Which nursing intervention best builds a therapeutic nurse-client relationship?

Correct Answer: A

Rationale: The correct answer is A because actively listening allows the nurse to show empathy, understanding, and respect towards the client, which are essential for building a therapeutic relationship. By actively listening, the nurse can demonstrate genuine interest in the client's thoughts and feelings, fostering trust and rapport. Choice B is incorrect as intervening when the client expresses beliefs from their illness may disrupt the client's expression and hinder the development of trust. Choice C is incorrect because evaluating behaviors and relationships may create a sense of judgment and lack of privacy, which can be detrimental to the therapeutic relationship. Choice D is incorrect because passively allowing the client to control communication may lead to a lack of direction and boundaries, potentially hindering effective communication and rapport-building.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates the systematic and consistent implementation of evidence-based practice guidelines in documenting negative responses to suicidal ideation assessments for clients diagnosed with depression. This approach ensures that crucial information is captured regularly, aiding in monitoring and managing the clients' mental health effectively. Choice B focuses on the outcome of a specific treatment but does not directly address the implementation of evidence-based practice guidelines. Choice C expresses personal satisfaction rather than adherence to guidelines. Choice D reflects the client's subjective opinion and does not provide evidence of following specific guidelines. Thus, A is the correct choice as it directly relates to evidence-based practice implementation.

Correct Answer: D

Rationale: The correct answer is D because it highlights the current status of the benefit of family involvement for individuals who are mentally ill. It acknowledges that while the benefits of family involvement are well documented, the actual service is not consistently offered in most mental health systems. This indicates a gap between research evidence and practical implementation, hindering the full realization of the benefits. Explanation for why other choices are incorrect: A: Incorrect because although confidentiality laws like HIPAA may pose challenges, they do not necessarily limit family involvement entirely. B: Incorrect because family involvement is crucial throughout the mental health journey, not just after stabilization. C: Incorrect because with proper support and resources, families can have a significant impact on the mental health of their loved ones.

Correct Answer: D

Rationale: The correct answer is D because psychiatric nurses must understand the unique needs of the mentally ill to effectively advocate for them. By recognizing the value of their understanding, nurses can tailor their advocacy efforts to address these specific needs. Choice A is incorrect as legislative knowledge is important but not the primary requirement. Choice B is incorrect as partnership with the AMA is not necessary for advocacy. Choice C is incorrect as unity alone is not sufficient without a clear understanding of the mental health issues.

Correct Answer: C

Rationale: The correct answer is C because trauma to the cerebral cortex can lead to difficulties understanding and interpreting language, resulting in the client's statement of confusion about the idiom "raining cats and dogs." This type of injury can affect the client's language comprehension and expression. Choice A is incorrect because crying into a pillow is not directly related to trauma in the cerebral cortex. Choice B is incorrect as involuntary twitching of facial muscles is more indicative of motor-related issues, not language comprehension problems. Choice D is also incorrect as forgetting an address is more related to memory issues rather than language comprehension problems resulting from cerebral cortex trauma.