A nurse is planning to discharge a client from an inpatient mental health facility. A client's ability to remain in the community is closely related to what?

Living environment

Taking meals at the food bank

Participation in social events

Supporting neighborhood watch programs

Answer and Explanation

The Correct Answer is A

A. Living environment: The ability of a client to remain in the community after discharge from an inpatient mental health facility is closely related to their living environment. This includes factors such as the safety, stability, support network, and resources available in their living environment, all of which can significantly impact their ability to cope with and manage their mental health condition outside of a structured care setting.

B. Taking meals at the food bank: While access to food and nutrition is important for overall well-being, specifically taking meals at the food bank is not directly related to the client's ability to remain in the community after discharge from a mental health facility.

C. Participation in social events: Social interaction and participation in social events can be beneficial for mental health and community integration. However, it is not the sole determinant of a client's ability to remain in the community after discharge from an inpatient mental health facility.

D. Supporting neighborhood watch programs: Involvement in neighborhood watch programs may contribute to community safety and cohesion but is not directly related to an individual client's ability to remain in the community after discharge from a mental health facility.

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Correct Answer is B

Explanation

A. Identifying possible solutions for the client's problems:
While identifying possible solutions is an important aspect of problem-solving and goal-setting in therapy, it is not the primary focus during the working phase of a therapeutic relationship. The focus is more on exploring and understanding the client's problems, feelings, and behaviors before moving on to generating and evaluating potential solutions.

B. Encouraging the client to clarify feelings and behavior.
During the working phase of a therapeutic relationship, the nurse's role is to facilitate the exploration of the client's problems, emotions, thoughts, and behaviors. Encouraging the client to clarify their feelings and behaviors helps them gain insight into their challenges, triggers, and coping mechanisms, which is essential for problem exploration and resolution. This action promotes self-awareness, reflection, and deeper understanding of the issues at hand, leading to more meaningful discussions and therapeutic progress.

C. Referring the client to a self-help group:
Referring the client to a self-help group can be beneficial for ongoing support, peer connection, and learning from others' experiences. However, during the working phase of a therapeutic relationship, the emphasis is on individual exploration, understanding, and processing of problems within the therapeutic context before considering external resources like self-help groups.

D. Comparing past and present coping strategies:
Comparing past and present coping strategies can provide valuable insights into the client's progress, strengths, and areas for growth. However, this action is more relevant to the assessment and evaluation phases of therapy rather than the working phase focused on exploring and addressing current problems and challenges.

A. Agreeing B. Giving Information C. Verbalizing the implied D. Giving Advice

Correct Answer is D

Explanation

A. Agreeing: Agreeing involves expressing approval or agreement with the client's statements or opinions without critically examining or exploring their content. In the scenario, the nurse's response does not involve agreeing with the client's statement about the spouse's behavior.

B. Giving Information: Giving information involves providing factual information or explanations to the client. The nurse's response in the scenario goes beyond simply providing information and instead offers a direct suggestion regarding what the client should do about their spouse.

C. Verbalizing the implied: Verbalizing the implied involves articulating underlying feelings or messages that the client may not have directly expressed. In the scenario, the nurse's response does not focus on verbalizing the implied feelings but rather provides a straightforward recommendation.

D. Giving Advice: Giving advice involves offering personal opinions, suggestions, or recommendations to the client. In the scenario, the nurse's response of suggesting that the client should divorce and deserves better than their cheating spouse falls under the category of giving advice.

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A nurse is planning to discharge a client from an inpatient mental health facility. A client's ability to remain in the community is closely related to what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in a mental health setting. During the working phase of a therapeutic relationship, which action by the nurse would best help the client to explore problems?

Correct Answer is B

Explanation

During a session with a client, the client asks the nurse what the client should do about the client's "cheating" spouse. The nurse replies. "You should divorce. You deserve better than that." The nurse used which nontherapeutic communication technique?

Correct Answer is D

Explanation

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