Situation: The nurse may encounter clients with concerns on sexuality. The most basic factor in the intervention with clients in the area of sexuality is:

Correct Answer: C

Rationale: In the context of interventions with clients regarding sexuality, the most basic factor is comfort with one's own sexuality (Option C). This is the correct answer because a nurse who is comfortable with their own sexuality is better equipped to approach and discuss sensitive topics related to sexuality with clients in a non-judgmental and empathetic manner. Option A, knowledge about sexuality, is important but it is not the most basic factor as having knowledge alone does not ensure an effective intervention. Option B, experience in dealing with clients with sexual problems, is valuable but may not always be available or necessary for providing initial support. Option D, ability to communicate effectively, is crucial in all nursing interventions, but without personal comfort with one's own sexuality, effective communication may be hindered in discussions about sensitive topics like sexuality. In an educational context, understanding the importance of personal comfort with sexuality in nursing practice highlights the significance of self-awareness, self-reflection, and empathy in providing holistic and patient-centered care. Nurses need to be able to create a safe and supportive environment for clients to discuss their concerns openly, and this often starts with their own level of comfort and acceptance of sexuality.

Correct Answer: D

Rationale: The most prevalent mental disorder in the United States is Alzheimer's disease. This is the correct answer because Alzheimer's disease is a neurodegenerative disorder that primarily affects older adults and is characterized by progressive cognitive decline, memory loss, and changes in behavior. It is estimated that more than 5 million Americans are living with Alzheimer's disease, making it the most common form of dementia in the country. Schizophrenia, bipolar disorder, and dissociative fugue are all serious mental health conditions, but they are not as prevalent as Alzheimer's disease in the United States. Schizophrenia is a chronic and severe mental disorder that affects a person's ability to think, feel, and behave clearly. Bipolar disorder is a mood disorder characterized by extreme mood swings between mania and depression. Dissociative fugue is a rare dissociative disorder characterized by amnesia and sudden travel away from home. In an educational context, understanding the prevalence of different mental disorders is crucial for healthcare professionals, educators, and the general public. By knowing which disorders are more common, resources and support can be allocated more effectively to address the needs of individuals living with these conditions. It also helps reduce stigma and increase awareness about mental health issues in society.

Correct Answer: D

Rationale: In this scenario, the correct answer is option D: Psychotherapy. An advanced practice psychiatric/mental health nurse is trained at a higher level of expertise compared to a basic level registered nurse. This advanced practice nurse is equipped to provide psychotherapy, which involves the use of psychological methods to help individuals overcome their mental health challenges. Option A, coordination of care, is a task that can be performed by both basic level and advanced practice nurses. It involves organizing and facilitating the various aspects of a patient's care plan. Option B, health teaching, is also within the scope of practice for both basic and advanced practice nurses. Health teaching involves educating patients about their conditions, treatments, and ways to maintain their overall health. Option C, milieu therapy, is a treatment approach that focuses on creating a therapeutic environment to promote healing. While this intervention may require higher-level clinical judgment, basic level registered nurses can also participate in implementing milieu therapy under the guidance of the healthcare team. In an educational context, understanding the scope of practice for different levels of nursing is crucial for providing safe and effective patient care. Advanced practice nurses have a deeper understanding of mental health conditions and interventions, allowing them to provide specialized therapies like psychotherapy. This knowledge differentiation ensures that patients receive the most appropriate care based on their needs and the expertise of the healthcare provider.

Correct Answer: A

Rationale: In the context of stage theories of health behavior, the Clinical Judgment Measurement Model involves a systematic approach to making decisions in clinical practice. Option A, recognizing cues and prioritizing needs, is an example of implementing this model. This is because the model emphasizes the importance of assessing and interpreting patient cues to prioritize interventions effectively. Option B, forming solutions based on the nurse's prior experience, is not in alignment with the Clinical Judgment Measurement Model as it does not involve the systematic analysis of cues and prioritization of needs. Relying solely on past experiences may not always be the most appropriate or evidence-based approach in complex clinical situations. Option C, taking all action immediately, is not reflective of the Clinical Judgment Measurement Model, which advocates for a thoughtful and deliberate approach to decision-making. Acting impulsively without considering all relevant factors can lead to errors in judgment and potentially harm the patient. Option D, taking all action at a later time, is also not in line with the Clinical Judgment Measurement Model, as it suggests procrastination or delayed decision-making. This goes against the principles of timely and effective clinical judgment required in nursing practice. Educationally, understanding and applying the Clinical Judgment Measurement Model is crucial for nurses to enhance their decision-making skills. By prioritizing cues and needs, nurses can provide safe and effective care to their patients. It also fosters critical thinking and reflective practice, which are essential qualities for competent nursing professionals.

Correct Answer: C

Rationale: In the context of stage theories of health behavior, the correct answer is C) discusses with the patient changes that happened during the relationship and evaluates outcomes. This option reflects the importance of closure and reflection in the therapeutic nurse-patient relationship, aligning with the termination stage where both parties review progress and outcomes. By discussing changes and evaluating outcomes, the nurse and patient can acknowledge achievements, address unresolved issues, and ensure a smooth transition post-discharge. Option A is incorrect because avoiding upsetting the patient and shifting focus to other patients before discharge does not demonstrate a therapeutic closure process. It neglects the need for reflection and evaluation of the relationship. Option B is incorrect as giving the patient a personal telephone number and permission to call after discharge blurs professional boundaries and may hinder the patient's ability to move forward independently. Option D is incorrect as offering to meet the patient for coffee and conversation three times a week after discharge crosses professional boundaries and does not promote a healthy termination of the therapeutic relationship. In an educational context, understanding the significance of a successful termination in a therapeutic nurse-patient relationship is crucial for nursing practice. It ensures that the patient feels supported, empowered, and capable of maintaining progress achieved during the therapeutic process. Effective communication and reflection are essential components of this process to facilitate a positive and meaningful closure for both the nurse and the patient.