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?

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Question 1 of 5

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 demonstrates active listening and empathy. By acknowledging the patient's conflicting nonverbal cues, the response shows understanding and encourages further exploration of the patient's feelings. This approach helps build rapport and trust. A: This response is overly optimistic and dismisses the patient's nonverbal cues, missing an opportunity to address underlying concerns. C: This response jumps to conclusions and may come across as judgmental, potentially shutting down communication. D: This response imposes a judgment on the patient without exploring the underlying reasons for the conflicting behavior, which can be counterproductive.

Question 2 of 5

Charlie is coping well with a severe mental illness diagnosis. He and his 91-year-old father live together on the family farm. This stable and secluded life has allowed Charlie to live with minimal stimulation, and his relapses have been few. Charlie's caseworker makes a visit to open up a conversation on where Charlie will live when his father can no longer care for him. By bringing up the topic now, the caseworker is hoping to:

Correct Answer: B

Rationale: The correct answer is B because the caseworker is trying to avert a potential relapse and preserve stability in Charlie's life by initiating a discussion about his future living arrangements. By addressing this issue proactively, the caseworker can help Charlie transition smoothly when his father can no longer care for him, minimizing disruptions and maintaining his mental health. Choice A is incorrect because it only focuses on arranging housing for Charlie after his father's death, without considering the immediate impact on Charlie's stability. Choice C is incorrect as it assumes a crisis will occur, which may not be the case if proactive steps are taken. Choice D is incorrect because it may not be realistic or beneficial to make Charlie realize he will soon live independently without proper planning and support.

Question 3 of 5

Nurse Tuan worked with a client three weeks ago to get them set up with a community-based mental health-care treatment plan to help with the client's diagnosis of major depressive disorder. Tuan decides to make a follow-up call to the client to ask them how they're doing. What step in the nursing process does Tuan's action represent?

Correct Answer: B

Rationale: The correct answer is B: evaluation. Evaluation is the step in the nursing process where the nurse assesses the client's response to the implemented plan of care to determine if the goals were met and if any modifications are needed. In this scenario, Nurse Tuan is following up with the client to assess how they are doing after the community-based mental health-care treatment plan was put in place. This action allows Tuan to evaluate the effectiveness of the plan and make any necessary adjustments. Incorrect Choices: A: Assessment is the step where data is collected and analyzed to identify the client's problems and needs. This step precedes the implementation of the treatment plan. C: Implementation is the step where the nurse puts the plan of care into action. Tuan has already implemented the plan and is now assessing its effectiveness. D: Planning is the step where the nurse develops a comprehensive plan of care based on the assessment data. Tuan has already completed this step by setting up the community-based mental health-care

Question 4 of 5

A nurse is teaching a therapeutic group about reducing the stigma of taking psychiatric medications. One of the participants raises his hand and states, " don't want to take medication because I am afraid what other people will think of me." What is an appropriate response by the nurse?

Correct Answer: C

Rationale: The correct answer is C because it addresses the participant's concern about stigma by emphasizing the importance of psychiatric medication for mental health, just like medication for physical health. This response validates the participant's feelings and educates on the significance of treating mental health conditions. A: This response may come off as dismissive and does not provide a supportive or educational approach. B: While it suggests confidentiality, it does not address the underlying issue of stigma and may not empower the participant to feel more comfortable with medication. D: This response does not provide a constructive solution or empower the participant to manage stigma related to taking psychiatric medication.

Question 5 of 5

A nursing student has a special feeling toward a client that is based on acceptance, warmth, and a nonjudgmental attitude. The student is experiencing which characteristic that enhances the achievement of the nurse-client relationship?

Correct Answer: A

Rationale: The correct answer is A: Rapport. Rapport is crucial in building a therapeutic nurse-client relationship. It involves creating a connection based on acceptance, warmth, and a nonjudgmental attitude, which helps in establishing trust and communication. Building rapport fosters a positive environment for effective care and understanding between the nurse and client. Trust (B) is built on rapport and is a result of it. Respect (C) and professionalism (D) are important in nursing practice but do not directly address the specific characteristic described in the question.

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