Which is an example of the nontherapeutic block to communication of"requesting an explanation"?

Correct Answer: D

Rationale: The correct answer is D because it encourages the speaker to express their feelings and allows for open communication. It shows empathy and a willingness to understand the other person's perspective. A: A is an example of a leading question that assumes the speaker is angry due to someone else. B: B is an example of a judgmental question that implies the speaker's idea may be invalid. C: C is an example of a contradictory statement that may confuse the speaker and hinder communication.

Correct Answer: D

Rationale: The correct answer is D because it encourages the speaker to express their feelings and allows for open communication. It shows empathy and a willingness to understand the other person's perspective. A: A is an example of a leading question that assumes the speaker is angry due to someone else. B: B is an example of a judgmental question that implies the speaker's idea may be invalid. C: C is an example of a contradictory statement that may confuse the speaker and hinder communication.

Correct Answer: B

Rationale: The correct answer is B: Assess the patient for a history of renal problems. Elevated BUN and creatinine levels indicate possible renal dysfunction, which can manifest as psychiatric symptoms. By assessing the patient for a history of renal problems, the nurse can gather important information to help determine the underlying cause of the symptoms. This step is crucial in identifying and addressing any potential medical issues contributing to the psychiatric presentation. Incorrect choices: A: Reporting the findings to the health care provider is important, but assessing the patient for a history of renal problems should be done first. C: Assessing the patient's family history for cardiac problems is not relevant to the elevated BUN and creatinine levels. D: Hospitalization on the psychiatric unit may not address the underlying medical issue causing the symptoms; assessing for renal problems is more appropriate.

Correct Answer: B

Rationale: The correct answer is B: DSM-V. The DSM-V (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is the standard classification of mental disorders used by healthcare professionals, including nurses. It provides detailed diagnostic criteria for various mental health conditions, including anxiety disorders. The DSM-V is considered the most comprehensive and up-to-date resource for diagnosing mental health disorders. Incorrect Choices: A: Nursing Outcomes Classification (NOC) focuses on outcomes rather than diagnostic criteria for mental disorders. C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide diagnostic criteria. D: ICD-10 (International Classification of Diseases, Tenth Revision) is primarily used for coding and billing purposes and does not offer detailed diagnostic criteria for mental health disorders like anxiety disorders.

Correct Answer: C

Rationale: The correct answer is C: A domain of information. In the multiaxial diagnostic system of the DSM-IV-TR, each axis represents a specific domain of information for assessing an individual's mental health. Axis I represents clinical disorders, Axis II represents personality disorders and mental retardation, Axis III represents general medical conditions, Axis IV represents psychosocial and environmental stressors, and Axis V represents global assessment of functioning. The other choices are incorrect because they do not accurately describe the purpose of the axes in the multiaxial diagnostic system. A does not align with the purpose of the axes being domains of information, B is not relevant as the axes are not experimental designs, and D is incorrect as the axes do not represent laboratory test findings.