Which action would the nurse include when beginning a relationship with a new patient? Select all that apply.
(Select All that Apply.)

Help the patient to identify personal strengths and limitations.

Explore, in depth, the problems faced by the patient.

Clarify how long the relationship will last.

Review the terms of confidentiality.

Help the patient prioritize and revise ineffective coping behaviors.

Answer and Explanation

Correct Answer : A,D,E

Choice A Reason:

Helping the patient to identify personal strengths and limitations is appropriate. This helps build a positive foundation for the therapeutic relationship by focusing on the patient's strengths and empowering them in the process.

Choice B Reason:

Explore, in depth, the problems faced by the patient is inappropriate. While understanding the patient's concerns is important, diving too deeply into problems at the beginning might be overwhelming. It's often more effective to gradually explore issues as trust is established.

Choice C Reason:

Clarifying how long the relationship will last is inappropriate. Specifying the duration of the therapeutic relationship may create anxiety for the patient. Therapeutic relationships are often open-ended, and discussing termination should occur at an appropriate time in the future.

Choice D Reason:

Reviewing the terms of confidentiality is appropriate. Clarifying the terms of confidentiality is important to establish trust and inform the patient about the boundaries of the therapeutic relationship.

Choice E Reason:

Helping the patient prioritize and revise ineffective coping behaviors is appropriate. Collaboratively working with the patient to identify and address ineffective coping behaviors is a therapeutic intervention that supports the patient in their journey toward improved mental health.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A Reason:

The coping skills (Choice A) may be observed and assessed as part of the broader clinical picture, but they are not typically specific components of a formal Mental Status Examination.

Choice B Reason:

Ability to perform calculations. This assesses the client's cognitive abilities, specifically related to mathematical reasoning and problem-solving.

Choice C Reason:

Recall ability. Assessing recall ability helps evaluate the client's short-term memory, which can be impaired in individuals with dementia.

Choice D Reason:

Long-term memory. Evaluating long-term memory provides insights into the client's ability to recall information from the distant past, which is another aspect of cognitive function.

Choice E Reason:

Level of orientation. Assessing orientation to time, place, and person is crucial in understanding the client's awareness of their surroundings and current circumstances, which can be affected in dementia.

A. Diffuse B. Clear C. Differentiation D. Rigid

Correct Answer is A

Explanation

Choice A Reason:

Diffuse is correct. In a diffuse or permeable family boundary, there is a lack of clear separation between family members. Decisions and responsibilities may be shared extensively, and individual autonomy is limited. The patient's behavior of consulting with family members before making treatment decisions suggests a diffuse boundary where decision-making involves significant input from various family members.

Choice B Reason:

Clear is incorrect. - In a clear or rigid boundary, there is a distinct separation between family members, and individual autonomy is highly emphasized. The described behavior does not align with a clear boundary.

Choice C Reason:

Differentiation is incorrect. Differentiation refers to the ability of family members to maintain their individuality while remaining emotionally connected. The behavior described is more indicative of a diffuse boundary than a differentiation issue.

Choice D Reason:

Rigid is incorrect. A rigid boundary is characterized by strict rules and limited flexibility. The described behavior does not align with a rigid boundary where decision-making might be more centralized and less consultative.

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Which action would the nurse include when beginning a relationship with a new patient? Select all that apply. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply)

Correct Answer is ["B","C","D","E"]

Explanation

The nurse is caring for a patient who consults with family members before making every treatment decision. Based on the nurse's observation. which type of boundary exists within the family structure?

Correct Answer is A

Explanation

A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention would the nurse include in the therapy?

The nurse is educating a patient with depression about the mental health continuum. Which statement made by the patient indicates the need for additional teaching?

The nurse states to the patient "You say that you are sad, but you are smiling..." Which option describes the purpose of this therapeutic communication technique?

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says. "I am really concerned about my husband. Which of the following is a therapeutic nursing response?

Peplau's Interpersonal Theory of Nursing: Select one:

Which style of leadership is demonstrated when an advanced practice nurse running a group on the adolescent unit makes no attempt to control the topic or the member's behavior and makes no comment unless asked a direct question?

According to Maslow's hierarchy of needs, which situation on an inpatient mental health unit would require priority intervention?

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 action would the nurse include when beginning a relationship with a new patient? Select all that apply.
(Select All that Apply.)