The client states,"I'm not sure that the doctor has prescribed the correct medication for my sadness." Which would be a therapeutic nursing response?

Correct Answer: B

Rationale: The correct answer is B because it reflects active listening and encourages the client to express their concerns further. It shows empathy and validates the client's feelings. Choice A provides information without addressing the client's feelings. Choice C puts the client on the spot and may come off as confrontational. Choice D dismisses the client's concerns and lacks empathy. Overall, choice B is therapeutic as it fosters a supportive and open communication environment.

Correct Answer: D

Rationale: The correct answer is D: Direct confrontation to solve problems. This Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups because direct confrontation may be perceived as aggressive or disrespectful in many cultures. Patients from these cultural groups may prefer indirect communication or conflict resolution methods. Therefore, using direct confrontation could lead to misunderstandings, resistance, or lack of cooperation from patients. A: Interdependence is a common cultural value in many cultures and does not necessarily lead to unrealistic outcomes for patients of other cultural groups. B: Present orientation is a temporal orientation and does not directly impact outcomes for patients from other cultural groups. C: Flexible perception of time may differ across cultures but does not inherently lead to unrealistic outcomes for patients of other cultural groups.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Giving advice can create dependency on the advisor. 2. It may hinder the individual's ability to think for themselves. 3. Encouraging self-reliance and problem-solving is more effective. 4. Therefore, giving advice is rarely helpful in promoting independence and personal growth. Summary of other choices: B. Fostering independence would involve guiding individuals to make their own decisions. C. Lifting the burden of decision-making could lead to reliance on external opinions rather than self-reflection. D. Developing feelings of personal adequacy is better achieved through self-discovery and empowerment rather than being told what to do.

Correct Answer: C

Rationale: The correct answer is C, Establishment of the National Institute of Mental Health (NIMH), as a result of the National Mental Health Act. This is because the National Mental Health Act of 1946 led to the creation of NIMH in 1949. NIMH is dedicated to research on mental illnesses and disorders, promoting mental health, and providing resources for mental health professionals and the public. Choice A, Discovery of psychopharmacology, is incorrect as it is not a direct result of the National Mental Health Act. Choice B, Passage of the Hill-Burton Act, is also incorrect as it focused on improving hospital facilities, not specifically mental health care. Choice D, Development of community mental health centers, is incorrect as it was a result of the Community Mental Health Centers Act of 1963, not the National Mental Health Act.

Correct Answer: C

Rationale: The correct answer is C: Devotion and fidelity. This indicates that the individual has successfully resolved the stage of growth and development according to Erikson's theory of psychosocial development. Devotion refers to the ability to form solid relationships and commitments, while fidelity means being able to maintain loyalty and trust in these relationships. These qualities show that the individual has successfully navigated the intimacy vs. isolation stage, which is characteristic of young adulthood. Now, let's analyze why the other choices are incorrect: A: Drive and hope - These qualities are more related to the stage of initiative vs. guilt in early childhood, not the young adulthood stage. B: Direction and purpose - While important, these qualities are more reflective of the previous stage of identity vs. role confusion in adolescence. D: Production and care - These qualities are more associated with the later stage of generativity vs. stagnation in middle adulthood, not young adulthood.