An adolescent patient has just been found to have broken one of the unit rules. The nurse imposes the consequence of losing phone privileges. In this instance, the nurse is acting as

Correct Answer: D

Rationale: In this scenario, the correct answer is D) parent surrogate. The nurse is acting as a parent surrogate when imposing the consequence of losing phone privileges on the adolescent patient for breaking a unit rule. This role involves the nurse stepping in to provide guidance, set boundaries, and enforce consequences in a way that mimics a parental figure. Option A) advocate is incorrect because advocating involves supporting the patient's rights and needs, which is not the primary role being demonstrated in this situation. Option B) caregiver is also incorrect as the nurse is not providing direct physical care or meeting the patient's basic needs in this context. Option C) teacher is incorrect as the nurse is not primarily providing education or imparting knowledge in this instance. In an educational context, it is important for nursing students to understand the various roles nurses may assume in different situations, including that of a parent surrogate. This role is particularly relevant in adolescent healthcare settings where nurses often have to balance providing care, guidance, and discipline similar to what a parent would do. Understanding these roles helps nurses effectively manage patient behavior and promote positive outcomes in healthcare settings.

Correct Answer: B

Rationale: In adult behavioral health nursing, understanding distance zones is crucial for creating therapeutic relationships. The correct answer is B) Intimate distance zone. In this zone, personal contact is acceptable for individuals who have a close, trusting relationship. This closeness fosters feelings of intimacy and emotional connection, important in therapeutic settings to build trust and rapport between patients and healthcare providers. Option A) Social distance zone is more appropriate for casual interactions, where there is less personal involvement. Option C) Personal distance zone is suitable for interactions with friends and family but may not be as conducive to therapeutic relationships in a healthcare setting. Option D) Public distance zone is too far for personal contact and is more appropriate for formal settings. Educationally, understanding distance zones helps nurses establish boundaries, respect patients' personal space, and create a comfortable environment for effective communication and care. By knowing when and how to appropriately use each distance zone, nurses can enhance the quality of care and promote positive patient outcomes.

Correct Answer: A

Rationale: The correct answer is A) Changing the subject. In this scenario, the nurse is using a nontherapeutic communication technique by changing the subject from the client's emotional expression to stress reduction classes. This response dismisses the client's feelings and fails to address the underlying issues the client is experiencing. Option B) Offering advice is incorrect because the nurse is not providing guidance or suggestions to the client in this situation. Option C) Challenging is incorrect as the nurse is not questioning or pushing back against the client's statements. Option D) Disapproving is also incorrect as there is no indication of the nurse expressing disapproval in the given scenario. In an educational context, it is crucial for nurses to understand and utilize therapeutic communication techniques effectively. Changing the subject can hinder the development of a therapeutic nurse-client relationship and may prevent the client from feeling heard and understood. Nurses should be trained to actively listen, acknowledge client's feelings, and respond empathetically to encourage open communication and trust in the therapeutic relationship.

Correct Answer: A

Rationale: In the context of adult behavioral health nursing, self-efficacy refers to an individual's belief in their ability to successfully execute the behaviors necessary to produce specific outcomes. Option A, "The client is self-motivated and asks for help when needed," is evidence of high self-efficacy because it demonstrates a proactive approach to problem-solving and seeking assistance when necessary. This behavior reflects a strong belief in one's ability to overcome challenges and achieve positive outcomes. Option B, "The client is able to resist illness when under stress," does not directly relate to self-efficacy. Resisting illness under stress may involve factors beyond self-efficacy, such as physical resilience or immune system functioning. Option C, "The client responds well in stressful situations," is a broad statement that does not specifically address self-efficacy. Responding well to stress could be influenced by various factors, including coping mechanisms or support systems, rather than just self-belief in one's capabilities. Option D, "The client uses good problem-solving abilities," is a related but not direct indicator of self-efficacy. While problem-solving skills can be a component of self-efficacy, the ability to ask for help and being self-motivated (as in option A) more directly reflect an individual's belief in their own efficacy. In an educational context, understanding the concept of self-efficacy in behavioral health nursing is crucial for assessing and supporting clients' abilities to manage their conditions effectively. By recognizing behaviors that indicate high self-efficacy, nurses can tailor interventions to empower clients, enhance their confidence, and promote positive health outcomes.

Correct Answer: A

Rationale: In the context of adult behavioral health nursing, social support plays a crucial role in promoting mental well-being. Option A, a friend who will share his or her perspective on an issue, is most likely to provide social support to a client. This is because sharing perspectives fosters emotional connections, offers empathy, and creates a sense of belonging and understanding, which are essential components of effective social support. Option B, the transportation service providing access to daily rehabilitation services, may offer practical support but lacks the emotional and psychological elements that define social support. Option C, fellow teammates in a community softball league, while providing social interaction, may not necessarily offer the deep emotional support needed in behavioral health settings. Option D, a teacher assisting a client to obtain a GED, focuses more on academic support rather than emotional or social support needed in this context. Educationally, understanding the nuances of different types of support is vital for nurses working in behavioral health settings. By recognizing the significance of emotional connections and empathy in social support, nurses can better assess and address the holistic needs of their clients, ultimately improving patient outcomes and overall well-being.