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: In the context of adult behavioral health nursing and the principles of Hildegard Peplau, the correct answer is option C) Reflecting on personal behaviors and personal needs. This activity is important because it helps the nurse maintain self-awareness and mindfulness during therapeutic interactions with patients. By reflecting on personal behaviors and needs, the nurse can better understand their own biases, emotions, and reactions, which can impact the therapeutic relationship. Option A) Assessing the patient for unexpressed concerns and fears is important in therapeutic conversations, but it does not directly address how the nurse can ensure that the patient remains the focus of the conversation. Option B) Evaluating the possible need for additional training and education is important for professional development but does not directly relate to keeping the patient as the primary focus of therapeutic conversations. Option D) Avoiding power struggles with the manipulative patient is important in maintaining therapeutic boundaries, but it does not directly address how to ensure the patient remains the focus of conversations. Educationally, understanding the significance of self-reflection in nursing practice is crucial for developing therapeutic communication skills and establishing effective nurse-patient relationships. By prioritizing self-awareness and personal reflection, nurses can enhance their ability to provide patient-centered care and promote positive outcomes in behavioral health settings.

Correct Answer: A

Rationale: The correct answer is A) An Alternative-to-Discipline (ATD) program. This type of program is specifically designed to support healthcare professionals, like nurses, who have completed a drug treatment program and are returning to work. The ATD program focuses on providing monitoring, support, and resources to ensure the nurse's successful reintegration into the workplace while maintaining patient safety. Option B) A drug recovery support group, while beneficial for ongoing support, is not a structured program aimed at reentry into the workforce. It lacks the comprehensive monitoring and oversight provided by an ATD program. Option C) An early-release incarceration program is unrelated to a nurse returning to work after completing drug treatment. This option is focused on individuals in the criminal justice system and does not address the specific needs of healthcare professionals. Option D) An involuntary long-term residential treatment program is not tailored to the needs of a nurse returning to work. This type of program is typically for individuals who require intensive, long-term treatment and does not address the nuances of professional reentry. In an educational context, it is crucial for healthcare professionals to understand the importance of specialized programs like ATD in supporting their recovery and successful return to practice. Nurses need to be aware of the resources available to them for a safe and effective reintegration process, which ultimately benefits both the individual nurse and the patients they care for.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Codependency. Codependency refers to a dysfunctional relationship where one person enables another's addiction, poor mental health, or irresponsible behavior. In this case, the client's partner demanding access to the client's records and asserting control over the treatment plan demonstrates a codependent behavior by trying to take responsibility for the client's well-being to an unhealthy extent. Option B) Marginalization is incorrect because it refers to the act of pushing someone to the edge of a group or society, which is not reflected in the partner's behavior in this situation. Option C) Manipulation is incorrect as there is no clear evidence of the partner using deceitful means to control the situation. Option D) Enabling is also incorrect as enabling typically involves supporting or allowing destructive behaviors, which is not explicitly described in the scenario. From an educational standpoint, understanding behaviors like codependency is crucial for nurses working in behavioral health settings. Recognizing these patterns helps nurses provide appropriate support and interventions to promote the well-being of both the client and their family members. By identifying codependent behaviors, nurses can engage in therapeutic communication and set healthy boundaries to ensure the best possible outcomes for all involved parties.

Correct Answer: D

Rationale: In caring for a client experiencing panic-level anxiety, the nurse should expect all of the following findings: depersonalization, hyperventilation, and tachycardia. Depersonalization is a common symptom in individuals experiencing severe anxiety, where they may feel detached from themselves or their surroundings. Hyperventilation is a physiological response to anxiety where rapid breathing can lead to dizziness, lightheadedness, and tingling sensations. Tachycardia, or a rapid heart rate, is another common manifestation of anxiety, as the body's fight-or-flight response is activated. Choosing option D as the correct answer is supported by the fact that all of these findings are commonly associated with panic-level anxiety. Options A, B, and C are incorrect because they represent individual symptoms that are typically seen in individuals experiencing panic attacks, but they do not encompass the full range of expected findings in this situation. In an educational context, understanding the comprehensive set of symptoms associated with panic-level anxiety is crucial for nurses working in behavioral health settings. Recognizing and managing these symptoms effectively can improve patient outcomes and facilitate a therapeutic environment for individuals experiencing acute anxiety episodes.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Antisocial personality disorder. The aggressive behavior exhibited by the client in the bar, leading to involvement of law enforcement, aligns with the key characteristics of antisocial personality disorder, such as impulsivity, aggression, and disregard for social norms and the rights of others. Option A) Borderline personality disorder is characterized by instability in relationships, self-image, and emotions, often leading to impulsive actions in a state of emotional dysregulation. This disorder is not typically associated with the level of aggression described in the scenario. Option B) Narcissistic personality disorder involves a pattern of grandiosity, need for admiration, and lack of empathy. While individuals with this disorder may display arrogance and a sense of entitlement, it is not typically associated with the level of aggression described. Option C) Histrionic personality disorder is characterized by excessive emotionality and attention-seeking behavior. While individuals with this disorder may seek attention in social situations, it is not typically associated with the level of aggression described in the scenario. Understanding the distinctions between these personality disorders is crucial for nurses working in behavioral health settings. Recognizing the specific behaviors and characteristics associated with each disorder helps nurses tailor their care interventions effectively to meet the unique needs of clients with different personality disorders. In this case, identifying the client's behavior as consistent with antisocial personality disorder guides the nurse in developing a care plan focused on managing aggression, promoting safety, and setting clear boundaries.