Donald, a 49-year-old male, is admitted for inpatient alcohol detoxification. He is cachexic, has multiple scabs on his arms and legs, and has lower extremity edema. An appropriate nursing diagnosis for Donald along with an expected outcome is:

Correct Answer: C

Rationale: The correct answer is C: Nutrition: Less than body requirements/Maintains nutrient intake for metabolic needs. Rationale: 1. Donald is cachexic, indicating severe malnutrition. 2. Multiple scabs suggest poor wound healing due to malnutrition. 3. Lower extremity edema can be a sign of protein deficiency. 4. The nursing diagnosis of Nutrition: Less than body requirements fits Donald's clinical presentation. 5. The expected outcome of Maintains nutrient intake for metabolic needs addresses the goal of improving Donald's nutritional status. Summary: A: Risk for injury/Remains free from injury - Not the best choice as Donald's primary issue is malnutrition, not injury risk. B: Ineffective denial/Accepts responsibility for behavior - Not relevant to the physical health issues presented by Donald. D: Risk for suicide/Expresses feelings, plans for the future - Donald's symptoms do not suggest a risk for suicide.

Correct Answer: B

Rationale: The correct answer is B because utilizing telehealth services allows nurses to provide care remotely, improving access and efficiency. Telehealth utilizes technology to deliver healthcare services, enhancing communication and monitoring. This option aligns with the use of informatics to improve patient outcomes. Choices A, C, and D are incorrect as avoiding electronic health records limits efficiency, relying on paper records is outdated and inefficient, and ignoring technology trends hinders progress and innovation in healthcare practice.

Correct Answer: B

Rationale: The correct answer is B: echopraxia. Echopraxia is the behavior of mimicking someone else's movements. In this scenario, the client copying the provider's actions fits the definition of echopraxia. Echolalia (choice A) is the repetition of words or phrases, not movements. Stereotypy (choice C) refers to repetitive or ritualistic movements, not necessarily copying another person. Posturing (choice D) involves assuming and maintaining a rigid or bizarre posture, not mimicking movements like in the given scenario. Therefore, echopraxia is the most appropriate term to describe the client's behavior in this situation.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates empathy and reflects the client's feelings. It acknowledges the client's emotions without judgment, which can help establish trust. Choice A is incorrect as it can come off as dismissive. Choice B is inappropriate as it diverts attention from the client's feelings. Choice C is also incorrect as it can be perceived as confrontational and may discourage the client from expressing their emotions further. In summary, option D is the most appropriate response as it shows empathy and validates the client's emotions.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates a mentally healthy perspective by showing willingness to take responsibility for one's actions and make positive changes for the benefit of the family. This reflects self-awareness, accountability, and a proactive approach to improving relationships. Choice A acknowledges personal mistakes but lacks commitment to change. Choice B reminisces about the past without addressing present conflicts. Choice D shows avoidance and resignation, lacking effort to address underlying issues. Therefore, choice C is the best option for promoting mental health and resolving family conflicts.