When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations?

Correct Answer: C

Rationale: The correct answer is C: Reflecting on personal behaviors and personal needs. This is crucial as Peplau emphasized the importance of self-awareness and understanding one's own biases to maintain a patient-centered approach. By reflecting on personal behaviors and needs, the nurse can ensure that their own issues do not interfere with the therapeutic relationship. Assessing for unexpressed concerns (A) is important but not directly related to focusing on the patient. Evaluating additional training (B) is important but not specific to maintaining the patient as the focus. Avoiding power struggles (D) is important but does not address the need for self-reflection to keep the patient at the center of therapeutic conversations.

Correct Answer: B

Rationale: The correct answer is B: Patient-centered medical home. This option is appropriate because it offers comprehensive, coordinated, and patient-centered care, which is crucial for addressing the patient's sleep difficulties. The patient's primary care provider can coordinate care, ensuring all her medical and emotional needs are met, including managing stress associated with divorce. Incorrect choices: A: Assertive community treatment is more suitable for individuals with severe mental illnesses who require intensive community-based support. C: Psychiatric home care is typically for individuals with severe mental health issues requiring specialized psychiatric services at home. D: While the primary care provider is essential, simply referring the patient back to them may not address the underlying causes of her sleep difficulties comprehensively.

Correct Answer: C

Rationale: The correct answer is C because asking the patient what role spirituality plays in daily life shows understanding of the initial action in assessing spiritual beliefs. This approach allows the nurse to gather information directly from the patient, which is essential in understanding individual beliefs. Choice A may assume the patient's beliefs, choice B involves outside intervention, and choice D focuses on providing care rather than assessing beliefs.

Correct Answer: A

Rationale: The correct answer is A: Emergency department records. Renata, as Amadi's nurse, can obtain more data on his condition from the emergency department records because they may contain relevant information about his psychiatric evaluation at the time of the court order. It is within legal parameters since it pertains to his current treatment. B: Police records related to the offense are not directly related to Amadi's psychiatric condition and may not provide necessary medical information. C: Calling his family in Africa for details is a breach of patient confidentiality and violates legal and ethical boundaries. D: Past medical records in the current facility may be limited in scope, as mentioned in the question, and may not provide a comprehensive understanding of Amadi's condition.

Correct Answer: A

Rationale: The correct answer is A: Auditory. During an admission assessment and interview, the nurse should monitor auditory communication channels to listen to the patient's verbal responses, tone, and any additional information provided through spoken words. This is crucial to gather accurate information and assess the patient's condition effectively. Incorrect options: B: Visual - While visual cues are important, auditory communication is more critical in an interview to understand the patient's verbal responses. C: Written - Written communication is not typically used during an interview process and is less immediate compared to auditory communication. D: Tactile - Tactile communication involves touch and is not commonly used during an interview process.