Isadora is a middle-aged woman living in a group home after being discharged from a psychiatric institution nearly 20 year ago. Isadora keeps to herself, stays in her room most of the day, and only ventures out for meals. Cassandra, the house manager, encourages Isadora to:

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: 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.

Correct Answer: D

Rationale: The correct answer is D because when a client makes a written application to be admitted to a psychiatric facility, they typically retain the right to make decisions about their discharge unless they are determined to be a danger to themselves or others. This is in line with the principle of autonomy and informed consent in healthcare. Choices A is incorrect because civil rights are not necessarily all revoked upon admission. Choice B is incorrect as clients usually have the right to participate in discharge decisions. Choice C is incorrect as not all clients admitted to a psychiatric facility are necessarily deemed a danger to self or others.

Correct Answer: B

Rationale: The correct answer is B: Autonomy. In community mental health nursing, the nurse often works independently, making decisions about patient care and interventions. Autonomy allows the nurse to adapt to the unique needs of each individual in the community setting. In contrast, nurses in the operating room typically work within a team and follow strict protocols, limiting their autonomy. Kindness, compassion, and professionalism are important traits for all nurses regardless of the setting, but autonomy is more crucial for a community mental health nurse due to the nature of their work.