A leader begins the discussion at the first meeting of a new group. Which comments should be included? (Select all that apply.)

Correct Answer: B

Rationale: The leader must set ground rules for the group before members can effectively participate. Confidentiality of personal experiences should be maintained. Arriving on time is important to the group process. Talking to family members would jeopardize confidentiality. While groups are cost-effective, blaming the budget would not help members feel valued. Setting an expectation to share may be intimidating for a withdrawn patient.

Correct Answer: C

Rationale: Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be related to individual, interpersonal, or social/cultural factors. Excessive dependency on or withdrawal from relationships are interpersonal factors that relate to mental illness. Individuals suffering from mental illness can feel overwhelmed with daily life. Individuals suffering from mental illness may experience dissatisfaction with relationships and self.

Correct Answer: C

Rationale: In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and ridiculing the mentally ill, who were seen as animals, less than human. Custodial care was not often provided as persons who were considered harmless were allowed to wander in the countryside or live in rural communities, and more dangerous lunatics were imprisoned, chained, and starved. In early Christian times, primitive beliefs and superstitions were strong. The mentally ill were viewed as evil or possessed. Priests performed exorcisms to rid evil spirits, and in the colonies, witch hunts were conducted with offenders burned at the stake. It was not until the period of enlightenment when persons who were mentally ill were offered asylum as a safe refuge or haven offering protection at institutions.

Correct Answer: B

Rationale: Basic-level functions include counseling, milieu therapy, self-care activities, psychobiologic interventions, health teaching, case management, and health promotion and maintenance. Advanced-level functions include psychotherapy, prescriptive authority for drugs, consultation and liaison, evaluation, program development and management, and clinical supervision.

Correct Answer: A

Rationale: In this scenario, option A, "sees self as capable of achieving ideals and meeting demands," best indicates that the goal of demonstrating mentally healthy behavior was achieved. This option reflects a positive self-perception, which is essential for mental well-being. It shows a sense of self-efficacy and self-confidence, indicating a healthy mindset. Option B, "behaves without considering the consequences of personal actions," is incorrect as it suggests impulsivity and lack of reflection, which are not indicative of mentally healthy behavior. Option C, "aggressively meets own needs without considering the rights of others," is also incorrect as it implies a disregard for others' well-being, which is not aligned with mental health promotion. Option D, "seeks help from others when assuming responsibility for major areas of own life," is incorrect because while seeking help is important, true mental health involves a balance of independence and interdependence. Over-reliance on others for major life decisions may not necessarily indicate mental well-being. In an educational context, it is crucial for nursing students to understand the nuances of mental health behavior assessment. This question highlights the importance of self-perception, autonomy, and consideration of consequences in determining mental health status. By analyzing these options, students can deepen their understanding of what constitutes mentally healthy behavior and how to assess it in a clinical setting.