Which nurse-client communication-centered skill implies"respect"?

Correct Answer: A

Rationale: Step-by-step rationale for why choice A is correct: 1. Choice A emphasizes the nurse's regard for the client as a person of worth, emphasizing respect. 2. It highlights valuing and accepting the client without any conditions or reservations. 3. Demonstrates the core aspect of respect in communication, acknowledging the client's intrinsic value. 4. Reflects a fundamental principle of client-centered care, fostering a positive and supportive relationship. Summary of why other choices are incorrect: B. While understanding the client's perspective is important, it focuses more on empathy than respect. C. Self-congruence and authenticity are important but do not directly address respect for the client. D. Using specific terminology is valuable for clarity but does not directly relate to demonstrating respect for the client as a person of worth.

Correct Answer: B

Rationale: The correct answer is B: Care is centered on the patient. QSEN emphasizes patient-centered care in the treatment of mental illness. This approach involves understanding and addressing the patient's unique needs, preferences, and values to provide individualized and effective care. It focuses on fostering a therapeutic relationship between healthcare providers and patients to enhance treatment outcomes. Explanation of why other choices are incorrect: A: All genomes are unique - This statement is not directly related to the specific component of treatment recognized by QSEN. C: Healthy development is vital to mental health - While healthy development may contribute to mental health, it is not the specific component highlighted by QSEN. D: Recovery occurs on a continuum from illness to health - While recovery is an important aspect of mental health treatment, it is not the specific component emphasized by QSEN, which is patient-centered care.

Correct Answer: A

Rationale: The correct answer is A: Acute inpatient setting. Solution-focused therapy is typically used in brief treatment settings where immediate solutions are needed, making it suitable for acute inpatient settings. It focuses on identifying and building upon the client's strengths to facilitate rapid problem-solving. In contrast, community settings (B), clinic settings (C), and home care settings (D) may involve longer-term care and may not prioritize the rapid resolution of issues, making them less likely settings for solution-focused therapy.

Correct Answer: C

Rationale: Correct Answer: C - Usually, you can anticipate that you will begin to react to things more slowly. Rationale: 1. Aging is a natural process that affects everyone. 2. As people age, physiological changes occur, impacting reaction times. 3. Slower reactions are common due to changes in the nervous system. 4. This response is appropriate as it addresses a normal aging change. Summary: A - Incorrect: Overly reassuring, does not acknowledge normal aging changes. B - Incorrect: Personality may remain stable, intelligence does not necessarily lessen. D - Incorrect: Unrealistic, generalized statement about becoming childlike.

Correct Answer: C

Rationale: Rationale: Choice C, giving the client enalapril 2.5 mg PO twice daily, is the correct answer as it is a common prescription for managing congestive heart failure by reducing workload on the heart. Enalapril is an ACE inhibitor that helps decrease blood pressure and improve heart function. It is crucial in managing symptoms and improving outcomes for clients with congestive heart failure. Choices A, B, and D are incorrect because they do not address the underlying issue of heart failure or follow evidence-based guidelines for treatment. Monitoring respiratory rate, giving IV bolus, or monitoring pulse rate are important but do not directly address the management of congestive heart failure as effectively as prescribing enalapril.

Correct Answer: A

Rationale: Step-by-step rationale for why choice A is correct: 1. Choice A emphasizes the nurse's regard for the client as a person of worth, emphasizing respect. 2. It highlights valuing and accepting the client without any conditions or reservations. 3. Demonstrates the core aspect of respect in communication, acknowledging the client's intrinsic value. 4. Reflects a fundamental principle of client-centered care, fostering a positive and supportive relationship. Summary of why other choices are incorrect: B. While understanding the client's perspective is important, it focuses more on empathy than respect. C. Self-congruence and authenticity are important but do not directly address respect for the client. D. Using specific terminology is valuable for clarity but does not directly relate to demonstrating respect for the client as a person of worth.

Correct Answer: D

Rationale: The correct answer is D: "Do you find it difficult to control your worrying?" This question is most appropriate because it directly assesses one of the key symptoms of generalized anxiety disorder, which is excessive and uncontrollable worrying. By asking this question, the nurse can gather crucial information to help confirm the diagnosis. A: "Have you been a victim of a crime or seen someone badly injured or killed?" - This question is more relevant to assessing symptoms of post-traumatic stress disorder rather than generalized anxiety disorder. B: "Do you feel especially uncomfortable in social situations involving people?" - This question is more indicative of social anxiety disorder rather than generalized anxiety disorder. C: "Do you repeatedly do certain things over and over again?" - This question is more aligned with symptoms of obsessive-compulsive disorder rather than generalized anxiety disorder.

Correct Answer: D

Rationale: The correct answer is D: Axis IV. Axis IV in DSM-IV is used to assess psychosocial and environmental stressors impacting the individual. Mrs. Green's recent experiences of her dog's death and her mother's cancer diagnosis are significant stressors that would be categorized under Axis IV. These stressors can contribute to her current mental health condition and treatment plan. Choice A (Axis I) refers to clinical disorders, which are not directly related to external stressors. Choice B (Axis II) pertains to personality disorders, which are not the focus here. Choice C (Axis III) involves general medical conditions, which are not the primary concern in this scenario. Hence, the correct choice is D as it specifically addresses the psychosocial stressors impacting Mrs. Green's mental health.

Correct Answer: C

Rationale: The correct answer is C: Ask the patient, 'Do you have any plan to hurt yourself or anyone else?' This is the initial intervention because it assesses the patient's risk of harm. It is crucial to determine if the patient has any suicidal ideation or intent. This question helps gauge the level of risk and informs the appropriate level of intervention. Explanation for why the other choices are incorrect: A: Advising the patient about available services is important but not the initial step when assessing immediate risk. B: Asking about past experiences with depression is not as critical as assessing the current risk of harm. D: Assuring the patient of safety is important, but directly addressing the possibility of harm is more urgent in crisis intervention.