A nurse assesses a patient for inclusion in group therapy. This patient has a childhood history of neglect and ridicule by parents. The patient says to the nurse, "My boss always expects more of me than the others, but talking to him would only make it worse." Which type of group would best address the patient's needs?

Correct Answer: D

Rationale: Cognitive-behavioral group therapy focuses on specific maladaptive behaviors and thought patterns. Patients often repeat patterns of behavior in a group that they learned in their families. This type of group will afford the patient an opportunity for a corrective recapitulation of the primary family group. The incorrect answers identify groups appropriate for other types of problems.

Correct Answer: C

Rationale: What one society may view as acceptable and appropriate behavior, another society may see that as maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability. Persons who engage in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy is an individual factor that may contribute to mental illness.

Correct Answer: C

Rationale: The correct answer is C) Massachusetts. The rationale behind this is that the first training of nurses to work with persons with mental illness occurred at McLean Hospital in Massachusetts in 1882. This historical event marked a significant milestone in the field of psychiatric nursing and laid the foundation for the establishment of specialized mental health nursing programs. Option A) California is incorrect because the first training did not take place in California but rather in Massachusetts. Option B) Illinois is incorrect as the historical event did not occur in Illinois. Option D) New York is also incorrect as the training did not take place in New York. Understanding the historical context of the development of psychiatric nursing is crucial for nurses working in mental health settings. Knowing the origins of mental health nursing education helps nurses appreciate the evolution of their profession and the importance of specialized training in providing quality care to individuals with mental illness. This knowledge also highlights the ongoing need for competent and compassionate mental health nurses in today's healthcare system.

Correct Answer: C

Rationale: Prescriptive authority is used by psychiatric/mental health advanced practice registered nurses in accordance with state and federal laws and regulations. Standards 5a are advanced practice interventions and may be performed only by the psychiatric/mental health advanced practice registered nurse. Psychiatric/mental health registered nurses may provide milieu therapy according to Standard 5c. This is not restricted to psychiatric/mental health advanced practice nurses.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The DSM-5 is the standard classification of mental disorders used by mental health professionals in the United States. It provides criteria for diagnosing different psychiatric disorders based on research, clinical expertise, and patient presentation. Nurses should consult the DSM-5 when encountering unfamiliar psychiatric disorders to accurately identify and understand the criteria used to establish a diagnosis. Option A) International Statistical Classification of Diseases and Related Health Problems (ICD-10) is primarily used for coding and billing purposes in healthcare settings and does not provide detailed diagnostic criteria for psychiatric disorders. Option C) A behavioral health reference manual is too vague and could refer to various resources without specific diagnostic criteria for psychiatric disorders. Option D) Wikipedia is not a reliable source for accurate and evidence-based information on psychiatric disorders. It is a publicly editable platform and may not provide the depth of information needed for clinical decision-making. In an educational context, it is crucial for nurses to be familiar with authoritative resources like the DSM-5 to enhance their clinical knowledge and decision-making skills when working with patients with psychiatric disorders. Understanding how to use the DSM-5 can improve the accuracy of diagnoses, treatment planning, and overall patient care in psychiatric settings.