A nurse is assessing an older adult client. Which of the following would the nurse interpret as most indicative of mental health and wellness?

Correct Answer: B

Rationale: The correct answer is B because interacting with others in the environment is a key indicator of mental health and wellness in older adults. Social interaction promotes cognitive function, emotional well-being, and overall quality of life. It helps prevent isolation and depression. Choice A is incorrect as minimal social contacts can lead to feelings of loneliness and isolation. Choice C is incorrect because relying solely on family for assistance may indicate limited social support network. Choice D is incorrect because experiencing bereavement is a normal part of life and does not necessarily indicate mental health and wellness.

Correct Answer: A

Rationale: The correct answer is A: Coronary heart disease. Suppressed anger is linked to conditions like hypertension and arthritis due to the negative impact on the body from unexpressed emotions. However, coronary heart disease is more closely associated with chronic stress, unhealthy lifestyle choices, and genetic factors rather than suppressed anger. Therefore, the nursing students need additional study to understand the specific correlation between suppressed anger and coronary heart disease.

Correct Answer: C

Rationale: The correct answer is C: Assessment. In the continuum of care, assessment is the first step as it involves gathering information about the patient's condition and needs. This information guides the subsequent decisions and interventions. Referral (choice A) comes after assessment, when specialized care is needed. Transfer (choice B) occurs if the patient needs to move to a different facility or level of care. Discharge planning (choice D) is the final step, ensuring a smooth transition out of the care setting. Therefore, assessment is the initial and crucial step in the continuum of care.

Correct Answer: D

Rationale: The correct answer is D because NGRI clients are treated in a hospital setting due to their mental illness, and their discharge is determined by the courts based on their mental state at that time. GBMI clients, on the other hand, are usually treated in a hospital setting but their discharge is typically handled through the correctional system, not the courts. Therefore, D is the most appropriate choice as it accurately distinguishes the discharge process for NGRI clients from GBMI clients. Choices A, B, and C are incorrect because they do not accurately depict the differences in treatment and discharge processes between NGRI and GBMI clients.

Correct Answer: B

Rationale: The correct answer is B: Case manager. The nurse acted as a case manager by coordinating and scheduling activities for the patient based on the input from different professionals involved in the patient's care. The nurse's role in this scenario was to ensure that all aspects of the patient's care were organized and managed effectively. A: Advocate - While the nurse may advocate for the patient's needs, in this scenario, the nurse's primary role was to coordinate care rather than advocate for a specific outcome. C: Milieu manager - This role involves managing the therapeutic environment, which is not directly related to scheduling activities for the patient. D: Provider of care - In this scenario, the nurse was not providing direct care to the patient but rather coordinating care provided by other healthcare professionals.

Correct Answer: D

Rationale: The correct answer is D: Integrating mental and physical health in one setting. This approach ensures that individuals with SMI receive holistic care addressing both their mental and physical health needs simultaneously. By having mental health professionals collaborate with medical providers in one setting, communication barriers are reduced, leading to more effective treatment. This integrated approach also helps in better coordination of care and ensures that all aspects of the individual's health are considered. Choice A (Seeking medical attention at the emergency department) is incorrect because it does not address the long-term need for integrated care for individuals with SMI. Choice B (Having a community clinic in the area where the SMI live) might help with accessibility but does not guarantee the integration of mental and physical health services. Choice C (Medicating the patient before a medical examination) is inappropriate as it does not address the underlying issue of healthcare disparity for individuals with SMI.

Correct Answer: A

Rationale: The correct answer is A: It is episodic in nature. Schizoaffective disorder is characterized by a combination of schizophrenia symptoms and mood disorder symptoms. One key difference between schizoaffective disorder and schizophrenia is that schizoaffective disorder is episodic, meaning the individual experiences periods of mood symptoms alongside psychotic symptoms. This episodic nature distinguishes it from schizophrenia, where symptoms are typically more continuous. Choices B, C, and D are incorrect as they do not accurately reflect a defining characteristic of schizoaffective disorder. Schizoaffective disorder can still involve difficulties with self-care, severe hallucinations, and a high risk of suicide, so these options are not specific enough to differentiate it from schizophrenia.

Correct Answer: B

Rationale: The correct answer is B: Empowerment. Empowerment refers to the level of choice, influence, and control that users of mental health services can exercise over events in their lives. It involves empowering individuals to make decisions and take actions that enhance their well-being. Emotional regulation (A) refers to the ability to manage and control emotions. Mutual negotiation (C) involves reaching agreements through discussion and compromise. Self-determination (D) is the right of individuals to make choices about their own lives. However, empowerment specifically focuses on giving individuals the ability to exert influence and control over their circumstances, making it the most appropriate term in this context.

Correct Answer: A

Rationale: Rationale: Option A is correct because it focuses on the client's cognitive ability, crucial for giving informed consent. This question ensures the client understands the risks and benefits of disulfiram. Option B is incorrect as adherence is not directly related to informed consent. Option C is incorrect as it shifts focus to liability rather than the client's understanding. Option D is incorrect as it pertains to the least restrictive means of care, not specifically informed consent.