A nurse at the well child clinic realizes that many parents have misconceptions about effective ways of disciplining their children. The nurse decides to form a group to address this problem. What should be the focus of the group?

Correct Answer: C

Rationale: In this scenario, the correct focus for the group formed by the nurse should be health education (Option C). This choice is the most appropriate because the issue at hand involves parents having misconceptions about effective ways of disciplining their children. By providing health education, the nurse can offer evidence-based information and strategies to help parents understand and implement positive discipline techniques, which are essential for promoting children's behavioral health and development. Support (Option A) could be beneficial to the group, but it may not directly address the need for correcting misconceptions about disciplining children. Socialization (Option B) focuses on interaction and learning from others, which is valuable but not the primary need in this context. Symptom management (Option D) is more relevant to treating existing conditions rather than preventing behavioral issues through effective discipline practices. In an educational context, it is crucial for nurses and healthcare professionals to provide accurate information and guidance to empower parents in promoting their children's well-being. By offering health education on appropriate discipline strategies, the nurse can make a positive impact on the children's behavioral health outcomes and support the overall health of families in the community.

Correct Answer: A

Rationale: The correct answer is A) Anger is a subjective emotional state, while aggression is the behavior resulting from anger. This key difference is crucial in understanding and effectively managing behavioral health issues. Anger is a normal human emotion triggered by a perceived threat, injustice, or frustration. It is a subjective feeling that varies in intensity and duration. Aggression, on the other hand, refers to the outward expression of anger through behavior that is intended to cause harm or damage. Option B is incorrect because anger and aggression are not synonymous. While anger can lead to aggression, they are distinct concepts with different manifestations. Option C is incorrect as anger is not necessarily a behavior aimed at harming others, but rather a feeling or emotion. Option D is incorrect because while anger can be a reaction to a perceived threat, it is not solely limited to that, and aggression can stem from various factors beyond just frustration. In a behavioral health nursing context, understanding the distinction between anger and aggression is essential for assessing, planning, and implementing care plans for individuals experiencing these emotions. By recognizing the subjective nature of anger and the behavioral outcomes of aggression, nurses can tailor interventions to address both the emotional and behavioral aspects of client care effectively.

Correct Answer: D

Rationale: The DSM provides standard nomenclature, presents defining characteristics, and identifies underlying causes of mental disorders. It does not provide care plans or prognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of practice, so documenting the code in the medical record would be inappropriate.

Correct Answer: C

Rationale: Only one in four (25%) adults needing mental health care receives the needed services. Substance abuse issues cannot be dealt with in the 3 to 5 days typical for admissions in the current managed care environment. Money saved by states when state hospitals were closed has not been transferred to community programs and support. Although people with severe and persistent mental illness have shorter hospital stays, they are admitted to hospitals more frequently. In some cities, emergency department visits for acutely disturbed persons have increased by 400% to 500%.

Correct Answer: B

Rationale: Standards of practice include assessment, diagnosis, outcomes identification, planning, implementation, coordination of care, health teaching and health promotion, and milieu therapy. The standards of professional performance include quality of practice, education, professional practice evaluation, collegiality, collaboration, ethics, research, resource utilization, and leadership.