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

Correct Answer: C

Rationale: In the context of adult behavioral health nursing, the correct answer is C) discusses with the patient changes that happened during the relationship and evaluates outcomes. This option reflects a therapeutic approach to termination, emphasizing reflection, closure, and evaluation of progress made during the therapeutic relationship. By discussing changes and outcomes with the patient, the nurse promotes self-awareness, reinforces learning, and helps the patient transition successfully post-discharge. Option A is incorrect because avoiding upsetting the patient and shifting focus to other patients before discharge lacks closure and may leave the patient feeling abandoned or unresolved. Option B is inappropriate as it blurs professional boundaries by offering personal contact information and can hinder the patient's ability to develop independence and coping skills. Option D is also incorrect as it suggests an ongoing personal relationship outside the professional therapeutic context, which can be ethically and professionally inappropriate. It may lead to dependency issues, boundary violations, and hinder the patient's progress towards autonomy and self-reliance. In an educational context, understanding the importance of a structured and reflective termination process in therapeutic relationships is crucial for nursing students. Teaching students how to effectively terminate relationships with patients in a respectful, professional, and therapeutic manner is essential for promoting positive patient outcomes and upholding ethical standards in nursing practice.

Correct Answer: C

Rationale: The correct answer is C) "I'm not familiar with the patient's Japanese cultural view on suicide" because it demonstrates an understanding of the impact of environmental factors on mental health. In this scenario, cultural beliefs and values play a significant role in shaping an individual's perception of mental health issues like suicide. By acknowledging the importance of understanding the patient's cultural background, the nurse shows sensitivity to how these external factors can influence the patient's mental health and well-being. Option A is incorrect because while assessing the family's views on mental illness is important, it does not directly address the impact of environmental factors on the patient's mental health. Option B is incorrect as a family history of depression, while relevant, focuses more on genetic predisposition rather than environmental influences. Option D is incorrect because while assessing the patient's ability to pay is important for determining access to mental health services, it does not directly address the impact of environmental factors on the patient's mental health. In an educational context, understanding the influence of environmental factors, such as cultural beliefs and socioeconomic status, on mental health is crucial for providing holistic and patient-centered care in adult behavioral health nursing. By recognizing and addressing these external influences, nurses can better support their patients' mental health needs.

Correct Answer: C

Rationale: In the context of adult behavioral health nursing and the principles of Hildegard Peplau, the correct answer is option C) Reflecting on personal behaviors and personal needs. This activity is important because it helps the nurse maintain self-awareness and mindfulness during therapeutic interactions with patients. By reflecting on personal behaviors and needs, the nurse can better understand their own biases, emotions, and reactions, which can impact the therapeutic relationship. Option A) Assessing the patient for unexpressed concerns and fears is important in therapeutic conversations, but it does not directly address how the nurse can ensure that the patient remains the focus of the conversation. Option B) Evaluating the possible need for additional training and education is important for professional development but does not directly relate to keeping the patient as the primary focus of therapeutic conversations. Option D) Avoiding power struggles with the manipulative patient is important in maintaining therapeutic boundaries, but it does not directly address how to ensure the patient remains the focus of conversations. Educationally, understanding the significance of self-reflection in nursing practice is crucial for developing therapeutic communication skills and establishing effective nurse-patient relationships. By prioritizing self-awareness and personal reflection, nurses can enhance their ability to provide patient-centered care and promote positive outcomes in behavioral health settings.

Correct Answer: B

Rationale: In this scenario, option B is the correct answer because the nurse is demonstrating an understanding of the roles and responsibilities of the various members of the mental healthcare team. By reminding the patient about the group session on critical thinking, the nurse shows awareness of the counselor's interventions to support the patient's treatment plan for bipolar disorder. Option A is incorrect because the role of a social worker in this context would typically focus on providing support with social and community resources, rather than specifically budgeting. Option C is incorrect as mental health technicians usually assist with monitoring and observing patients, rather than administering medications. Option D is incorrect because the occupational therapist primarily focuses on helping individuals with activities of daily living and work-related skills, not financial assistance. Educationally, understanding the roles of different healthcare team members in mental health settings is crucial for providing comprehensive care to patients with bipolar disorder. It ensures effective coordination of services and interventions to support the patient's treatment plan and overall well-being. Nurses need to collaborate with the interdisciplinary team and have a clear understanding of each member's responsibilities to provide holistic care to patients.

Correct Answer: A

Rationale: The correct answer is A) An Alternative-to-Discipline (ATD) program. This type of program is specifically designed to support healthcare professionals, like nurses, who have completed a drug treatment program and are returning to work. The ATD program focuses on providing monitoring, support, and resources to ensure the nurse's successful reintegration into the workplace while maintaining patient safety. Option B) A drug recovery support group, while beneficial for ongoing support, is not a structured program aimed at reentry into the workforce. It lacks the comprehensive monitoring and oversight provided by an ATD program. Option C) An early-release incarceration program is unrelated to a nurse returning to work after completing drug treatment. This option is focused on individuals in the criminal justice system and does not address the specific needs of healthcare professionals. Option D) An involuntary long-term residential treatment program is not tailored to the needs of a nurse returning to work. This type of program is typically for individuals who require intensive, long-term treatment and does not address the nuances of professional reentry. In an educational context, it is crucial for healthcare professionals to understand the importance of specialized programs like ATD in supporting their recovery and successful return to practice. Nurses need to be aware of the resources available to them for a safe and effective reintegration process, which ultimately benefits both the individual nurse and the patients they care for.