Which action reflects therapeutic practices associated with operant conditioning?

Correct Answer: D

Rationale: The correct answer is D because it reflects the principles of operant conditioning by utilizing positive reinforcement. By acknowledging the verbally aggressive patient for complimenting another patient's drawing, you are reinforcing a positive behavior (complimenting) to increase the likelihood of it recurring. This aligns with operant conditioning's concept of reinforcing desired behaviors to promote learning and behavior change. Choices A, B, and C do not directly reflect operant conditioning principles. A focuses on promoting a love for learning through reading, which is more related to classical conditioning. B involves journaling to express feelings, which is more aligned with cognitive-behavioral therapy. C suggests cuddling a newborn, which is more about bonding and attachment rather than operant conditioning.

Correct Answer: B

Rationale: The correct answer is B: Care for hard-to-engage, seriously ill patients. ACT is an evidence-based, multidisciplinary approach designed for individuals with severe mental illnesses who have difficulty engaging with traditional mental health services. It offers intensive, team-based support to address the complex needs of this population, including housing, medication management, and social support. This approach is particularly beneficial for homeless individuals with schizophrenia, as it provides ongoing, personalized care to help them stabilize and reintegrate into the community. Incorrect choices: A: Psychiatric home care - ACT is not limited to home care but involves a comprehensive, community-based approach. C: Outpatient community mental health center care - While ACT involves community-based care, it is more intensive and individualized than standard outpatient services. D: A comprehensive emergency service model - ACT is focused on providing ongoing, long-term support rather than emergency services.

Correct Answer: A

Rationale: Step 1: Asking the patient about treatment expectations demonstrates patient-centered care, a core QSEN competency. Step 2: Patient involvement in decision-making enhances safety and quality of care. Step 3: It promotes effective communication and collaboration, key QSEN competences. Step 4: Seeking recertification for CPR is important but not directly related to QSEN competencies. Step 5: Monitoring social media is not a reliable source for healthcare opinions and does not reflect QSEN principles. Step 6: Consulting with a dietician about cultural preferences aligns with cultural competence but is not specific to all QSEN competencies.

Correct Answer: A

Rationale: The correct answer is A: Spirituality. Spirituality encompasses a wider range of beliefs, practices, and experiences, including personal connections, meaning in life, and inner peace. Religion is more structured and associated with specific organized practices and beliefs. Choice C is too specific, focusing on physical places of worship. Choice D is incorrect as spirituality is broader than religion.

Correct Answer: A

Rationale: The correct answer is A because effective nurse-patient communication is based on conveying genuine acceptance, respect, and concern for the patient's situation. This principle helps build trust and rapport, leading to better outcomes. Choice B is incorrect because patients value both talking and listening in communication. Choice C is incorrect as any comment, regardless of patient history, can impact them emotionally. Choice D is incorrect as it makes a generalization about people with mental illness and forgiveness tolerance, which is not relevant to nurse-patient communication.