What is a key role of nurses in the provision of adjunctive treatments for mental illness?

Correct Answer: C

Rationale: The correct answer is C: monitoring client treatment adherence. Nurses play a key role in ensuring patients comply with their treatment plans. This involves monitoring medication intake, therapy attendance, and following through with other recommended interventions. Nurses do not have the authority to prescribe medication (choice A) or perform surgical procedures (choice D). While some nurses may be trained in providing counseling, conducting psychotherapy sessions (choice B) is typically the role of licensed therapists or psychologists.

Correct Answer: B

Rationale: The correct answer is B because exploring self is a crucial task in the orientation phase of the nurse-client relationship. By exploring personal misconceptions or prejudices, the nurse can identify any biases that may affect their care delivery. This self-awareness helps the nurse maintain objectivity and provide nonjudgmental care. Determining why the client sought help (A) is part of the assessment phase, assisting the patient in behavioral change (C) is typically associated with the working phase, and establishing and preparing the client for the reality of separation (D) is part of the termination phase.

Correct Answer: C

Rationale: The correct answer is C because it respects the client's right to autonomy and confidentiality. By offering to see if Mr. Hawkins wants to talk, the nurse is acknowledging his autonomy to make decisions about who he interacts with. This response also maintains confidentiality by not confirming or denying his presence without his consent. Choice A is incorrect as it does not respect Mr. Hawkins' autonomy and does not offer him the choice to speak with the caller. Choice B is incorrect because it does not protect Mr. Hawkins' confidentiality by potentially revealing his presence. Choice D is incorrect as it does not consider Mr. Hawkins' wishes and simply denies the call without involving him in the decision-making process.

Correct Answer: A

Rationale: The correct answer is A because waving fists, cursing, and shouting threats indicate aggressive and confrontational behavior, which are common signs of a behavioral crisis. This behavior poses a potential threat to others and requires immediate intervention. In contrast, choices B and C show distress or withdrawal, not crisis-level behavior. Choice D depicts an unusual behavior but does not necessarily indicate a crisis. In summary, the correct answer best aligns with the aggressive and threatening behavior typically seen in a behavioral crisis.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates active listening and seeks confirmation from the patient, ensuring accurate understanding. Asking if the nurse's understanding is correct encourages the patient to clarify any misunderstandings. This approach fosters effective communication and a therapeutic relationship. A: Asking about common elements may not address the specific concerns shared by the patient. B: Asking the patient to repeat their experiences may come off as dismissive or imply the nurse wasn't listening attentively. D: Requesting the patient to start from the beginning may be unnecessary and may not address the current concerns the patient is sharing.