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: Step 1: The correct answer is A because it demonstrates empathy and understanding towards Mary's feelings without making assumptions or judgments about her situation. Step 2: By acknowledging that Mary is in a difficult situation, the nurse validates her feelings and shows support. Step 3: This response encourages Mary to express her emotions further and fosters a therapeutic relationship. Step 4: Incorrect choices: B: This response minimizes Mary's feelings and may come across as dismissive. C: This response focuses more on the nurse's emotions rather than Mary's, which is not therapeutic. D: This response assumes Mary's family members are uncaring without knowing the full situation, which can be detrimental.

Correct Answer: C

Rationale: The correct answer is C because providing frequent updates to the family of a patient in surgery demonstrates beneficence by promoting the well-being of the patient through communication and support. This intervention helps alleviate anxiety and fosters trust. A: Refusing to administer a placebo is not demonstrating beneficence as it may be withholding potential benefits from the patient. B: Attending an in-service on IV pumps is important but does not directly relate to the ethical principle of beneficence. D: Respecting the patient's right to make decisions is based on autonomy, not beneficence.

Correct Answer: B

Rationale: The correct answer is B: Checking the tightness of the restraints. In Maslow's hierarchy of needs, physiological needs, such as safety, air, water, food, and rest, are the most basic. Checking the tightness of restraints ensures the patient's safety and physical well-being by preventing injury or discomfort. Private toileting and oral hydration are important but fall under basic hygiene and hydration needs, not specifically related to a restrained patient's safety. Therapeutic communication is essential for psychological well-being but does not address the immediate physiological needs of a restrained patient. Maintaining a patent airway is crucial for breathing but is not directly related to the physical safety aspect of restraints.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.