A nurse leads a psychoeducational group for patients in the community diagnosed with schizophrenia. A realistic outcome for group members is that they will

Correct Answer: A

Rationale: Patients with schizophrenia almost universally have problems associated with everyday living in the community, so discussing ways to manage the illness would be an important aspect of psychoeducation. Discussing concerns about daily life would be a goal to which each could relate. Developing trust and cohesion is desirable but is not the priority outcome of a psychoeducational group. Understanding unconscious motivation would not be addressed. Insight would be difficult for a patient with residual schizophrenia because of the tendency toward concrete thinking.

Correct Answer: B

Rationale: In cases of abuse and violence, the primary goal of crisis care is to restore safety and stability, making option B the correct answer. This goal is essential to ensure the well-being and security of the individual experiencing abuse. By restoring safety and stability, the individual can begin the healing process and work towards recovery. Option A, encouraging long-term dependency on support systems, is incorrect because the goal of crisis care is to empower individuals to become self-sufficient and resilient, rather than fostering dependency. Option C, promoting isolation from social networks, is also incorrect as social support is crucial in helping individuals recover from abuse. Isolating them would hinder their healing process. Option D, normalizing the abusive situation, is clearly incorrect as it goes against the fundamental principles of crisis intervention, which aim to identify, address, and prevent further abuse. Normalizing abuse would perpetuate the cycle of violence and harm the individual's well-being. In an educational context, understanding the primary goals of crisis care in cases of abuse and violence is crucial for healthcare professionals, especially those working in behavioral nursing. By choosing the correct intervention, they can effectively support individuals in crisis and contribute to their recovery and well-being.

Correct Answer: B

Rationale: The 1963 Community Mental Health Centers Act initiated the movement toward treating those with mental illness in a less restrictive environment. This legislation resulted in the shift of clients with mental illness from large state institutions to care based in the community. Answer choices A, C, and D were not purposes of the 1963 Community Mental Health Centers Act.

Correct Answer: B

Rationale: One of the Healthy People 2020 objectives is to increase the number of people who are identified, diagnosed, treated, and helped to live healthier lives. It may not be possible to decrease the incidence of mental illness. At this time, the focus is on ensuring that persons with mental illness are receiving needed treatment. It may not be possible or desirable to provide mental health services only in the community.

Correct Answer: B

Rationale: The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help patients with medical as well as mental health problems, reflecting the holistic perspective these nurses must have. Nurse-patient ratios and workloads in psychiatric settings have increased, just like other specialties. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial pain and suffering are as real as physical pain and suffering.