Which patient statement indicates the helpfulness of the nurse-patient relationship?

Correct Answer: A

Rationale: The correct answer is A because the patient expresses gratitude for the nurse's support, acknowledges increased understanding, and demonstrates empowerment in managing their issue. This indicates a positive and effective nurse-patient relationship. Choice B focuses on seeking advice rather than mutual understanding. Choice C highlights the nurse's role in controlling anxiety, overshadowing the patient's agency. Choice D emphasizes sympathy from the nurse rather than the patient's growth and understanding.

Correct Answer: D

Rationale: The correct answer is D: interpretation of client care data. Nurses' critical thinking involves analyzing and interpreting client care data to make informed decisions. This process helps nurses identify problems, establish priorities, and develop effective care plans. It is essential for providing individualized and evidence-based care. Explanation for why other choices are incorrect: A: Standardization of all nursing care limits flexibility and does not account for unique client needs. B: Elimination of future client needs is not a realistic goal of critical thinking in nursing. C: Memorization of nursing care plans is important, but it does not fully capture the value of critical thinking in nursing, which involves more than just rote memorization.

Correct Answer: D

Rationale: The correct answer is D because it reflects the key principles of reality therapy, which focuses on personal responsibility and choices. In this dialogue, the nurse is helping the client explore their behavior and choices that led to the consequence of losing their pass. By asking the client about their actions and readiness for the pass, the nurse is encouraging self-reflection and accountability. This approach aligns with reality therapy's emphasis on helping clients understand how their choices impact their lives. Choices A, B, and C are incorrect because they do not directly address personal responsibility and choice. Choice A focuses on offering a relaxation exercise without addressing the client's role in managing their anxiety. Choice B focuses on exploring the client's past experiences with punishment but does not guide the client towards self-reflection on their current behavior. Choice C suggests discussing anxiety without directly addressing the client's choices or accountability.

Correct Answer: D

Rationale: The correct answer is D: "Probing." Probing involves persistently questioning and pushing for answers from the client, similar to how demanding proof challenges the client. Probing seeks to uncover deeper insights or information, even if the client may not initially wish to discuss it. A: "Advising" is incorrect because advising involves offering guidance or recommendations to the client, which is different from persistent questioning. B: "Defending" is incorrect as it involves supporting or justifying the client's actions or positions, not pushing for more information. C: "Rejecting" is incorrect as it involves dismissing or refusing the client's input or requests, not actively seeking more information like probing does.

Correct Answer: D

Rationale: The correct answer is D: Clinical epidemiology. Clinical epidemiology involves studying the outcomes of interventions in patient groups, which is evident in this scenario. The nurse is part of a team measuring outcomes in depressed patients receiving different treatment approaches. A: Incidence refers to the rate of occurrence of new cases in a population over a specified period. This study is not focused on new cases but rather on the outcomes of interventions. B: Prevalence refers to the proportion of a population found to have a condition at a specific point in time. This study is not assessing the prevalence of depression but rather the outcomes of different treatment approaches. C: Comorbidity refers to the presence of two or more conditions in a patient. While comorbidity may be relevant in this study, the main focus is on the outcomes of interventions rather than the presence of multiple conditions. In summary, the study described involves evaluating outcomes of interventions in depressed patients, aligning with the principles of clinical epidemiology.