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 B

Explanation

A. Building a trusting relationship:Establishing trust is essential in therapeutic relationships, especially with clients at risk for self-harm. However, ensuring the client’s immediate safety by searching belongings takes precedence to protect the client from further harm.

B. Searching her belongings:This is the first priority to ensure Patty’s immediate safety and prevent access to any objects she could use to harm herself. This action addresses the immediate risk and creates a safer environment for her.

C. Orienting her to the unit. Orientation to the unit helps the client feel more comfortable and understand the rules and layout of the facility, but it is not as urgent as ensuring her safety upon admission.

D. Helping her settle into her room:Assisting Patty in getting comfortable is important for her overall well-being but is secondary to securing her environment by removing any potentially harmful items.

A. "Your provider usually recommends a diaphragm and spermicidal cream." B. “It's your choice, of course, but birth control pills are the most reliable” C. “I’d consider an intrauterine device. You won't have to worry about pregnancy” D. "Let's talk about the available options and go from there?”

Correct Answer is D

Explanation

Choice A Reason:

"Your provider usually recommends a diaphragm and spermicidal cream." This response prescribes a specific method without considering the client's preferences, health history, or individual needs. It's important to involve the client in the decision-making process and discuss various contraceptive options.

Choice B Reason:

"It's your choice, of course, but birth control pills are the most reliable." This response might pressure the client toward a specific method and may not consider other factors such as the client's preference, medical history, or potential side effects. It's essential to provide information and support rather than directing the client to a particular choice.

Choice C Reason:

"I’d consider an intrauterine device. You won't have to worry about pregnancy. “Similar to the first option, this response recommends a specific method without a thorough discussion of the client's preferences, health considerations, or individual needs. It's important to explore various options collaboratively with the client.

Choice D Reason:

"Let's talk about the available options and go from there. “This response is patient-centered and encourages collaborative decision-making. It allows the nurse to discuss various contraceptive methods, considering the client's preferences, health history, and individual needs. It supports shared decision-making between the nurse and the client.

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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

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Correct Answer is B

Explanation

A nurse is caring for a postpartum client who tells the nurse that she does not want any more children. The client asks which birth control method the nurse would recommend. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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

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