One of the goals of a therapeutic community is for patients to become more autonomous and accept self-responsibility. Which option below best encourages fulfillment of this goal?

Require the patient to be on time and dressed for daily breakfast

insist each patient take a turn in the community as a leader

Include the patient's input in the treatment plan.

Make the treatment plan decisions for the patient.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Requiring the patient to be on time and dressed for daily breakfast is inappropriate. While punctuality and self-care are important, requiring these behaviors doesn't necessarily encourage the patient to take responsibility for their overall treatment plan.

Choice B Reason:

Insisting each patient take a turn in the community as a leader is inappropriate. While leadership roles can be beneficial, insisting may feel coercive. Autonomy is better promoted when patients have a choice in taking on leadership roles.

Choice C Reason:

Including the patient's input in the treatment plan is appropriate. Including the patient's input in the treatment plan is a strategy that promotes autonomy and self-responsibility. It recognizes the patient as an active participant in their own care and empowers them to be involved in decisions about their treatment.

Choice D Reason:

Making the treatment plan decisions for the patient is inappropriate. Making decisions for the patient contradicts the goal of autonomy and self-responsibility. It disempowers the patient and may hinder their engagement in the treatment process.

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Correct Answer is A

Explanation

Choice A Reason:

Safety needs is correct. In this scenario, the individual's safety is compromised both at work (due to the potential layoff) and at home (due to intimate partner violence). Safety needs, which include physical and emotional security, are fundamental in Maslow's hierarchy and take precedence over other needs in this situation.

Choice B Reason:

Physiological needs is incorrect. While a possible layoff can impact financial stability, it may not directly threaten immediate access to basic physiological needs like food, water, and shelter. The immediate safety concern takes precedence.

Choice C Reason:

Love and belonging needs is incorrect. Although witnessing intimate partner violence can strain relationships and affect the sense of belonging, the primary concern in this scenario is the immediate threat to safety.

Choice D Reason:

Esteem needs is incorrect. The threat of a layoff and exposure to domestic violence can impact self-esteem, but the more critical issue at the moment is ensuring physical safety.

A. "Your provider is very knowledgeable, if he prescribes chemotherapy, it's the best treatment for you.” B. "Using nontraditional treatments is not a good deal a rather you avoid that route” C. "Tell me more about your concerns about taking chemotherapy.” D. "A lot of people think nontraditional treatments will work they and due too late that leave the wrong choice.”

Correct Answer is C

Explanation

Choice A Reason:

"Your provider is very knowledgeable, if he prescribes chemotherapy, it's the best treatment for you.” This response may be perceived as dismissive of the client's concerns and preferences. It is important to acknowledge and explore the client's perspective rather than making assumptions.

Choice B Reason:

"Using nontraditional treatments is not a good deal, rather you avoid that route.” This response is directive and may be seen as judgmental. It does not invite the client to share their concerns openly and may hinder effective communication.

Choice C Reason:

"Tell me more about your concerns about taking chemotherapy.” This response encourages open communication and demonstrates active listening. It allows the nurse to understand the client's concerns and preferences regarding chemotherapy. This approach supports a collaborative decision-making process, respects the client's autonomy, and helps build trust in the nurse-client relationship.

Choice D Reason:

"A lot of people think nontraditional treatments will work, they end up regretting that choice. “This response introduces a potentially guilt-inducing statement and may create a negative atmosphere. It does not encourage the client to express their thoughts and concerns openly.

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One of the goals of a therapeutic community is for patients to become more autonomous and accept self-responsibility. Which option below best encourages fulfillment of this goal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which stage of Maslow's hierarchy of needs is most threatened when a patient faces a possible layoff from work and witnesses intimate partner violence at home?

Correct Answer is A

Explanation

A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

The nurse can best communicate to a patient that she has been listening by:

One of the goals of a therapeutic community is for patients to become more autonomous and accept self-responsibility. Which option below best encourages fulfillment of this goal?

Which factor promoting patient growth describes the ability to view another person as worthy of caring about and as someone who has strengths and achievement potential?

A nurse is caring for a group of clients on a mental health unit. Which of the following actions should the nurse implement to establish therapeutic relationships with the clients?

Which of the options below would be a priority nursing diagnosis?

Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply. (Select All that Apply.)

A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states. "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make?

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states. "I don't know what I will do if they find I have cancer." Which of the following responses should the nurse make?