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 ["3.5"]

Explanation

He has been prescribed Fluphenazine decanoate 87.5 mg intramuscularly every 3 weeks to treat his schizophrenia. The nurse checks the medication order and the vial label. The vial contains Fluphenazine decanoate 25 mg per milliliter. To calculate the amount of medication to administer, the nurse uses the formula:

dose ordered / dose available = mL to administer

Substituting the values, the nurse gets:

87.5 mg / 25 mg/ml = 3.5 ml

Therefore, the nurse will administer 3.5 milliliters of Fluphenazine decanoate for this dose.

A. Require the patient to be on time and dressed for daily breakfast B. insist each patient take a turn in the community as a leader C. Include the patient's input in the treatment plan. D. Make the treatment plan decisions for the patient.

Correct Answer is C

Explanation

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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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

Russell enters the clinic for his medication injection. The order states Fluphenazine decanoate 87.5 mg IM every 3 weeks. The vial is labeled Fluphenazine decanoate 25 mg/ml. How many mL(s) will you administer for this dose?

Correct Answer is ["3.5"]

Explanation

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?

Correct Answer is C

Explanation

A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

During a therapeutic nurse-patient relationship, when would the nurse plan to first address the issue of termination?

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?

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

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

Which statement describes the focus of psychiatric emergency care?

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?

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