As a patient diagnosed with a mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picni What is the best analysis of this scenario?

Correct Answer: B

Rationale: The correct answer is B because inviting a patient to a staff picnic blurs the boundaries of the therapeutic relationship. This action may create confusion for the patient about the professional relationship with the nurse, potentially leading to ethical concerns and compromising the therapeutic alliance. The other choices are incorrect because: A promotes dependency, C assumes a specific therapeutic benefit without evidence, and D assumes integration into community living without proper assessment or planning.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates active listening, empathy, and encourages further exploration of the patient's experience without dismissing or invalidating their feelings. By asking James to share more about his experience, it shows that you are engaged, caring, and willing to understand his perspective. This approach can help build trust and rapport with the patient, which is important in therapeutic communication. Option A is incorrect because it denies the patient's experience and may lead to feelings of invalidation. Option B is incorrect as it dismisses the patient's feelings of fear and may come across as patronizing. Option D is incorrect as it focuses more on reassurance rather than addressing the patient's emotional distress and exploring their experience.

Correct Answer: D

Rationale: The correct answer is D because involving peers in teaching promotes active learning, peer support, and a sense of belonging. Adolescents often respond positively to peer influence and are more likely to engage in discussions and activities when peers are involved. This strategy also fosters teamwork and problem-solving skills, which are essential for addressing drug abuse issues. A, B, and C are incorrect because they focus on passive learning methods such as handing out pamphlets, showing videos, and lecturing with quizzes. These methods may not effectively engage at-risk adolescents or provide the necessary support and interactive learning experience that involving peers can offer.

Correct Answer: C

Rationale: The correct answer is C: discrimination. Discrimination refers to the unfair treatment of individuals based on certain characteristics, such as mental health status. In this case, the man is being denied housing based on his schizophrenia, which is a form of discrimination. Stigma (A) refers to negative attitudes or beliefs towards a particular group, but it does not involve the actual denial of opportunities like discrimination does. Prejudice (B) is a preconceived opinion or feeling, which can lead to discrimination but is not the same as the act of discrimination itself. Hate crimes (D) involve criminal acts motivated by bias against a particular group, which is not the case in this scenario.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates empathy, respect, and collaboration. By acknowledging the patient's feelings and involving them in the decision-making process, the nurse shows understanding and promotes a sense of control. This approach can help diffuse the patient's anger and improve cooperation during the procedure. A: This option may escalate the patient's anger by implying they are incapable, leading to further resistance. B: Blaming the patient for their injuries can worsen the situation and create a hostile environment. C: Leaving the room without addressing the patient's emotions may exacerbate their feelings of abandonment and escalate the situation.