Which elements are included in the nurse-client contract?

Correct Answer: B

Rationale: The correct answer is B because during the orientation phase of the nurse-client relationship, the purpose and goals of the interaction are established, setting the foundation for the therapeutic relationship. In contrast, choice A refers to the pre-interaction phase where the roles of both parties are clarified, not the contract itself. Choice C involves the working phase, which focuses on achieving the established goals, not termination conditions. Choice D pertains to the termination phase where the relationship is concluded, not where discharge criteria are set. Therefore, B is correct as it directly relates to the establishment of the purpose of the interaction in the nurse-client contract.

Correct Answer: C

Rationale: The correct answer is C: Obtain the patient's permission for the exchange of information. This is the case manager's first action because it ensures the patient's autonomy and right to privacy are respected. It is crucial to obtain the patient's permission before discussing their treatment plan with the family to maintain trust and confidentiality. Without the patient's consent, sharing sensitive information with the family could breach ethical and legal boundaries. In contrast: A: Determining an appropriate location is important but not the first step. B: Supporting the discussion with examples of the patient's behavior is relevant but not as critical as obtaining consent. D: Deciding which family members should participate is premature without the patient's approval.

Correct Answer: C

Rationale: The correct answer is C because it reflects active listening and empathy. The nurse acknowledges the patient's feelings and opens the door for further discussion. Choice A dismisses the patient's feelings and may come off as insensitive. Choice B provides positive reinforcement but overlooks the patient's emotional state. Choice D generalizes the patient's feelings without addressing their specific concerns. Overall, choice C encourages the patient to express their thoughts and promotes therapeutic communication.

Correct Answer: C

Rationale: The correct answer is C because there is a historical link between the first nursing program to admit male students and the first training school for psychiatric nursing. This is important to include in a discussion of the history of psychiatric-mental health nursing as it highlights the progressive nature of nursing education and the integration of male nurses into psychiatric nursing. This connection showcases the evolution of psychiatric nursing training and its significance within the broader history of nursing education. Choices A, B, and D are incorrect: A: Certification for the psychiatric-mental health nursing specialty was not first emphasized by Mary Adelaide Nutting. This statement does not align with the historical development of psychiatric nursing education. B: Psychiatric nurses' role in deinstitutionalization and community mental health centers is not directly related to the history of psychiatric-mental health nursing education, making this choice irrelevant. D: The establishment of the first graduate program in psychiatric nursing in response to psychiatric nursing specialty journals is not historically accurate, as the first training school for psychiatric nursing

Correct Answer: D

Rationale: The correct answer is D: Develop unconditional positive regard for the client. In Carl Rogers' theory, unconditional positive regard refers to the therapist's genuine acceptance and support of the client without judgment. This helps create a safe and trusting therapeutic relationship, leading to client growth and self-actualization. Providing validation of terminology (A) may be important but is not the primary focus. Focusing on instinctual drives (B) is more aligned with Freudian theory, not Rogers'. Recognizing basic needs (C) is essential, but it does not capture the essence of Rogers' emphasis on unconditional positive regard.