The nurse is in the orientation phase of the nurse-patient relationship with a patient diagnosed with a mental disorder. When interviewing the patient during this first encounter, which information would be most important for the nurse to obtain about the patient?

Correct Answer: C

Rationale: Step 1: In the orientation phase, the main focus is establishing trust and rapport with the patient. Step 2: Understanding the patient's perception of the problem is crucial in building a therapeutic relationship. Step 3: By knowing their perception, the nurse can tailor interventions to address the patient's specific needs. Step 4: This information helps in formulating an individualized care plan and promoting patient engagement. Summary: Option C is correct as it aligns with the therapeutic communication goal in the orientation phase. Options A, B, and D are important but not as crucial in the initial phase of the nurse-patient relationship.

Correct Answer: C

Rationale: Correct Answer: C - Usually, you can anticipate that you will begin to react to things more slowly. Rationale: 1. Aging is a natural process that affects everyone. 2. As people age, physiological changes occur, impacting reaction times. 3. Slower reactions are common due to changes in the nervous system. 4. This response is appropriate as it addresses a normal aging change. Summary: A - Incorrect: Overly reassuring, does not acknowledge normal aging changes. B - Incorrect: Personality may remain stable, intelligence does not necessarily lessen. D - Incorrect: Unrealistic, generalized statement about becoming childlike.

Correct Answer: B

Rationale: The correct answer is B: Developing a personal plan for managing suicidal thoughts when they occur. This is the most appropriate intervention at this time because the patient's suicidal risk has lessened considerably and he is able to identify reasons for wanting to live. By creating a personalized plan, the patient can learn coping strategies and techniques to manage suicidal thoughts if they resurface in the future. This empowers the patient to take control of their mental health and provides them with tools to prevent future crises. Incorrect Choices: A: Assigning nursing staff to stay with him during his suicidal crisis - This is not necessary as the patient's suicidal risk has considerably lessened. C: Advising the patient that he should consider electroconvulsive therapy treatments - This is an extreme intervention that is not warranted based on the current improvement in the patient's condition. D: Administering psychotropic drugs that decrease the patient's serotonin levels - This intervention is not appropriate as the patient's current state does not indicate the need for immediate

Correct Answer: A

Rationale: The correct answer is A: Increase your salt intake if an activity causes you to perspire heavily. Lithium carbonate can cause dehydration and electrolyte imbalances through increased sweating. By increasing salt intake during activities that lead to heavy perspiration, the client can help maintain electrolyte balance. Choice B is incorrect because wearing sunscreen does not directly relate to lithium carbonate use. Choice C is incorrect as drinking less fluid can exacerbate dehydration risks associated with lithium carbonate. Choice D is incorrect as strenuous activities may increase sweating and electrolyte loss, necessitating adjustments such as increasing salt intake.

Correct Answer: A

Rationale: The correct answer is A because it indicates a willingness to gain weight, which contradicts the typical behavior of someone with anorexia nervosa. Individuals with anorexia nervosa often have a fear of gaining weight and resist efforts to do so. Choice B is incorrect because it reflects the perfectionism often associated with anorexia nervosa. Choice C is incorrect because it reflects the fear of weight gain commonly seen in individuals with anorexia nervosa. Choice D is incorrect because it highlights the preoccupation with food and calories that is characteristic of anorexia nervosa.