Correct Answer: D

Rationale:
Correct
Answer: D


Rationale: The nurse should inform the client that the information will be shared with the treatment team to ensure proper care and support. This is important for the client's safety and well-being. Sharing information with the treatment team allows for a comprehensive assessment and personalized care plan.

Summary:
A - Incorrect: There is no legal obligation to share this specific information without the client's consent.
B - Incorrect: Involving the client's supervisor may breach confidentiality and lead to potential harm.
C - Incorrect: Dismissing the client's concerns about coworkers' opinions could undermine trust and confidentiality.
E, F, G - N/A.

Correct Answer: C

Rationale: The correct answer is C: Provide a presentation to local schools on resisting peer pressure for substance use. This is a method of primary prevention because it aims to prevent substance use before it occurs by educating adolescents on how to resist peer pressure, a common risk factor for substance use initiation. By equipping students with skills to navigate peer influence, the nurse can help reduce the likelihood of adolescents engaging in substance use.

Regarding the other choices:
A: Encouraging random drug screening is more of a secondary prevention approach, focusing on early detection rather than prevention.
B: Offering substance use treatment programs is a form of tertiary prevention, targeting those already using substances.
D: Educating high school teachers about detecting manifestations of substance use is important but doesn't directly address preventing substance use among adolescents.

Correct Answer: B

Rationale: The correct answer is B because telling a patient he can't call his family because he's calmed down too much violates the patient's right to communication and contact with their family. This action restricts the patient's autonomy and social connection, which are essential aspects of patient rights. Patients have the right to communicate with their families unless there are specific reasons for restriction, such as safety concerns.
For the other choices:
A: Telling a patient he can't wear steel-tipped boots is a safety measure to protect other patients and staff.
C: Telling a patient not to save scheduled medication ensures proper treatment adherence.
D: Inspecting a food basket for safety before giving it to a patient is a standard precaution in a healthcare setting.

Correct Answer: D

Rationale: The correct answer is D:
To assist all the clients in meeting their treatment goals. Managing the milieu on a psychiatric unit involves creating a therapeutic environment that promotes healing and supports clients in achieving their treatment objectives. This includes providing structure, safety, and support to help clients progress towards their recovery.

Choices A, B, and C are incorrect because they do not directly align with the primary purpose of managing the milieu, which is to facilitate client treatment outcomes. A focus on deterrence, social relationships, or autocratic leadership style may not necessarily contribute to the overall goal of helping clients meet their treatment goals.

Correct Answer: B

Rationale:
Correct
Answer: B: What did you learn from your marriage to help you in the future?


Rationale: This response aligns with cognitive reframing by shifting the client's focus from solely negative aspects of the marriage to potential positive learnings. By prompting the client to reflect on lessons gained, the nurse encourages a more balanced perspective, fostering growth and resilience.

Incorrect

Choices:
A: This response focuses on the negative aspects, reinforcing the client's current negative belief without promoting reframing.
C: Asking about previous relationships is not relevant to reframing the client's negative perception of their marriage.
D: This response does not actively engage the client in reframing their thoughts but rather implies a passive acceptance of the negative impact.
E, F, G: No further options provided.