A nurse assesses a patient in crisis. Select the most appropriate question for the nurse to ask to assess this patient's situational support.

Correct Answer: B

Rationale: In this scenario, option B, "Who can be helpful to you during this time?" is the most appropriate question for the nurse to ask to assess the patient's situational support. This question focuses directly on identifying potential sources of support for the patient during the crisis, which is crucial for effective intervention and care planning. Option A, "Has anything upsetting occurred in the past few days?" is too general and may not specifically address the patient's current support system. Option C, "How does this problem affect your life?" is more focused on understanding the impact of the problem rather than assessing situational support. Option D, "What led you to seek help at this time?" is more about exploring the patient's decision-making process rather than identifying sources of support. Educationally, this question highlights the importance of assessing situational support when caring for patients in crisis. Nurses need to be able to identify available resources and support systems to provide holistic care and facilitate effective coping strategies for patients during challenging times. Asking the right questions can help nurses tailor interventions to meet the individual needs of each patient.

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: B

Rationale: The correct answer is B) a natural response to loss, encompassing emotional, physical, and cognitive aspects. Grief is a complex emotional response to a loss, which can be triggered by various events such as the death of a loved one, divorce, loss of a job, or a terminal diagnosis. It involves a range of emotions like sadness, anger, guilt, and confusion, as well as physical symptoms like fatigue, loss of appetite, and sleep disturbances. It also affects cognitive processes such as memory, concentration, and decision-making. Option A is incorrect because grief is not characterized by emotional numbness and detachment; rather, it involves intense emotions and connections to the loss. Option C is incorrect as grief is not solely about anger and resentment, although these feelings may be present at times. Option D is incorrect because immediate acceptance without any emotional response is not a typical or healthy grief response. In an educational context, understanding grief is crucial for nurses as they often work with individuals and families experiencing loss. By recognizing the multifaceted nature of grief, nurses can provide empathetic and holistic care to support individuals through the grieving process. It is essential for nurses to be able to differentiate between healthy and complicated grief reactions to provide appropriate interventions and support to those in need.

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.