You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?

Correct Answer: B

Rationale: The correct answer is B because it reflects active listening and empathy. By acknowledging the patient's conflicting verbal and nonverbal cues, the response shows understanding and encourages further exploration of the patient's feelings. Choice A minimizes the patient's emotions, choice C may come off as confrontational, and choice D makes assumptions without seeking clarification. Overall, choice B promotes a therapeutic relationship by addressing the discrepancy between the patient's words and body language.

Correct Answer: B

Rationale: The correct answer is B because genetic vulnerability plays a significant role in mental illness. Hugo and Franco, being fraternal twins, may have different genetic predispositions. This means that Hugo may have inherited genetic factors that make him more susceptible to mental illness compared to Franco. Therefore, even though they were raised in the same dysfunctional household, Hugo's genetic vulnerability could be the reason for his mental illness. Choices A, C, and D are incorrect because they do not address the key factor of genetic vulnerability. Choice A suggests a different reason related to abuse by their father, choice C implies Franco's ignorance of the situation, and choice D refers to Hugo's coping mechanism rather than genetic predisposition.

Correct Answer: C

Rationale: Rationale: C is correct as emotional trauma can manifest as physical symptoms, such as headaches or stomach issues. Trauma can affect the body's stress response, leading to physical health problems. A is incorrect as emotional trauma can impact physical health. B is incorrect as physical manifestations can be long-lasting. D is incorrect as individuals may not always be fully aware of the physical effects of trauma.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges and validates the patient's feelings, demonstrating empathy and understanding. By acknowledging the pain of loneliness, the nurse shows support and compassion, which are essential in building a therapeutic relationship. Option B focuses on common interests, which may not address the patient's emotional needs. Option C shifts the focus to the nurse's interests, potentially dismissing the patient's feelings. Option D oversimplifies loneliness as solely needing social involvement, lacking the depth of emotional support required in a therapeutic relationship.

Correct Answer: C

Rationale: The correct answer is C: Boundary blurring. This situation reflects boundary blurring because Emily, as a nurse, is crossing professional boundaries by engaging in a personal and social relationship with Jenna, her patient. This can lead to ethical concerns, compromised therapeutic effectiveness, and potential harm to both parties. It is important for healthcare professionals to maintain clear boundaries to uphold professionalism, trust, and the therapeutic nature of the nurse-patient relationship. A: Successful termination is incorrect as it refers to the conclusion of the therapeutic relationship, which is not the case here. B: Promoting interdependence is incorrect as it involves fostering mutual reliance and support between individuals, which is not the focus of the situation described. D: A strong therapeutic relationship is incorrect as it describes a positive and therapeutic connection between a healthcare provider and patient, which is not the issue in this scenario due to boundary blurring.