Which statement made by a mental health nurse demonstrates the need for further education regarding active listening as a therapeutic communication technique?

Correct Answer: C

Rationale: The correct answer is C because asking the client why he blames others is not a recommended approach in active listening. This statement shows a lack of understanding of active listening principles. Active listening focuses on listening without judgment or assumptions, understanding the client's perspective, and reflecting back their feelings. Asking why a client blames others can come across as confrontational and may hinder the therapeutic relationship. Choices A, B, and D demonstrate an understanding of active listening principles by emphasizing the importance of silence, avoiding sharing personal experiences, and refraining from giving direct advice, respectively.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates a supportive and inclusive attitude towards the individual with schizophrenia. By stating, "Our brother is family and we will be there to support him in every way we can," the family member acknowledges the importance of familial support and unity in the care of their loved one. This aligns with the competence model of care, which emphasizes empowerment, collaboration, and the importance of relationships in supporting individuals with mental health conditions. A, B, and C are incorrect because they focus on negative aspects of the diagnosis, such as dependency, chronicity, and potential devastation, which do not reflect the positive and supportive approach needed for effective care strategies based on the competence model.

Correct Answer: A

Rationale: The correct answer is A because the Community Mental Health Centers Act of 1963 emphasized a multidisciplinary approach to mental health care, requiring nurses to be part of a client's treatment team. This legislation aimed to provide comprehensive community-based mental health services, promoting collaboration among different professionals to address clients' needs holistically. Choice B is incorrect because extensive admissions assessments were not a direct result of this act. Choice C is incorrect as the act did not specifically address the use of physical restraints. Choice D is incorrect because educating clients on neurotransmitters is not directly linked to the Community Mental Health Centers Act of 1963.

Correct Answer: A

Rationale: Correct Answer: A Rationale: A teenager saying "I couldn't survive if my boyfriend left me" indicates an increased risk for poor stress management due to dependency on external relationships for emotional well-being. This statement suggests a lack of self-reliance and coping skills, making the teenager vulnerable to high levels of stress and anxiety if the relationship ends. It reflects a reliance on others for happiness and emotional stability, which can lead to difficulties managing stress independently. Summary of Incorrect Choices: B: Experiencing a traumatic event like a parent's suicide attempt can certainly impact stress management, but this choice does not directly indicate poor stress management due to psychosocial factors. C: Disapproval of homosexuality by religion may cause stress, but it is not directly related to the teenager's own stress management abilities. D: Cultural beliefs about mental illness may influence attitudes, but this choice does not directly indicate the teenager's own stress management capabilities.

Correct Answer: C

Rationale: The correct answer is C because asking for permission to take the client's blood pressure demonstrates respect for their autonomy and acknowledges their physical health needs. It shows an understanding that mental illness can impact physical health and encourages holistic care. Choice A focuses on the onset of hallucinations, but does not address immediate health concerns. Choice B is unrelated to the client's health challenges. Choice D addresses medication compliance but does not directly address the client's current health status. Overall, choice C is the best option as it considers both the client's mental and physical well-being.