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: B

Rationale: The correct answer is B: Determining the goals and outcome criteria. After formulating nursing diagnoses, the nurse's next action should be to establish clear goals and outcome criteria to guide the plan of care. This step ensures that the interventions are focused on achieving specific outcomes for the patient's health. Designing interventions (choice A) comes after setting goals. Implementing the nursing plan of care (choice C) is done after determining goals and interventions. Completing the spiritual assessment (choice D) is important but typically not the immediate next step after formulating nursing diagnoses.

Correct Answer: A

Rationale: The correct answer is A because it addresses the student's feelings of alertness and restlessness as being related to mild anxiety, which is common before tests. By explaining this and discussing helpful coping strategies, the nurse can provide reassurance and support. Choice B is incorrect as it is not necessary to involve a healthcare provider for mild anxiety symptoms. Choice C is incorrect because antioxidant supplements are not indicated for this situation. Choice D is incorrect as simply listening attentively may not address the underlying issue of anxiety.

Correct Answer: C

Rationale: The correct answer is C: Spirituality. The patient's statement reflects a deep connection to nature and the belief that nature holds valuable lessons. This aligns with the concept of spirituality, which involves seeking meaning and purpose in life beyond material possessions. The patient's emphasis on nature suggests a spiritual perspective that values interconnectedness and the wisdom of the natural world. Religiousness (A) typically refers to adherence to specific organized beliefs and practices. Tribal law (B) pertains to legal systems within specific cultural groups. Ecological values (D) focus more on environmental conservation and sustainability, rather than the spiritual or philosophical connection to nature expressed by the patient.

Correct Answer: C

Rationale: The correct answer is C: 'This must be a very difficult time for you.' This response shows empathy and acknowledges the patient's emotional state without making assumptions or imposing personal experiences. It validates the patient's feelings and allows them to express themselves further. Incorrect responses: A: Asking about the wife assumes the patient's emotional support solely relies on her, neglecting the patient's own emotions. B: Focusing on other children disregards the patient's grief and may minimize the significance of the loss. D: Sharing personal experiences can shift the focus from the patient to the nurse, potentially invalidating the patient's emotions.