A student nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the instructor best provides information about this aspect of therapeutic communication?

Correct Answer: A

Rationale: The statement "Touch carries a different meaning for different individuals" best provides information about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. This is because people can have varied cultural backgrounds, personal experiences, and comfort levels regarding touch. Therefore, understanding that the interpretation of touch may vary is essential for the student nurse to provide client-centered care. By recognizing this diversity, the nurse can ensure that touch is used in a respectful and appropriate manner in accordance with each client's preferences and needs.

Correct Answer: A

Rationale: In the context of pharmacology and mental health, the correct answer is option A, "A mother spanking her son for playing with matches," because physical actions can be a form of communication. The act of spanking conveys a message of disapproval or discipline. In mental health, behavior is often a form of communication, and in this scenario, the mother's action is communicating a message to her son. Option B, "A teenage boy isolating himself and playing loud music," may indicate that the boy is trying to cope with emotions or seek privacy, but it is not a direct form of communication to others. Option C, "A biker sporting an eagle tattoo on his biceps," is a form of self-expression or identity display rather than direct communication of a message to others. Option D, "A teenage girl writing, No one understands me," is a direct form of communication, expressing feelings of isolation and lack of understanding. However, the question asks about individuals who are actively communicating a message, and writing a statement is not as immediate or direct as the physical act of spanking in option A. Understanding different forms of communication is crucial in mental health practice, as it helps healthcare providers interpret and respond to clients effectively. It also highlights the importance of non-verbal cues and behaviors in assessing a person's mental state. In pharmacology, effective communication skills are essential for building rapport with patients, understanding their needs, and ensuring medication adherence and safety.

Correct Answer: B

Rationale: An autocratic leadership style is characterized by a leader making decisions without much input or feedback from others. In this scenario, the dean mandating that all course content be delivered via the Internet without faculty input indicates an autocratic leadership style. This decision is being made unilaterally without considering the perspectives or opinions of the faculty members who are directly involved in the teaching process.

Correct Answer: D

Rationale: In group dynamics, the role of a blocker is to consistently oppose other group members' ideas, suggestions, or actions. They may use negative attitudes or behaviors to thwart progress and hinder the group from achieving its goals. In the scenario provided, the client shouting that the information is worthless and nothing said can help indicates a negative attitude and an unwillingness to engage constructively with the group. This behavior aligns with the characteristics of a blocker in a group setting.

Correct Answer: B

Rationale: Support is the group function that the nurse should utilize to help an extremely withdrawn, paranoid client increase feelings of security. Support groups provide a safe and accepting environment where individuals can share their experiences, feelings, and concerns with others who are facing similar challenges. For a withdrawn and paranoid client, being part of a supportive group can help combat feelings of isolation and build a sense of belonging and security. Through receiving support from others, the client can gradually increase trust and feel more comfortable in social situations, ultimately enhancing their overall sense of security.