Which remark by a group participant would the nurse expect during the working stage of group therapy?

Correct Answer: D

Rationale: In the working stage, members actively interact to help each other accomplish goals, and because trust has developed, conflict and disagreement can be expressed. Focusing on trust and confidentiality typically occur in the orientation phase as part of establishing group norms. Commonality and universality are also themes typically expressed in the orientation phase, whereas reflecting on progress is a task addressed in the termination phase.

Correct Answer: D

Rationale: In the context of providing care for a terminally ill client, assessing and supporting the client's spiritual distress is crucial for holistic nursing practice. Option D, "Avoiding discussing spirituality to avoid confusion and conflict," is the correct answer to the question as it goes against the principles of person-centered care and holistic nursing. Discussing spirituality with terminally ill clients allows nurses to understand their beliefs, values, and needs, which is essential for providing individualized and culturally sensitive care. Avoiding this discussion can lead to overlooking important aspects of the client's well-being and can hinder the establishment of a trusting nurse-client relationship. Options A, B, and C are all important strategies for assessing and supporting a client's spiritual distress. Asking about the client's spiritual practices and preferences, connecting them to spiritual support persons, and incorporating prayer or religious practices into care when appropriate are all ways to address the spiritual needs of terminally ill clients. These actions can provide comfort, solace, and a sense of connection to something larger than themselves, which can be especially meaningful during end-of-life care. In an educational context, it is important for nursing students to understand that spiritual care is an integral part of holistic nursing practice. By recognizing and addressing the spiritual needs of clients, nurses can provide comprehensive and compassionate care that respects the whole person. Avoiding discussions about spirituality can limit the quality of care provided and overlook important aspects of a client's well-being.

Correct Answer: B

Rationale: In the clinical setting, addressing abuse and violence is crucial for the well-being of patients. Option B, providing support and resources for victims, is the correct choice. By offering support and resources, healthcare professionals can help victims of abuse access the help they need to break free from abusive situations, ensuring their safety and promoting healing. Option A, ensuring confidentiality for the abuser, is incorrect as the priority should be on the safety and well-being of the victim, not protecting the abuser. Confidentiality should be maintained for the victim, not the perpetrator. Option C, ignoring signs of abuse to respect privacy, is also incorrect. It is essential to recognize and address signs of abuse proactively to protect the victim and prevent further harm. Respecting privacy should not come at the cost of patient safety. Option D, minimizing documentation of abuse cases, is not the right approach. Proper documentation is essential for tracking patterns of abuse, ensuring continuity of care, and providing legal support if needed. In an educational context, it is crucial for healthcare professionals to understand the importance of recognizing and addressing abuse and violence in the clinical setting. Training on how to identify signs of abuse, protocols for reporting and responding to abuse, and connecting patients with appropriate support services are essential components of providing comprehensive and compassionate care. By choosing the correct option, healthcare professionals can play a vital role in supporting victims and promoting a safe and healing environment for all patients.

Correct Answer: B

Rationale: The asylum was meant to be a safe haven with food, shelter, and humane treatment for the mentally ill. Asylums were not used to improve treatment of mental disorders or to punish mentally ill people who were believed to be possessed. The asylum was not created to remove the dangerously mentally ill from the community.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) medical management of symptoms. When treating mild anxiety disorders in a community mental health center, the focus is often on pharmacological interventions to help alleviate symptoms. Medications such as antidepressants or anti-anxiety drugs may be prescribed by a psychiatrist to help manage the client's anxiety. Option B) daily psychotherapy is less likely to be the primary treatment for mild anxiety disorders in a community mental health center. While therapy can be a valuable adjunct to treatment, it is not typically the first line of intervention for mild cases. Option C) constant staff supervision is not a common treatment approach for mild anxiety disorders. Clients with mild anxiety disorders can typically function independently and do not require constant supervision. Option D) psychological stabilization is not the main goal in treating mild anxiety disorders. The focus is more on symptom management and improving the client's overall functioning. In an educational context, it is important for nursing students to understand the different treatment modalities available for mental health disorders and to recognize that the approach to treatment will vary based on the severity of the client's symptoms. Understanding the rationale behind treatment choices can help students provide safe and effective care to clients with mental health concerns.