and legal reasons. A: Court order for medication is not necessary for initiating medication therapy, and it does not ensure the client's understanding or consent. B: Determination of not guilty by reason of insanity is related to legal proceedings and does not directly impact the initiation of medication therapy. D: Identification of history for aggression is important for treatment planning but does not address the immediate need for informed consent before medication therapy.