A nurse explains to the family of a mentally ill patient how a nurse-patient relationship differs from social relationships. Which is the best explanation?

Correct Answer: A

Rationale: The correct answer is A because it highlights the therapeutic nature of the nurse-patient relationship. In this relationship, the focus is on the patient's needs and problems, with the nurse providing support and guidance. By discussing problems together and allowing the patient to implement solutions, it empowers the patient in their own care. Choice B is incorrect as it suggests a more mutual exchange of advice and implementation of solutions, which may not always be appropriate in a therapeutic setting. Choice C is incorrect because while sharing feelings is important in the nurse-patient relationship, the primary focus is not on socialization or meeting mutual needs. Choice D is incorrect as it emphasizes a partnership focused on mutual growth and satisfaction, which goes beyond the boundaries of a therapeutic nurse-patient relationship.

Correct Answer: D

Rationale: The correct answer is D because the Mental Health Parity Act ensures equal coverage for mental health disorders compared to coverage for physical health conditions. This is important for eliminating discrimination against individuals seeking mental health treatment. Choice A is incorrect because the Mental Health Parity Act does not specifically address expanding Medicaid eligibility for uninsured Americans. Choice B is incorrect because health insurance exchanges are part of the Affordable Care Act, not the Mental Health Parity Act. Choice C is incorrect because the Mental Health Parity Act does not mandate insurance coverage but rather focuses on ensuring parity in coverage for mental health conditions.

Correct Answer: C

Rationale: According to Freud, the superego is responsible for motivating an individual to seek perfection as it represents the internalized moral standards and ideals of society. It acts as the judge and enforcer of morality, pushing individuals to fulfill societal expectations and strive for perfection. The id, on the other hand, is driven by primal instincts and desires, seeking immediate gratification. The ego balances the demands of the id, superego, and reality. Choosing 'C: Superego' is correct as it aligns with Freud's theory of personality structure and the role of the superego in driving individuals towards perfection.

Correct Answer: A

Rationale: The correct answer is A. A patient-centered medical home is a model of healthcare delivery where all levels of mental and physical care are addressed by a team that coordinates with the broader health system. This approach emphasizes patient engagement, care coordination, and proactive management of health. Choice B is incorrect because it describes a more comprehensive healthcare system rather than specifically focusing on a patient-centered medical home. Choice C is incorrect because psychiatric services in the home do not encompass the full scope of care provided in a patient-centered medical home. Choice D is incorrect because it describes a multidisciplinary team working with patients in various settings, which is not exclusive to the patient-centered medical home model.

Correct Answer: D

Rationale: The correct answer is D: Generalized anxiety disorder. This is because the client is experiencing excessive anxiety and worry in response to various situations, along with difficulty controlling their worry. Generalized anxiety disorder is characterized by excessive and persistent worry about multiple events or activities. Panic disorder (choice A) involves sudden and intense episodes of fear or panic. Agoraphobia (choice B) involves fear or avoidance of situations where escape might be difficult. Separation anxiety disorder (choice C) is typically seen in children and involves excessive distress when separated from attachment figures.