What is a goal of a therapeutic environment?

Choice 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.
Choice B rationale
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.
Choice C rationale
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.
Choice D rationale
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.

Choice A rationale
Adjustment disorder is a stress-related condition that can cause emotional and behavioral symptoms. However, the child’s withdrawal from previously enjoyed activities and expression of hopelessness about the future are more indicative of depression.
Choice B rationale
Depression is characterized by persistent sadness, a loss of interest in previously enjoyed activities, and feelings of hopelessness. The child’s behavior aligns with these symptoms, suggesting that they may be experiencing depression.
Choice C rationale
Stress disorder, also known as acute stress disorder or post-traumatic stress disorder, is characterized by severe anxiety, flashbacks, and uncontrollable thoughts about a traumatic event. While the child’s behavior could potentially be related to a stress disorder, the symptoms provided are more indicative of depression.
Choice D rationale
Anxiety disorders are characterized by excessive fear or anxiety. While the child’s expression of hopelessness could potentially be related to an anxiety disorder, the withdrawal from previously enjoyed activities is more indicative of depression.