During an assessment interview with a newly admitted client, the nurse identifies a sense of anger developing in response to the client's defiant statements. In order to maintain a therapeutic environment, the nurse:

Correct Answer: C

Rationale: Rationale: C is correct because it acknowledges the client's emotions without judgment, fostering trust and open communication. It validates the client's feelings and helps explore the underlying issues. A avoids addressing the situation directly. B could escalate the client's defensiveness. D may reinforce the client's behavior by allowing avoidance.

Correct Answer: A

Rationale: The correct answer is A because in a voluntary admission for acute depression, the client retains their basic rights, such as making personal phone calls. However, the nurse may deny the request to have the personal cell phone brought in due to concerns about safety, privacy, and potential access to harmful content. Choice B is incorrect as the client has the right to participate in civic activities like casting a vote. Choice C is incorrect as it involves maintaining personal documentation. Choice D is incorrect as the client has the right to meet with their attorney in a private space.

Correct Answer: C

Rationale: The correct answer is C: Role modeling language that is respectful to those with mental illnesses. Nurses can advocate for individuals with mental illness by demonstrating and promoting respectful language use, which helps reduce stigma and promote understanding. This approach empowers both the individual and others to use language that is sensitive and non-discriminatory. By setting an example through their own communication, nurses can positively influence interactions with individuals dealing with mental illness. Choices A, B, and D are incorrect because: A: Encouraging all clients to be aware of their communication may not directly address the issue of stigma and may inadvertently place the responsibility solely on the individual with mental illness. B: Teaching a client diagnosed with schizophrenia to avoid pressured speech is important for their well-being but does not directly address advocating for individuals with mental illness in the context of stigma and language use. D: Engaging in therapeutic communication is essential in nursing practice but does not specifically focus on advocating for individuals with mental illness regarding language and stigma.

Correct Answer: B

Rationale: The correct answer is B because reinforcing the client's ability to interrupt intrusive paranoid thoughts addresses a primary symptom of schizophrenia, which is distorted thinking patterns. Helping the client develop skills to challenge and manage these thoughts is a key aspect of schizophrenia treatment. A: Arranging stress management classes may be helpful but does not directly address the primary symptom of distorted thinking. C: Working on a budget for independent living is important but does not directly target the primary symptom of schizophrenia. D: Supporting the client to stop using alcohol may be beneficial, but it does not directly address the primary symptom of distorted thinking associated with schizophrenia.

Correct Answer: C

Rationale: The correct answer is C because the client meets the criteria for psychiatric homebound care by experiencing severe panic attacks when trying to leave the home. This indicates significant impairment in functioning outside the home. Explanation: 1. Criterion met: The client's severe panic attacks prevent her from leaving the home, indicating a need for care within the home environment. 2. Impairment in functioning: The client's panic attacks significantly impact her ability to engage in daily activities outside the home. 3. Duration of symptoms: The client has experienced these severe panic attacks for the last 5 years, indicating a chronic and persistent condition. Summary of other choices: A: Depression alone does not necessarily warrant psychiatric homebound care. B: Delusions related to paranoid schizophrenia do not inherently restrict the client to homebound care. D: Obsessive-compulsive behaviors, while impactful, do not specifically require homebound care unless they severely impair functioning outside the home.