Mr. Jones is a recovering alcoholic with a recent suicide attempt. He has been discharged from the treatment setting after a ten-day stay, and the social worker is setting up housing for him. Which type of housing is most appropriate for Mr. Jones?

Correct Answer: C

Rationale: The most appropriate housing for Mr. Jones is group housing (Choice C) as it provides a supportive environment crucial for his recovery. Group housing offers peer support, structured routines, and access to counseling services, which can help him maintain sobriety and prevent relapse. Detoxification unit (Choice A) is not suitable as Mr. Jones has already been discharged from treatment. Nursing home (Choice B) is not appropriate as he does not require long-term care. Homeless shelter (Choice D) does not provide the necessary support for his complex needs. Group housing is the best option for Mr. Jones to ensure his continued recovery and well-being.

Correct Answer: A

Rationale: The correct answer is A. This is because providing clear reasons for policies and procedures helps establish transparency and fosters trust in the nurse-client relationship. By explaining the rationale behind actions taken, the nurse shows respect for the client's autonomy and promotes understanding. Choice B focuses on interpersonal communication but may not directly contribute to trust-building. Choice C involves empathy but does not necessarily directly address trust. Choice D involves collaboration but may not specifically address trust-building through transparent communication.

Correct Answer: A

Rationale: The correct answer is A because the 21-year-old client who is hearing and seeing things that others do not is of legal age to provide informed consent. They have the capacity to make decisions about their own treatment. Choice B is incorrect because a client diagnosed with severe intellectual development disorder may lack the capacity to provide informed consent. Choice C is incorrect because a client declared legally incompetent does not have the capacity to give informed consent. Choice D is incorrect because a 14-year-old client is typically considered a minor and may not have the legal capacity to provide informed consent.

Correct Answer: D

Rationale: The correct answer is D. Clinical pathways in managed care settings aim to streamline the care process and reduce costs by standardizing care, improving efficiency, and promoting evidence-based practices. This helps in achieving better outcomes and cost-effective care delivery. A, B, and C are incorrect because clinical pathways do not specifically focus on stabilizing aggressive patients, identifying obstacles to care, or relieving nurses of planning responsibilities. These functions may be part of the overall care process but are not the primary purpose of implementing clinical pathways in managed care settings.

Correct Answer: C

Rationale: The correct answer is C because discussing options and helping the patient weigh consequences promotes autonomy by involving the patient in decision-making. This empowers the patient to make informed choices about their care. A is incorrect as it limits the patient's autonomy. B restricts the patient's support system. D focuses on setting boundaries rather than promoting autonomous decision-making.