Correct Answer: B

Rationale: A therapeutic area refers to a specific location or setting where therapeutic activities or treatments occur. However, it doesn't necessarily imply a comprehensive environment designed to assist patients in replacing inappropriate behaviors with more effective personal and psychosocial skills. A therapeutic environment, also known as a therapeutic milieu, is a broad term that describes settings designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills. A therapeutic unit could refer to a specific department or team within a healthcare facility that provides therapeutic services. However, it doesn't necessarily denote an environment designed for behavioral and psychosocial skill development. A therapeutic setting could refer to any location where therapeutic services are provided. It's a more general term and doesn't specifically denote an environment designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.

Correct Answer: B

Rationale: Focusing is a therapeutic communication technique where the nurse directs the conversation to specific areas or topics. In this scenario, the nurse is not focusing the conversation but is seeking to clarify the client's understanding of their medication. Clarification is a therapeutic communication technique where the nurse seeks to understand the client's message more fully. In this scenario, the nurse is using clarification by stating that the client needs more information about their medication for safe use. Informing is a therapeutic communication technique where the nurse provides the client with relevant information. While the nurse in this scenario is indicating a need to provide more information, the primary action is clarification. Theme identification is a therapeutic communication technique where the nurse identifies recurring thoughts or feelings expressed by the client. In this scenario, the nurse is not identifying a recurring theme but is seeking to clarify the client's understanding of their medication.

Correct Answer: D

Rationale: Sympathy refers to the ability to understand what a person is feeling. However, it doesn't necessarily involve sharing in a client's life. Trust is an essential component of a therapeutic relationship, but it doesn't specifically define the ability to share in a client's life. Mutuality might suggest a reciprocal relationship, but it doesn't specifically refer to the ability to share in a client's life. Empathy in nursing is the ability to see, understand, and share your patient's feelings and views on a more personal level and without being judgmental. This makes it the most fitting answer as it involves sharing in a client's life.

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: B

Rationale: Therapy can be beneficial for children with disruptive behavioral disorders, but it is not the most effective intervention when implemented alone. Therapy often works best when combined with other strategies, such as consistent limit-setting. Limit-setting is a crucial component of early interventions for children with disruptive behavioral disorders like conduct disorder and oppositional defiant disorder. Consistent limit-setting provides structure and clear expectations, which can help these children understand the consequences of their actions and learn to control their behavior. It is considered the most effective strategy because it directly addresses the behavioral issues that these children often struggle with. While rewarding good behavior can be a useful strategy in managing disruptive behavioral disorders, it is not the most effective intervention when used alone. Rewards can encourage positive behavior, but without the structure provided by consistent limit-setting, children may not fully understand the connection between their actions and the consequences. Punishment can sometimes be a part of the strategy for managing disruptive behavioral disorders, but it is not the most effective intervention. Over-reliance on punishment can actually exacerbate behavioral problems, as it does not teach children appropriate behaviors or help them understand the consequences of their actions.