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 D

Explanation

Choice A Reason:

In the orientation phase is false. The orientation phase is focused on establishing rapport, building trust, and identifying the patient's needs and goals. It is too early to discuss termination during this phase.

Choice B Reason:

On the working phase is false. The working phase involves active problem-solving, goal attainment, and skill development. While progress is being made, it is not the appropriate time to introduce the topic of termination.

Choice C Reason:

When the patient brings up the topic is false. While it's important to be responsive to the patient's concerns, addressing the issue of termination solely based on the patient's initiation may not provide a comprehensive and planned discussion. The nurse should guide the conversation about termination at the appropriate time, considering the progress made in therapy.

Choice D Reason:

The termination phase is the final phase of the therapeutic relationship, and it involves discussing and planning for the conclusion of the therapeutic alliance. It provides an opportunity for the nurse and patient to reflect on the progress made, revisit goals, and discuss strategies for maintaining gains after the conclusion of the formal therapeutic relationship.

A. Demonstrate genuineness when communicating B. Focus on the words of the clients C. Provide sympathy during interactions D. Control the pace of establishing the nurse-dent relationships

Correct Answer is A

Explanation

Choice A Reason:

Demonstrate genuineness when communicating is correct. Establishing therapeutic relationships in mental health nursing involves demonstrating genuineness, empathy, and trustworthiness in communication. Genuineness involves being authentic, sincere, and honest in interactions with clients. It fosters a sense of trust and connection, which is essential for the therapeutic relationship.

Choice B Reason:

Focusing on the words of the clients is incorrect. While it's important to listen actively to clients, effective communication goes beyond just focusing on words. Nonverbal cues, emotions, and the overall context of communication are also crucial.

Choice C Reason:

Providing sympathy during interactions is incorrect. Sympathy involves feeling sorry for someone, which may not always be helpful in a therapeutic relationship. Empathy, where the nurse understands and shares the client's feelings, is generally more therapeutic.

Choice D Reason:

Controlling the pace of establishing the nurse-client relationships is incorrect. The establishment of therapeutic relationships is a collaborative process, and attempting to control the pace might hinder the development of trust. It's important to be responsive to the client's needs and preferences.

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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

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

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

During a group meeting Jack, a patient, shares his fears around his impending discharge. The most appropriate response for the group leader would be?

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?

Which patient statement best captures the helpfulness of the nurse-patient relationship? Select one:

Which goal represents Beck's cognitive-behavioral model?

Which cause is responsible for a patient reacting to the nurse by saying, "You are indifferent and cold, just like my mother"?

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)

Which activity would happen first in the nurse-patient relationship?

Using Maslow's pyramid, which patient comment would the nurse respond to first?