The nurse is assessing a client who reports drinking a quart of vodka daily. The client says, 'I think I have a little bit of a drinking problem.' Which response by the nurse is most therapeutic?

Correct Answer: B

Rationale: Tell me what you mean by a drinking problem' is most therapeutic. It encourages exploration, building trust, per communication standards. Judging , agreeing , or reporting hinder openness. B supports assessment, making it the best response.

Correct Answer: B

Rationale: An abdominal ultrasound is the priority for painless vaginal bleeding in a 7-month pregnant woman, likely indicating placenta previa or abruption, per obstetric protocols. It safely visualizes placental position and fetal status without radiation risk. A non-stress test monitors fetal heart rate but doesn't locate bleeding, pelvic exam risks exacerbating hemorrhage, and X-ray poses fetal radiation danger. B provides critical diagnostic data swiftly, ensuring maternal-fetal safety.

Correct Answer: A

Rationale: Pass the catheter into the abdominal cavity' is correct. A VP shunt drains cerebrospinal fluid from the brain to the peritoneal cavity for absorption, requiring an abdominal incision, per neurosurgical standards. Bladder , visualization , and stomach are incorrect shunt endpoints. A clarifies the procedure accurately.

Correct Answer: C

Rationale: The working phase involves discussing progress and understanding behavior, per therapeutic relationship stages. Pre-interaction is preparation, orientation establishes rapport, and termination concludes. C fits the active collaboration described.

Correct Answer: C

Rationale: Initiating discharge planning upon admission is standard. It ensures proactive coordination of care needs, per case management principles. Readiness , date set , and stabilization delay planning. C optimizes outcomes from the start.