She tearfully tells the nurse " can't take it when she accuses me of stealing her things." Which response by the nurse will be most therapeutic?

Correct Answer: C

Rationale: The correct answer is C because it shows empathy and acknowledges the patient's feelings without dismissing them. By stating "This must be difficult for you and your mother," the nurse validates the patient's emotions and shows understanding. This response fosters a therapeutic relationship and encourages further exploration of the patient's feelings. Choice A is incorrect because it minimizes the patient's feelings and may come across as dismissive. Choice B shifts the focus away from the patient's emotions and onto problem-solving, which may not be what the patient needs at that moment. Choice D is inappropriate as it implies the patient is at fault and suggests a confrontational approach, which is not conducive to therapeutic communication.

Correct Answer: C

Rationale: Step-by-step rationale for choice C (Stress management technique) being correct: 1. Linda's condition involves psychological factors contributing to physical symptoms. 2. Stress management techniques help address the underlying stress that may exacerbate her symptoms. 3. Techniques such as relaxation exercises and cognitive-behavioral therapy can help Linda cope with stress. 4. By managing stress effectively, Linda can reduce the frequency and severity of her symptoms. Summary of why other choices are incorrect: A. Medical regimen: Linda's condition is primarily psychological, so solely focusing on medications may not address the root cause. B. Milieu therapy: This therapy focuses on the environment, which may not directly target Linda's stress and psychological factors. D. Psychotherapy: While psychotherapy is beneficial, stress management techniques specifically target stressors that may worsen Linda's symptoms.

Correct Answer: C

Rationale: The correct answer is C because questioning the client directly about suicidal thoughts is an evidence-based practice known as suicide risk assessment. It allows the nurse to gather crucial information on the client's mental state and intent. This direct approach can help identify potential risk factors and allow for appropriate interventions to be implemented promptly. Choice A is incorrect because waiting for the client to bring up the subject of suicide may delay necessary intervention. Choice B is incorrect as solely observing behavior may not provide enough information for an accurate assessment. Choice D is incorrect because questioning about future plans does not directly address the client's potential risk for suicide.

Correct Answer: D

Rationale: The correct answer is D, ensuring an unbroken chain of evidence. This is crucial in cases of sexual assault to maintain the integrity of evidence for legal proceedings. By preserving and documenting evidence properly, it increases the chances of bringing the perpetrator to justice. A: Determining the assailant's identity is important but not the nurse's role. B: Preserving the client's privacy is important but secondary to maintaining evidence. C: Identifying the extent of injury is relevant for treatment but doesn't take precedence over preserving evidence.

Correct Answer: C

Rationale: The correct answer is C: Diuretics. Diuretics can reduce lithium excretion, leading to increased lithium levels and potential toxicity. Other choices are incorrect because: A: Antacids may actually help reduce lithium absorption. B: Antibiotics do not have a direct interaction with lithium. D: Hypoglycemic agents do not affect lithium levels. In summary, diuretics are the only medication that can significantly increase the risk of lithium toxicity due to their impact on lithium excretion.