Which nursing action demonstrates the role of the teacher in a therapeutic milieu?

Correct Answer: B

Rationale: The nursing action that demonstrates the role of the teacher in a therapeutic milieu is when the nurse holds a group meeting to present common side effects of psychiatric medications (choice B). In a therapeutic milieu, teaching is an essential aspect of assisting clients in understanding their condition, treatment, and promoting recovery. By providing education on the common side effects of psychiatric medications in a group setting, the nurse is fulfilling the role of a teacher by imparting important information that can help clients make informed decisions about their treatment. This type of education empowers clients to actively participate in their care and promotes collaboration between clients and healthcare providers. Additionally, presenting information in a group setting allows for peer support and the opportunity for clients to learn from one another's experiences, fostering a sense of community and mutual understanding within the therapeutic environment.

Correct Answer: A

Rationale: The statement "You appear to be talking to someone I do not see" is an example of making observations. This therapeutic communication technique involves stating specific behaviors or symptoms that the nurse has noticed. In this case, the nurse is observing the client's actions without making any assumptions or judgments. By using this technique, the nurse acknowledges the client's experience of hearing voices without dismissing or confirming the presence of hallucinations. This approach helps in building trust and rapport with the client while encouraging further discussion about their symptoms.

Correct Answer: D

Rationale: Option D provides objective feedback to the client by stating specific observable behaviors during the angry outburst. This type of feedback is essential when working with individuals with antisocial personality disorder as it helps them understand the consequences of their actions in a straightforward and non-judgmental manner. By pointing out the actual behaviors displayed by the client, the nurse can encourage self-awareness and reflection, which are important steps towards managing and addressing anger issues. This feedback also avoids making assumptions or passing judgment on the client, fostering a more constructive and supportive therapeutic relationship.

Correct Answer: A

Rationale: In the planning phase of the nursing process, it is essential to involve the patient in their care plan and decision-making process. Option A, "We've discussed past coping skills. Let's see if these coping skills can be effective now," is an example of a therapeutic communication technique that encourages the patient's involvement in planning their care. By acknowledging the patient's past coping skills and suggesting to explore their effectiveness in the present situation, the nurse empowers the patient to be an active participant in their own care planning. This approach fosters collaboration and helps the patient feel supported and in control of their treatment plan.

Correct Answer: C

Rationale: The purpose of the nurse's therapeutic communication technique in asking the client to share more about what led up to their hospitalization is to explore the subject, idea, experience, or relationship that brought the client to seek treatment. By encouraging the client to provide more details about their experiences and the events leading to hospitalization, the nurse aims to gain a deeper understanding of the client's situation. This information is crucial in developing an effective care plan and building a therapeutic relationship based on trust and empathy.