Psychiatry Test Bank

Correct Answer: C

Rationale: The correct assessment to be made in this scenario is that the relationship is moving from the orientation phase to the working phase. In the orientation phase of the nurse-patient therapeutic relationship, the focus is on building rapport, establishing trust, and determining the patient's needs and goals. As the patient voluntarily expresses a desire to work on the issue of relationships, it indicates a transition to the working phase where the patient actively identifies problems to address and goals to achieve. This shift demonstrates progress in the therapeutic relationship as the patient is engaging in the therapeutic process and contributing to the agenda set for the appointment. It signifies a readiness for collaborative problem solving and intervention planning, emphasizing the importance of the patient's involvement in decision-making and goal-setting in the therapeutic process.

Correct Answer: C

Rationale: Residual schizophrenia can cause ambivalence or difficulty making decisions. Offering simple choices reduces decision-making stress and promotes autonomy.

Correct Answer: B

Rationale: Providing information about grief is an important intervention for individuals experiencing acute grief. It helps the patient understand their emotional reactions and the natural process of grieving, reducing feelings of isolation or confusion.

Correct Answer: C

Rationale: The nurse's role in music therapy is to note patient verbal and nonverbal expression of feelings. In music therapy, the focus is on using music as a tool to help patients express themselves, connect with their emotions, and communicate their feelings in a non-verbal manner. The nurse's job is to observe and interpret how the patients are engaging with the music and using it as a medium to express their inner thoughts and emotions. This can help in promoting emotional well-being and providing a space for patients to process their feelings in a therapeutic way.

Correct Answer: B

Rationale: Ativan and lorazepam are the same drug, so the patient is taking an excessive dose of lorazepam. This requires intervention by the nurse to prevent harm.