When the nurse focuses on a client's specific behavior rather than on the individuality of the client, the nurse is using a strategy of nonthreatening feedback. Which of the following nursing statements are examples of this strategy? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A because it focuses on the specific behavior (throwing the book) rather than making a general statement about the client. This approach acknowledges the client's emotions (anger) while addressing the behavior as unacceptable. This feedback is nonthreatening as it separates the behavior from the individual, allowing for constructive discussion without attacking the client's character or making sweeping judgments. Explanation of why other choices are incorrect: B: This statement makes a sweeping judgment about the client being manipulative without addressing specific behaviors, which can be threatening and unhelpful. C: This statement generalizes the client as irresponsible without focusing on specific behaviors, which may be perceived as judgmental and threatening. D: This statement assumes the client is drug-seeking based on a single behavior without exploring underlying reasons or addressing the behavior specifically, which can be perceived as accusatory and threatening.

Correct Answer: C

Rationale: The correct answer is C because ECT does use electrical stimulation to targeted areas of the brain, leading to seizure activity and therapeutic effects. Choice A is incorrect because ECT does require informed consent. Choice B is incorrect as ECT is actually used to treat severe cases of major depression. Choice D is incorrect as ECT does not use transcranial magnetic stimulation; it uses electrical currents.

Correct Answer: C

Rationale: The correct answer is C because asking the patient to use a daily log to record feelings and circumstances related to urges to purge promotes self-awareness and insight into triggers. This intervention helps the patient develop coping strategies and identify patterns that contribute to the behavior. Choice A focuses on monitoring physical aspects, which may not address the underlying emotional issues. Choice B promotes weight gain, which is not the primary goal in treating bulimia nervosa. Choice D may not address the emotional and psychological aspects of the disorder. In summary, choice C is the most effective in promoting independence by empowering the patient to understand and manage their impulses.

Correct Answer: B

Rationale: The correct answer is B: "What did you experience just before and during the attack?" This question is appropriate because it helps gather information about the client's triggers and symptoms during the panic attack, aiding in identifying potential causes and providing appropriate interventions. By understanding the client's experience before and during the attack, the nurse can better assess the situation and provide personalized care. Incorrect Choices: A: "Are you feeling much better now that you are lying down?" - This question does not address the client's experience or provide insight into the panic attack triggers or symptoms. C: "Do you think you will be able to drive home?" - This question is not a priority at the initial assessment and does not focus on understanding the client's condition. D: "What do you think caused you to feel this way?" - While this question is relevant, it is not as specific as asking about the experience before and during the attack, which can provide more immediate information for intervention.

Correct Answer: D

Rationale: The correct answer is D because it addresses the specific concern of the client with schizophrenia who also abuses alcohol. By monitoring and reporting any side effects, the nurse can ensure that the client's prescribed medications are adjusted or changed as needed to prevent him from stopping his medication, which could lead to relapse. This approach promotes medication adherence and overall stability, thus reducing the risk of relapse. Option A is incorrect because it lacks proactive measures to support the client's recovery. Option B focuses solely on avoiding triggers related to delusional thinking and does not address the dual diagnosis of schizophrenia and alcohol abuse. Option C, while beneficial, may not fully address the client's unique needs and challenges related to his dual diagnosis.