A nurse says, I am the only one who truly understands this patient. Other staff members are too critical. The nurses statement indicates:

Correct Answer: A

Rationale: In this scenario, the correct answer is A) boundary blurring. The nurse's statement suggests that they have crossed professional boundaries by forming an overly close or exclusive relationship with the patient. This can be detrimental as it may lead to biased decision-making, compromised objectivity, and potential harm to the patient's overall care. Option B) sexual harassment is incorrect because the nurse's statement does not involve any form of sexual advances or inappropriate behavior. Option C) positive regard is incorrect as the nurse's statement does not necessarily imply a positive attitude towards the patient, but rather an inappropriate level of attachment. Option D) advocacy is incorrect because while the nurse may believe they are advocating for the patient, the statement reveals a problematic level of personal involvement that goes beyond professional boundaries. In an educational context, understanding the concept of boundary blurring is crucial in healthcare professions to maintain professionalism, ethical conduct, and quality patient care. Nurses and other healthcare providers must establish and maintain appropriate boundaries to uphold patient safety, trust, and confidentiality. Recognizing and addressing boundary issues is essential for fostering a healthy work environment and ensuring optimal outcomes for patients.

Correct Answer: C

Rationale: The working stage of group development begins as members begin to focus their attention on the purpose or task the group is trying to accomplish. The beginning stage of group development, or the initial stage, commences as soon as the group begins to meet. Members introduce themselves, a leader can be selected, the group purpose is discussed, and rules and expectations for group participation are reviewed. The final stage, or termination, of the group occurs before the group disbands. The work of the group is reviewed, with the focus on group accomplishments or growth of group members.

Correct Answer: D

Rationale: Behaviorism is a school of psychology that focuses on observable behaviors and what one can do externally to bring about behavior changes. It does not attempt to explain how the mind works. Behavior can be changed through a system of rewards and punishments. Practicing communication is a psychotherapy technique to improve interpersonal relationships. Use of medications is not grounded in behavioral perspective. Analyzing the reasons for the behavior is not grounded in behavioral perspective.

Correct Answer: B

Rationale: Managed care exerts cost-control measures such as recertification of admissions, utilization review, and case management—all of which have altered inpatient treatment significantly. There has been some progress in treatment options for mentally ill persons, but that is not the primary factor that has changed mental health inpatient hospital care. There is lesser stigma associated with mental illness, but that is not the primary factor that has changed mental health inpatient hospital care. In the 1980s, a typical psychiatric unit emphasized milieu therapy, which required long lengths of stay because clients with more stable conditions helped to provide structure and support for newly admitted clients with more acute conditions.

Correct Answer: A

Rationale: Two essential components of the transitional care discharge model are peer support and bridging staff. Peer support is provided by a consumer now living successfully in the community. Bridging staff refers to an overlap between hospital and community care—hospital staff do not terminate their therapeutic relationship with the client until a therapeutic relationship has been established with the community care provider. This model requires collaboration, administrative support, and adequate funding to effectively promote the patient's health and well-being and prevent relapse and rehospitalization. Poverty among people with mental illness is a significant barrier to maintaining housing. Mentally ill persons often rely on government entitlements for their income which forces people to have to choose continuation of the entitlement and dependence versus working inconsistently in unskilled, part-time, and low-paying jobs with no health insurance.