A female client is being discharged from an inpatient mental ...

[Beheh]

A female client is being discharged from an inpatient mental health unit after receiving treatment for bipolar disorder. She has responded well to treatment but voices concern about going home and maintaining balance in her life.
 
  The client would benefit most by a response from the nurse that conveyed the therapeutic communication principle of: a. Permission
  b. Respect
  c. Interest
  d. Protection

Question 2

A patient, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to a day care facility on weekdays. The nurse at the day care center noticed the patient was unkempt and had multiple bruises.
 
  When the daughter arrived to pick her up, the nurse discussed her observations. The daughter became defensive and said that her mother was very difficult to manage. She stated, My mother is not my mother anymore. She is confused, and she wanders all night. We have to watch her constantly. Last night I fell asleep, and she fell down the stairs. Sometimes I just cannot bear to care for her.. Which nursing diagnosis would be most important to address for this patient? a. Risk for injury related to impaired cognition, judgment, and coordination and lack of caregiver supervision
  b. Nonadherence related to confusion and disorientation, as evidenced by lack of cooperation
  c. Anxiety related to increasing disorientation, as evidenced by the patient wandering at night
  d. Impaired verbal communication related to brain impairment, as evidenced by the patient's confusion

[brittrenee]

Answer to Question 1

D
A protective response such as, Let's look together again at what we have planned for you when you go home, will help the client feel more confident in her ability to do well once she is discharged. The other options are examples of therapeutic principles but do not address the needs of this client at this time.

Answer to Question 2

A
The patient is at high risk for injury because of her confusion and the limitations of available supervision. No assessment data support the other diagnoses.