Before providing the client with brochures on available community resources, the nurse identifies the client's personal strengths in which stage of the nursing process?

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Question 1 of 5

Before providing the client with brochures on available community resources, the nurse identifies the client's personal strengths in which stage of the nursing process?

Correct Answer: A

Rationale: The correct answer is A: assessment. In the assessment stage of the nursing process, the nurse gathers information about the client's personal strengths, weaknesses, and resources. By identifying the client's strengths during assessment, the nurse can tailor the care plan to utilize these strengths effectively. Choice B: analysis, comes after assessment and involves interpreting the data collected. Choice C: planning, is where the nurse develops goals and interventions based on the assessment data. Choice D: implementation, is the stage where the nurse carries out the care plan developed during planning. These choices are incorrect as they occur after the assessment stage in the nursing process.

Question 2 of 5

Which of the following statements are examples of the therapeutic communication technique of"focusing"? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates focusing by redirecting the conversation back to a specific topic or issue, encouraging the client to elaborate on their thoughts and feelings. By asking the client to recount their experience in Vietnam and their emotions after being wounded, the therapist is helping the client concentrate on a particular aspect of their story. Choices A, B, and D are incorrect: A: This statement does not exemplify focusing as it points out a discrepancy between the client's words and body language, which may lead to defensiveness and does not encourage the client to delve deeper into their thoughts or feelings. B: This statement does not involve focusing but rather reflects a literal interpretation of the client's words without guiding the conversation towards a specific topic or emotion. D: While this statement acknowledges the client's behavior, it does not guide the conversation towards a specific topic or emotion, thus not demonstrating the focusing technique.

Question 3 of 5

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient

Correct Answer: B

Rationale: The correct answer is B because reporting consistently sad, discouraged, and hopeless mood is a key indicator of a mental illness, specifically depression. This finding suggests a persistent negative emotional state that goes beyond occasional sleeplessness and anxiety (choice A), the ability to describe differences in perceptions (choice C), or difficulty in making decisions related to job changes (choice D). The persistent nature of the mood described in choice B aligns more closely with symptoms of mental illness, indicating the need for further assessment and potential intervention.

Question 4 of 5

The nurse should refer which of the following patients to a partial hospitalization program? A patient who

Correct Answer: D

Rationale: The correct answer is D because the patient is expressing difficulty in avoiding alcohol use, which indicates a potential substance use disorder. Referral to a partial hospitalization program is appropriate for patients struggling with substance use issues as they require intensive treatment and support. Choice A is incorrect as the patient is compliant with lithium therapy. Choice B is incorrect as psychoeducation can be provided in outpatient settings. Choice C is incorrect as the patient needs immediate inpatient care due to active suicidal ideation.

Question 5 of 5

When a female Mexican American patient and a female nurse sit together, the patient often holds the nurse's han The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behavior. Which analysis is most accurate?

Correct Answer: A

Rationale: The correct answer is A. In many Hispanic subcultures, including Mexican American culture, touch is commonly used during conversation as a form of connection and warmth. This behavior is considered a cultural norm and a way to establish rapport. The patient's actions are likely not intended to manipulate the nurse or control the relationship, as suggested in choices B and D. Choice C assumes the patient's behavior is solely driven by fear of being alone, which may not be the case. Overall, the most accurate analysis is that the patient is accustomed to touch as a cultural norm within Hispanic subcultures, making choice A the correct answer.

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