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Which of the options below would be a priority nursing diagnosis?

Anxiety

Ineffective coping

Chronic low self-esteem

Self-harm

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Anxiety is incorrect. While anxiety is a valid concern, it may not be an immediate threat to the individual's safety.

Choice B Reason:

Ineffective coping is incorrect. This is relevant, but it doesn't address the urgency associated with potential self-harm.

Choice C Reason:

Chronic low self-esteem is incorrect. Low self-esteem is a significant issue, but it may not require immediate intervention compared to the risk of self-harm.

Choice D Reason:

Self-harm is correct. Assessing and addressing the risk of self-harm takes precedence, as it involves ensuring the immediate safety and well-being of the individual. Once the risk of self-harm is addressed, the nurse can then explore and address other related concerns, such as anxiety, coping mechanisms, and self-esteem.

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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. Authoritarian B. Autocratic C. Laissez-faire D. Democratic

Correct Answer is C

Explanation

Choice A Reason:

Authoritarian is incorrect. Authoritarian leadership is characterized by a leader who makes decisions unilaterally and expects strict compliance from group members.

Choice B Reason:

Autocratic is incorrect. Autocratic leadership is similar to authoritarian leadership, where the leader has centralized control, makes decisions without input from others, and expects obedience.

Choice C Reason:

Laissez-faire is correct. The leadership style demonstrated in this scenario is Laissez-faire. In a laissez-faire leadership style, the leader takes a hands-off approach and allows group members to have significant freedom in decision-making and behavior. The leader provides minimal guidance and only intervenes when asked or when absolutely necessary.

Choice D Reason:

Democratic is incorrect. Democratic leadership involves collaboration and shared decision-making among group members. The leader seeks input from the group and values the participation of all members in decision-making processes.

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Which of the options below would be a priority nursing diagnosis?

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

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?

Correct Answer is C

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?

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

Patty is admitted to the inpatient unit after she has cut her wrists. Which is the most important nursing intervention?

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?

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states. "I don't know what I will do if they find I have cancer." Which of the following responses should the nurse make?

A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?

Which stage of Maslow's hierarchy of needs is most threatened when a patient faces a possible layoff from work and witnesses intimate partner violence at home?