Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger 'That is an unacceptable behavior Roger, Stop and go to your room now.' The situation is most likely in what phase of NPR?

Correct Answer: C

Rationale: This scenario fits the Working phase (C). Roger's agitation and Aida's response setting boundaries suggest an established relationship where interventions address behaviors. Pre-Orientation (A) is pre-contact, Orientation (B) builds trust, not confrontation, and Termination (D) ends care. In Peplau's Working phase, the nurse actively helps the client manage issues, as Aida does here, making C the likely phase.

Correct Answer: B

Rationale: Budek's 'You have difficulty sleeping' is restating (B), rephrasing Myra's 'I cannot sleep' to show listening. Reflecting (A) echoes feelings (e.g., 'You're restless?'). Exploring (C) probes (e.g., 'Why can't you?'). Clarification (D) seeks meaning (e.g., 'What keeps you awake?'). Restating validates Myra's issue, per communication theory, making B correct.

Correct Answer: D

Rationale: Flow sheets (D) use graphs to track temperature and BP fluctuations, per charting norms. Progress notes (A) narrate, Kardex (B) summarizes, flow charts (C) diagram processes. D matches graphical monitoring, making it correct.

Correct Answer: A

Rationale: Kardex (A) is a concise, card-based system for shift reports, per nursing practice. Progress notes (B) detail chronologically, SOAPIE (C) structures per problem, shift reports (D) are verbal. A fits the portable file description, making it correct.

Correct Answer: A

Rationale: Placing an allergy alert in the Kardex (A) is best; it's immediately accessible to all staff, per safety protocols. Notifying the physician (B) or charting (C) delays visibility, noting mentally (D) risks errors. A ensures quick action, making it correct.