Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient's nursing diagnosis is altered thought processes?

Correct Answer: C

Rationale: The correct answer is C because it demonstrates therapeutic communication by acknowledging the patient's experience without judgment and encourages further exploration of the hallucinations. Choice A dismisses the patient's experience, choice B invalidates their reality, and choice D does not address the patient's experience or encourage further discussion. Using open-ended questions like in choice C promotes trust and allows the patient to express their thoughts and feelings.

Correct Answer: A

Rationale: A laissez-faire leader is best suited for an art group because they are typically creative, self-motivated, and independent individuals who thrive in an environment with minimal supervision. This leadership style allows members to have freedom in their artistic expression and encourages innovation. In contrast, a grief group, social skills group, and anger management group would benefit more from a more structured and supportive leadership style to provide guidance, encouragement, and emotional support, which are essential for addressing the specific needs and challenges of these groups.

Correct Answer: B

Rationale: The correct answer is B because nursing forums and professional organizations' websites are reliable sources for finding databases and evidence-based practice resources in nursing. These platforms are specifically curated to provide accurate and up-to-date information for healthcare professionals. They are peer-reviewed and endorsed by experts in the field, ensuring credibility and relevance. In contrast, popular search engines like Google may yield unreliable or outdated information, personal blogs lack authority and validation, and entertainment websites are not relevant to evidence-based practice in nursing.

Correct Answer: C

Rationale: The correct answer is C: brief psychotic disorder. This diagnosis is most likely because the client is experiencing hallucinations and delusions for less than a month with no history of mood disorder, medical conditions, or substance misuse. Brief psychotic disorder is characterized by a sudden onset of psychotic symptoms lasting less than a month. Schizophrenia (A) requires symptoms to be present for at least six months. Schizoaffective disorder (B) involves a combination of mood disorder symptoms along with psychotic symptoms. Catatonia (D) is a symptom seen in various psychiatric disorders but is not a primary diagnosis. Therefore, based on the client's presentation and history, brief psychotic disorder is the most likely diagnosis.

Correct Answer: C

Rationale: Rationale: Option C is an example of therapeutic communication because it encourages the client to explore the underlying reasons for their fear of divorce, promoting self-reflection and insight. By asking what has happened to make the client think this way, the nurse demonstrates empathy and helps the client process their emotions. Options A, B, and D are incorrect because they either deflect the client's concerns (B), focus on overly questioning the client (A), or dismiss the client's feelings (D), which can hinder the therapeutic relationship and fail to address the client's emotional needs.