April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April's mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:

Correct Answer: B

Rationale: The correct answer is B because the scenario indicates that time-out is no longer effective for April. The fact that April's mother puts her in time-out up to 20 times a day suggests overuse, leading to desensitization. This renders time-out ineffective as a therapeutic tool. April's increasing agitation and lack of self-control despite time-outs indicate the need for a different approach. Choices A and C are incorrect because they assume time-out is still effective, which contradicts the scenario. Choice D is incorrect as seclusion and restraint should only be considered as a last resort due to ethical and safety concerns.

Correct Answer: A

Rationale: The correct answer is A because the statement that complementary and alternative medicine is always less expensive than conventional medical treatment is not true. Cost is often a significant factor in healthcare decisions, but it is not the only factor that attracts patients to complementary and alternative medicine. Patients may be drawn to these practices due to a desire for more personalized care (B), a perception of lower risk compared to pharmaceuticals (C), or dissatisfaction with the effectiveness of traditional medicine (D). However, cost alone is not a primary factor in choosing complementary and alternative medicine.

Correct Answer: D

Rationale: The correct answer is D: yoga. Adjunctive treatments are used alongside primary treatments to enhance outcomes. Yoga is a complementary therapy that can improve mental health by reducing stress, anxiety, and improving overall well-being. It is non-invasive and can be used in conjunction with other treatments like psychotherapy. Antipsychotic medication (A) is a primary treatment for certain mental health conditions like schizophrenia. Hospitalization (B) is a severe intervention for acute mental health crises. Psychotherapy (C) is a primary treatment involving talk therapy. Yoga (D) stands out as an adjunctive treatment due to its holistic approach and ability to support mental health alongside other therapies.

Correct Answer: B

Rationale: The correct answer is B because accessing professional databases like CINAHL ensures access to peer-reviewed research articles and studies. These databases are specifically designed to provide credible and evidence-based information for healthcare professionals. Asking a supervisor (A) may be helpful but may not guarantee access to reputable sources. Performing a Wikipedia search (C) is not recommended as it is not a reliable source for evidence-based practice. Asking a librarian (D) may be useful in guiding the nurse on how to effectively search and utilize professional databases like CINAHL, but the nurse should ultimately rely on accessing these databases directly for credible sources.

Correct Answer: D

Rationale: The correct answer is D because the phase of the nurse-client relationship involving reviewing the client's record is the orientation phase. In this phase, the nurse gathers information about the client's diagnosis, health history, and current care needs to understand the client's situation. This phase focuses on setting goals, exploring attitudes, and establishing a plan of care based on the client's needs. It is essential for the nurse to understand the client's diagnosis to provide effective care. Choice A (Getting to know each other and establishing trust) is typically associated with the initial phase of the relationship, not specifically related to reviewing records. Choice B (Implementing nursing interventions to achieve outcomes) is part of the working phase, where interventions are carried out. Choice C (Achievement of independence and maintenance of health without nursing care) is more aligned with the termination phase, where the client achieves independence.