A nurse is taking care of a client in a mental health facility. Which is the most important skill the nurse must bring to the therapeutic nurse-client relationship?

A. "The focus is on solving the patient's problems. Problems are discussed by the nurse and patient, and solutions are given by the nurse." This explanation highlights the nurse's role in problem-solving and providing solutions, which is characteristic of a therapeutic nurse-patient relationship where the nurse takes an active role in addressing the patient's needs and challenges.

B. "The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared." This explanation describes more of a social relationship where mutual needs are met, and feelings are shared openly, rather than focusing on problem-solving and addressing the patient's specific issues.

C. "The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other." While this explanation emphasizes a partnership and mutual concern for growth and satisfaction, it does not specifically highlight the nurse's role in problem-solving and providing solutions for the patient's problems.

D. "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient." This explanation captures the essence of a therapeutic nurse-patient relationship, where the focus is on the patient's needs, and while problems are discussed collaboratively, the patient takes an active role in implementing solutions.

A. Individual psychotherapy: Individual psychotherapy typically focuses on exploring and addressing individual thoughts, feelings, and behaviors through therapeutic techniques such as talk therapy. It does not specifically involve the use of rewards or consequences for behavior modification, as seen in the scenario of giving tickets for good behavior.

B. Reality Therapy: Reality Therapy, developed by William Glasser, emphasizes personal responsibility and choices. It involves setting specific goals and evaluating behaviors in relation to these goals. In the context of the scenario, giving tickets for good behavior and not giving them for poor behavior aligns with Reality Therapy's focus on consequences and choices.

C. Cognitive Therapy: Cognitive Therapy focuses on identifying and changing negative thought patterns and beliefs that contribute to emotional distress and maladaptive behaviors. While it may incorporate behavioral techniques, such as behavioral activation, it primarily targets cognitive processes rather than directly using rewards or consequences for behavior modification.

D. Behavioral therapy: Behavioral therapy, including approaches like Applied Behavior Analysis (ABA), focuses on modifying behaviors through reinforcement (positive or negative) and shaping behavior using rewards or consequences. Giving tickets for good behavior and withholding them for poor behavior reflects a behavioral approach to therapy.