Which of the following is a therapeutic communication in response to 'I am a GOD, bow before me Or ill summon the dreaded thunder to burn you and purge you to pieces!'

Correct Answer: C

Rationale: Hello Mr. Tadle (C) is therapeutic, presenting reality gently identity and setting without confrontation. A corrects harshly, risking agitation. B reinforces delusion sarcastically. D probes the delusion, potentially escalating. C, per psychiatric nursing, reorients calmly, fostering trust, making it correct.

Correct Answer: B

Rationale: Health outcomes are results of care (B), per definition e.g., recovery rates. Not policy (A), skill (C), cost (D) effect-focused. B best defines outcomes' measure, making it correct.

Correct Answer: A

Rationale: Mania, a feature of bipolar disorder, involves hyperactivity and impulsivity, affecting eating habits. Finger foods (choice A) are portable, easy to eat, and suit restless patients who may not sit for meals, providing nutrition without utensils. Liquid foods (choice B) are less practical for high-energy states, better for sedation or dysphagia. Semi-solid foods (choice C) require more effort, while favourite foods (choice D) may encourage intake but aren't specific to mania's needs. A is correct, as finger foods match the patient's behavior, ensuring caloric intake amidst agitation. Nurses must offer such foods, monitor lithium levels if prescribed, and adapt care to mood swings, supporting nutritional stability.

Correct Answer: D

Rationale: A loose mask fit (D) requires immediate intervention in non-rebreather therapy, as it reduces oxygen delivery (target 60-95%), compromising efficacy. 10 L/min (A) is appropriate. SpO2 95% (B) is normal. Condensation (C) is manageable. Tightening the mask, per respiratory care, restores high-flow effectiveness.

Correct Answer: D

Rationale: A nurse wears a gown primarily when the patient's blood or body fluids may contaminate their clothing, adhering to standard precautions for infection control. This protects against pathogens e.g., during wound care or childbirth reducing transmission risk. Poor hygiene might prompt gloves or masks, but gowns target fluid exposure, not general cleanliness. Medication administration rarely involves fluid splash unless invasive (e.g., IV), not routine enough for gowns. AIDS alone doesn't mandate gowns unless fluid exposure is likely precautions are universal, not disease-specific. Fluid contact is the key trigger, as per CDC guidelines, ensuring nurse safety and preventing cross-contamination, making this the most precise scenario for gown use in clinical practice.

Correct Answer: B

Rationale: Chain of command is a structured reporting line (B), per nursing e.g., nurse to supervisor. Not alone (A), not emergency-only (C), not all (D) hierarchy-based. B truly defines its role, like Mr. Gary's care issues, making it correct.

Correct Answer: C

Rationale: The right arm is preferred e.g., standard practice unless contraindicated (e.g., IVs). Contraptions (interference), left arm post-right CVA (weakness), or left default don't apply. Nurses choose this e.g., in routine checks for consistency, per clinical guidelines.

Correct Answer: A

Rationale: Saying, 'You will be given medicine to relax you during the treatment,' is most therapeutic, addressing fear with reassurance about comfort and safety during electroconvulsive therapy (ECT), a common anxiety for clients. Detailing seizures, side effects, or post-treatment confusion might heighten fear rather than soothe it. Nurses use this approach to build trust, easing emotional distress while preparing clients for the procedure effectively.

Correct Answer: C

Rationale: Checking for a liquid form is the safest, least invasive option for dysphagia.