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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 ["A","D","E"]

Explanation

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.

A. Encourages staff to provide frequent negative feedback to patients B. Enforces rules and behavioral limits flexy C. Permits additional privileges for voluntary admitted patients D. Provides patients a sense of security and comfort

Correct Answer is D

Explanation

Choice A Reason:

Encourages staff to provide frequent negative feedback to patient is incorrect. A therapeutic milieu typically focuses on positive reinforcement and constructive feedback to support patients' growth and development.

Choice B Reason:

Enforces rules and behavioral limits flexibly is incorrect. While establishing rules and limits is important for maintaining safety, flexibility in enforcing them allows for individualized care and consideration of the patient's unique needs.

Choice C Reason:

Permits additional privileges for voluntary admitted patients is incorrect. Additional privileges may be granted based on the patient's progress and participation in their treatment. However, it should be done thoughtfully and as part of a therapeutic plan rather than as a blanket permission for all voluntary admitted patients.

Choice D Reason:

Provides patients a sense of security and comfort is correct. A therapeutic milieu refers to the therapeutic environment or surroundings in a psychiatric setting that promotes the patient's well-being, safety, and recovery. This environment should be supportive, safe, and conducive to healing. Providing patients with a sense of security and comfort is essential for their overall well-being and progress in treatment.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is ["A","D","E"]

Explanation

Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

Correct Answer is D

Explanation

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)

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 intervention would the nurse suggest to a patient seeking advice regarding stress management? Select all that apply.

Which statement suggests a struggle with Erikson's phase of Identity vs. role confusion? Select one:

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

Which statement reflects an accurate understanding of when termination would first be discussed as part of the nurse-patient relationship?

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

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?