As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurses best action?

Correct Answer: A

Rationale: The correct answer is A) Recognize the effectiveness of the relationship and patient’s thoughtfulness. Accept the card. In adult behavioral health nursing, it is essential to acknowledge the therapeutic relationship between the nurse and the patient. Accepting the card of appreciation from the patient shows respect for the patient's thoughtfulness and efforts in expressing gratitude. It reinforces the positive bond between the nurse and patient, contributing to a therapeutic and trusting environment. Option B is incorrect because while facility policies are important, in this context, the act of accepting a handmade card of appreciation does not pose a conflict of interest or ethical dilemma. It is a genuine gesture that should be acknowledged. Option C is incorrect as acknowledging the patient's transition through the termination phase is important, but declining the card may be perceived as rejecting the patient's gratitude and effort, which can negatively impact the nurse-patient relationship. Option D is incorrect as inviting the patient to participate in other activities may not be appropriate at the time of discharge. It is essential to acknowledge the patient's current gesture of appreciation rather than extending the relationship beyond the appropriate boundaries. In an educational context, this scenario highlights the importance of therapeutic communication, boundary setting, and acknowledging and nurturing the nurse-patient relationship in adult behavioral health nursing. Accepting the patient's gesture of appreciation in a respectful and professional manner can positively impact the patient's experience and overall outcomes.

Correct Answer: A

Rationale: In adult behavioral health nursing, the principle that usually applies when a patient is having difficulty making a decision and the nurse has mixed feelings about providing advice is that giving advice is rarely helpful (Option A). This is because in a therapeutic relationship, the focus should be on empowering the patient to make their own decisions and fostering their independence. Providing advice can undermine the patient's autonomy and self-efficacy, which are crucial for their mental health and well-being. By encouraging the patient to explore their thoughts and feelings, the nurse can support them in developing their decision-making skills and confidence. This approach aligns with the principles of patient-centered care and promotes the patient's active participation in their own care. Option B, fostering independence, is a key principle in mental health nursing as it promotes self-determination and self-management. Options C and D, lifting the burden of decision-making and helping the patient develop feelings of personal adequacy, are not as therapeutic as they do not support the patient's growth and autonomy. In an educational context, it is essential for nursing students to understand the importance of respecting patients' autonomy and promoting their independence in decision-making processes. By choosing the correct answer, students learn to prioritize empowering patients and fostering their self-confidence, which are fundamental aspects of providing effective care in adult behavioral health nursing.

Correct Answer: A

Rationale: Agoraphobia (A) is fear of being in situations where escape or help might be unavailable, often leading to avoidance of public places unless accompanied, as described. Hematophobia (B) is fear of blood, Claustrophobia (C) is fear of enclosed spaces, and Hypochondriasis (D) is fear of illness—none match the client’s specific fear of acting out publicly.

Correct Answer: D

Rationale: The correct answer is D) Findings that high levels of disgust sensitivity are a vulnerability factor for animal phobias. This is supported by research indicating that individuals with heightened disgust sensitivity are more likely to develop phobias related to animals due to the perceived threat of contamination or disease transmission. This aligns with the disease-avoidance model of animal phobias proposed by Matchett & Davey in 1991. Option A is incorrect because the question is focused on the disease-avoidance model of animal phobias, not the medical approach to psychological disturbances. Option B is incorrect as it generalizes that all sick individuals avoid animals, which is not specific to the disease-avoidance model. Option C is incorrect as it presents a blanket statement about spiders spreading disease, which is not universally true and not directly related to the disease-avoidance model of animal phobias. From an educational standpoint, understanding the underlying factors contributing to specific phobias, such as animal phobias, is crucial for nurses working in adult behavioral health. Recognizing the role of disgust sensitivity as a vulnerability factor can aid in assessment, intervention, and treatment planning for individuals experiencing animal phobias. This knowledge can inform a more holistic and targeted approach to care for patients with phobias in the behavioral health setting.

Correct Answer: D

Rationale: In the context of adult behavioral health nursing, understanding the presentation of Generalized Anxiety Disorder (GAD) is crucial. The correct answer, option D - All of the above, is the most appropriate choice because GAD is characterized not only by excessive worrying but also by a range of physical symptoms. Fatigue and trembling are common manifestations of the heightened state of arousal associated with GAD. Muscle tension is another physical symptom often seen in individuals with GAD due to the continuous state of stress and anxiety they experience. Headache and nausea can also accompany GAD, reflecting the impact of chronic worry on the body. Options A, B, and C are incorrect because they do not encompass the full range of physical symptoms typically seen in GAD. While fatigue and trembling, muscle tension, and headache and nausea are indeed common in individuals with GAD, selecting any one of these options would overlook the comprehensive nature of the physical symptomatology associated with this disorder. Educationally, it is essential for nurses specializing in adult behavioral health to recognize the interplay between psychological symptoms like excessive worrying and physical manifestations in disorders such as GAD. By understanding the holistic presentation of GAD, nurses can provide more comprehensive care, including both pharmacological and non-pharmacological interventions to address the complex needs of individuals struggling with this condition.