A nursing instructor is explaining the concept of the continuum of care to a group of students. Which of the following would the nurse include in this description?

Correct Answer: D

Rationale: The correct answer is D because the continuum of care refers to a seamless and integrated system that spans from illness to wellness states. This means that care is provided across different levels, from prevention to acute care to rehabilitation. This approach ensures that patients receive comprehensive care tailored to their needs at every stage of their health journey. Choice A, care provided in episodic intervals, is incorrect because the continuum of care is continuous and not fragmented into separate episodes. Choice B, a system of care that focuses primarily on wellness, is incorrect as it does not capture the comprehensive nature of the continuum of care, which includes all stages of health and illness. Choice C, a single organization as responsible for care delivery, is incorrect because the continuum of care involves coordination and collaboration among multiple healthcare providers and settings to ensure holistic care.

Correct Answer: D

Rationale: The correct answer is D because it shows the patient's willingness to address their issues and actively seek solutions. This indicates a transition to the working phase where the patient is ready to engage in problem-solving and therapeutic work. Choice A indicates denial or reluctance to open up about problems. Choice B suggests difficulty in expressing emotions. Choice C reflects skepticism about the therapeutic process.

Correct Answer: A

Rationale: The correct answer is A because inpatient hospitalization for mental illness is typically reserved for patients who present a clear danger to themselves or others. This criterion ensures the safety of the individual and those around them. Patients who pose a risk require immediate intervention and close monitoring in a controlled environment to prevent harm. Choices B, C, and D are incorrect because noncompliance with medication, limited support systems, or developing new symptoms may not necessarily warrant inpatient hospitalization unless they lead to a clear danger to self or others. It is crucial to prioritize safety and address imminent risks in determining the need for inpatient care.

Correct Answer: D

Rationale: The correct answer is D because the continuum of care refers to a seamless and integrated system that spans from illness to wellness states. This means that care is provided across different levels, from prevention to acute care to rehabilitation. This approach ensures that patients receive comprehensive care tailored to their needs at every stage of their health journey. Choice A, care provided in episodic intervals, is incorrect because the continuum of care is continuous and not fragmented into separate episodes. Choice B, a system of care that focuses primarily on wellness, is incorrect as it does not capture the comprehensive nature of the continuum of care, which includes all stages of health and illness. Choice C, a single organization as responsible for care delivery, is incorrect because the continuum of care involves coordination and collaboration among multiple healthcare providers and settings to ensure holistic care.

Correct Answer: C

Rationale: The correct answer is C because describing vivid 'flashbacks' of being attacked is a defining behavior of PTSD according to the DSM-5 criteria. This symptom is specific to PTSD and indicates re-experiencing of the traumatic event. Choice A is not specific to PTSD and can occur in other conditions. Choice B is more related to mood disorders than PTSD. Choice D is more indicative of a need to disclose the trauma, which is common but not a defining behavior of PTSD.