Termination of a therapeutic nurse–patient relationship has been successful when the nurse

Correct Answer: C

Rationale: The correct answer is C because discussing changes and evaluating outcomes with the patient is essential for closure and reflection on the therapeutic relationship. This process allows both the nurse and patient to reflect on progress made and set realistic expectations for the future. This promotes a sense of closure and empowerment for the patient. Choice A is incorrect because avoiding upsetting the patient by shifting focus does not address the need for closure and reflection. Choice B is incorrect because giving a personal telephone number blurs professional boundaries and may hinder the patient's ability to move on independently. Choice D is incorrect because offering to meet the patient for coffee and conversation three times a week crosses professional boundaries and does not promote a healthy termination of the therapeutic relationship.

Correct Answer: B

Rationale: The correct answer is B: cognitive distortion. The patient is exhibiting cognitive distortion by making extreme and irrational generalizations based on their negative experiences. They are engaging in black-and-white thinking, where they see things in all-or-nothing terms. This type of distorted thinking can lead to feelings of hopelessness and helplessness. Self-esteem deficit (A) would involve negative feelings about oneself, which is not explicitly stated in the patient's statement. Deficit in motivation (C) refers to a lack of drive or desire to pursue goals, which is not evident in the patient's statement. Deficit in love and belonging (D) pertains to lacking social connections, which is not the focus of the patient's statement.

Correct Answer: A

Rationale: The correct answer is A because grabbing a tray from the meal cart after stomping away from the nurses' station demonstrates a physically aggressive behavior. This action involves not only expressing anger but also engaging in a potentially harmful act by forcefully taking something. Choice B does not demonstrate aggression but rather shows emotional distress through crying and seeking comfort by hugging a pillow. Choice C shows assertiveness by expressing feelings of anger verbally but does not involve any physical aggression. Choice D displays refusal to take medication but does not involve physical aggression towards others.

Correct Answer: C

Rationale: Correct Answer: C - Psychotherapy Rationale: 1. Correctional nurses focus on physical health, not mental health. 2. Psychotherapy is typically provided by mental health professionals. 3. Nurses may assess, maintain safety, and document patient progress. 4. Correctional settings prioritize security and medical care over psychotherapy.

Correct Answer: A

Rationale: The correct answer is A: Elevated temperature. This should be reported immediately because it could indicate a serious side effect known as neuroleptic malignant syndrome (NMS) associated with antipsychotic medications. NMS is a life-threatening condition characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. Prompt medical intervention is crucial to prevent complications. Option B: Tremor is a common side effect of antipsychotic medications but does not typically require immediate reporting unless severe or persistent. Option C: Decreased blood pressure may occur with certain antipsychotics, but it is not usually an emergency unless symptomatic. Option D: Weight gain is a common side effect of some antipsychotic medications and should be monitored over time but does not necessitate immediate reporting unless excessive or sudden.