Correct Answer: A

Rationale: The nurse's response of asking the client, 'How do you feel about being discharged?' is the most therapeutic. This open-ended question encourages the client to express their feelings and concerns about being discharged. It allows the nurse to assess the client's readiness for discharge and to provide appropriate education or referrals if needed. It also demonstrates empathy and respect for the client's feelings, which are key components of a therapeutic relationship. Telling the client, 'I will send you a note in a few weeks,' is not the best response. While it may seem like a kind gesture, it could potentially blur the boundaries of the therapeutic relationship. Nurses must maintain professional boundaries with clients to ensure that the focus remains on the client's needs and not the personal feelings or needs of the nurse. Saying, 'I know you will do well living out in the community,' is an assumption and does not invite the client to share their feelings or concerns. It's important for the nurse to encourage the client to express their feelings about discharge and to provide support and education based on the client's individual needs. Asking the client, 'Aren't you excited about being discharged today?' is a closed-ended question that assumes the client is excited about discharge. This type of question does not encourage the client to share their feelings or concerns. It's important for the nurse to use open-ended questions to encourage the client to express their feelings about discharge.

Correct Answer: A

Rationale: Introspection is the process of examining one's own thoughts, feelings, and emotions to gain self-awareness and understanding. During adolescence, introspection is a critical part of developing a sense of identity and self-concept. Extroversion refers to a personality trait characterized by sociability, assertiveness, and the tendency to seek external stimuli. While it may play a role in social interactions during adolescence, it does not specifically describe the process of examining one's emotions, values, and behaviors. Maturation is the process of growth and development over time. While maturation is essential during adolescence, it is a broader concept that encompasses various aspects of development, not just self-examination. Perception refers to the interpretation of sensory information to understand the world around us. It is not specific to examining one's emotions, values, and behaviors for self-definition.

Correct Answer: C

Rationale: Failure to explore a client's point of view is a nontherapeutic communication technique, but it's not the most fitting description for the scenario. The nurse's yawning and frequent glancing at the watch doesn't necessarily indicate a lack of exploration of the clients' perspectives. Eliciting vague descriptions can be a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's actions don't suggest that they are eliciting vague descriptions from the clients. Failure to listen is the most appropriate answer. The nurse's yawning and frequent checking of the watch during therapy time could indicate a lack of attention or interest in what the clients are saying, which can be perceived as failing to listen. Failure to probe can be a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's actions don't suggest that they are failing to probe or ask further questions.

Correct Answer: A

Rationale: The description of the man's appearance and behavior suggests that he is struggling with basic self-care activities, such as maintaining personal hygiene and taking care of his physical health. This is a common issue for individuals with schizophrenia. While refusal to participate in self-care activities could be a concern, the information provided doesn't indicate that the man is refusing to engage in these activities. Rather, it seems he may be unable to do so. Difficulty in social interactions can be a symptom of schizophrenia, but the primary concern in this case, based on the information given, appears to be the man's inability to engage in self-care activities. Resistance to medication therapy could be a concern for individuals with schizophrenia, but the information provided doesn't indicate that this is the primary concern in this case.

Correct Answer: D

Rationale: Sickle cell anemia is not commonly found in Asian Americans. It is more prevalent in populations with ancestors from sub-Saharan Africa, Spanish-speaking regions, and the Mediterranean. Sickle cell anemia is not commonly found in Native Americans. It is more prevalent in populations with ancestors from sub-Saharan Africa, Spanish-speaking regions, and the Mediterranean. Sickle cell anemia is not commonly found in Italian Americans. While it can occur in Mediterranean populations, it is more prevalent in populations with ancestors from sub-Saharan Africa and Spanish-speaking regions. Sickle cell anemia is commonly found in African Americans. It is an inherited blood disorder that is more common among people with ancestors from sub-Saharan Africa.