On an inpatient psychiatric unit, the goals of therapy have been met, but the client cries and states,"I have to keep coming back to therapy to handle my anger better." This interaction occurs in which phase of the nurse-client relationship?

Correct Answer: D

Rationale: The correct answer is D: Termination phase. In this phase, the goals of therapy have been met, and the client is reflecting on their progress and expressing their feelings about ending therapy. The client's statement about needing to keep coming back indicates that they are aware of the progress made and are preparing to end the therapeutic relationship. A: Pre-interaction phase occurs before the nurse-client relationship is established. B: Orientation phase is when the nurse and client establish rapport and set goals. C: Working phase is when the therapeutic work is being done to achieve goals. Therefore, the client's statement falls in the Termination phase as they are acknowledging the progress made and preparing to end therapy.

Correct Answer: B

Rationale: The correct answer is B: client preferences. In the EBP model, client preferences play a crucial role in decision-making. When Nurse Sheila adjusts the client's plan of care after talking with them, she is considering the client's individual needs, values, and preferences. This aligns with the client-centered approach of EBP, where decisions are made collaboratively with the client. Incorrect choices: A: Best available research - While research is important in EBP, in this scenario, the focus is on the client's preferences rather than solely relying on research evidence. C: Nursing expertise - While nursing expertise is valuable, in this case, the emphasis is on incorporating the client's input into the plan of care. D: Review of evidence - While reviewing evidence is a component of EBP, in this scenario, the main focus is on the client's preferences rather than the evidence alone.

Correct Answer: C

Rationale: The correct answer is C: lack of consistent funding. Workforce reentry programs often struggle with securing consistent funding to support their operations and services. This challenge can hinder the program's ability to sustain long-term impact and effectively assist individuals in reentering the workforce. Without stable funding, programs may face difficulties in maintaining staff, resources, and program continuity. This can ultimately impact the program's success in helping clients achieve successful workforce reintegration. Choices A, B, and D are incorrect because: A: an excess of employers who are eager to work with clients - While having a network of supportive employers is beneficial, the main challenge lies in securing funding to sustain the program's operations. B: a lack of evidence-based practice (EBP) demonstrating their effectiveness - While evidence-based practice is important, it is not the main challenge faced by workforce reentry programs. Funding is a more critical issue for program sustainability. D: too many resources that can cause confusion for clients - Having resources is generally

Correct Answer: C

Rationale: The correct answer is C: incongruous. The patient's verbal statement about the marriage being great contradicts the nonverbal behavior of foot movement and button twirling, indicating incongruity between the verbal and nonverbal communication. This inconsistency suggests that the patient may not be entirely truthful or may be experiencing internal conflict. A: Clear - This choice is incorrect because the patient's communication is not clear due to the conflicting verbal and nonverbal cues. B: Distorted - This choice is incorrect as there is no indication of intentional distortion in the patient's communication. D: Inadequate - This choice is incorrect as inadequate communication refers to a lack of information or detail, which is not evident in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Hypertension. Hypertension is not a risk factor for delirium in the context of a follow-up home visit after surgery. Delirium is commonly associated with factors such as urinary tract infections (A), acute stress (C), and bone fractures (D) in elderly clients. Hypertension, although a serious condition, does not directly contribute to the development of delirium in this scenario. Delirium is often multifactorial, with underlying medical conditions, infections, and stress being key contributors. In this case, the nurse would focus on discussing the client's risk factors such as urinary tract infections, acute stress, and bone fractures with the family members to prevent delirium.