Mary is a 39-year-old attending a psychiatric outpatient clinic. Mary believes that her husband, sister, and son cause her problems. Listening to Mary describe the problems, the nurse displays therapeutic communication in which response?

Correct Answer: A

Rationale: Rationale for Correct Answer (A): A is the correct response because it demonstrates empathy and understanding towards Mary's difficult situation without making assumptions or judgments. It acknowledges Mary's feelings and shows support without imposing personal opinions. Explanation for Incorrect Choices: B: This choice invalidates Mary's feelings by implying she should not dwell on being wronged. It may come across as dismissive and does not validate Mary's emotions. C: This response focuses on the nurse's feelings rather than Mary's, which is not therapeutic communication. It does not address Mary's concerns directly. D: This response assumes Mary's family members are uncaring, which could lead to conflict or defensiveness. It does not reflect active listening or empathy towards Mary's perspective.

Correct Answer: D

Rationale: Correct Answer: D (Administering prescribed antipsychotic medications) Rationale: 1. Priority is to address the patient's symptoms effectively. 2. Antipsychotic medications are essential in managing schizophrenia. 3. Medication adherence is crucial to prevent symptom exacerbation. 4. Stabilizing the patient's condition is necessary for overall care. Summary: - Choice A: Emotional support is important but not the priority. - Choice B: Socialization can be beneficial, but symptom management is crucial. - Choice C: ADLs are important but not as critical as medication administration.

Correct Answer: A

Rationale: The most appropriate intervention for a patient in the manic phase of bipolar disorder is providing a calm, structured environment (Choice A). This is because individuals in the manic phase may exhibit high energy levels, impulsivity, and agitation. A calm environment can help reduce stimulation and promote a sense of stability. Structured routines can also help manage erratic behavior and provide a sense of predictability. Choice B is incorrect because group settings may exacerbate the patient's symptoms due to increased stimulation. Choice C is inappropriate as excessive stimulation can worsen agitation and may lead to further escalation of manic symptoms. Choice D is not ideal as encouraging a nap may not address the underlying issues of mania and may not be effective in managing the symptoms associated with the manic phase.

Correct Answer: B

Rationale: The correct answer is B because grief can indeed manifest in emotional, physical, and psychological symptoms. This understanding shows awareness of the complex and multifaceted nature of grief, acknowledging that it goes beyond just emotional pain. Choice A is incorrect as grief is not a linear process for everyone; it can be unique and non-linear. Choice C is incorrect as grief is a complex process that cannot be quickly resolved through positive thinking alone. Choice D is incorrect because grief can deeply impact not only the individual but also their family members, highlighting the interconnectedness of emotions within a family unit.

Correct Answer: B

Rationale: The correct answer is B because providing assistance with ambulation and encouraging the patient to take short walks helps promote circulation, prevent complications like blood clots, and improve muscle strength and joint flexibility. This intervention also aids in restoring the patient's mobility and independence. A is incorrect because prolonged bed rest can lead to muscle weakness, decreased circulation, and increased risk of complications. C is incorrect because complete bed rest is not recommended as it can lead to deconditioning and delayed recovery. D is incorrect because limiting physical therapy to passive exercises does not actively engage the patient in their recovery process and may hinder progress towards improved mobility.