Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don't need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?

Correct Answer: A

Rationale: The correct answer is A because Carolina should show genuine interest in the patient's decision and willingness to learn more about the therapy app. This approach demonstrates empathy, openness to new technologies, and a collaborative attitude. It also allows Carolina to explore the app's features, efficacy, and potential benefits for the patient's treatment. By engaging with the patient in this way, Carolina can better understand the patient's perspective and tailor her approach accordingly. Choices B, C, and D are incorrect because they either dismiss the patient's choice outright (B), express reluctance without further exploration (C), or come off as confrontational (D). These responses may alienate the patient, hinder the therapeutic relationship, and impede progress. It's essential for Carolina to maintain a supportive and client-centered approach in addressing the patient's decision.

Correct Answer: B

Rationale: The correct answer is B: Join a day program clubhouse. This option is the most appropriate as it offers Isadora socialization, structured activities, and support, which can help her overcome isolation and improve her mental well-being. Looking for a job (A) may be too overwhelming for Isadora at this point. Assisting in the kitchen (C) may not address her socialization needs. Taking on a roommate (D) could potentially increase Isadora's stress levels instead of addressing her social isolation.

Correct Answer: B

Rationale: The correct answer is B: an intensive community (outpatient) program (IOP). This setting is appropriate for Terrell as he is able to work and care for himself at home, does not require hospitalization, and needs close monitoring due to the new medication regimen. IOP provides structured treatment while allowing Terrell to maintain his daily routine. Choice A: a halfway house, is not the best option as Terrell is currently able to live independently at home and does not need the level of structure and support provided in a halfway house. Choice C: a residential treatment center (RTC), is not necessary as Terrell does not require 24/7 supervision and can continue living at home while attending regular treatment sessions. Choice D: Narcotics Anonymous (NA) is not the best setting for Terrell as his primary issues are bipolar disorder and alcohol abuse, not narcotics addiction. An IOP will provide the appropriate level of care and support for his current needs.

Correct Answer: B

Rationale: The correct answer is B: exercising thirty minutes three to five days per week. This choice aligns with established guidelines recommending at least 150 minutes of moderate-intensity exercise per week, which breaks down to 30 minutes for 3-5 days. Choice A exceeds the recommended time, C falls slightly below it, and D suggests daily exercise, which may not allow for sufficient rest and recovery. Maria's understanding of the optimal exercise routine for mental health wellness is demonstrated by choosing option B.

Correct Answer: B

Rationale: The goal for the orientation phase is to establish trust. This is crucial for building a strong nurse-client relationship. Trust forms the foundation for effective communication and collaboration. By establishing trust, the nurse can create a safe and supportive environment for the client to open up and engage in the therapeutic process. Exploring self-perceptions (choice A) is typically done in the working phase, not the orientation phase. Promoting change (choice C) and evaluating goal attainment (choice D) are also more relevant to the later phases of the relationship when interventions and outcomes are being assessed. Therefore, the correct answer is B as it aligns with the primary focus of the orientation phase.