A nursing student is presenting a discussion of the history of psychiatric-mental health nursing and its place within nursing history. Which of the following would be most appropriate to include?

Correct Answer: C

Rationale: The correct answer is C because there is a historical link between the first nursing program to admit male students and the first training school for psychiatric nursing. This is important to include in a discussion of the history of psychiatric-mental health nursing as it highlights the progressive nature of nursing education and the integration of male nurses into psychiatric nursing. This connection showcases the evolution of psychiatric nursing training and its significance within the broader history of nursing education. Choices A, B, and D are incorrect: A: Certification for the psychiatric-mental health nursing specialty was not first emphasized by Mary Adelaide Nutting. This statement does not align with the historical development of psychiatric nursing education. B: Psychiatric nurses' role in deinstitutionalization and community mental health centers is not directly related to the history of psychiatric-mental health nursing education, making this choice irrelevant. D: The establishment of the first graduate program in psychiatric nursing in response to psychiatric nursing specialty journals is not historically accurate, as the first training school for psychiatric nursing

Correct Answer: D

Rationale: The correct answer is D: Catastrophic reactions. In a client with Alzheimer's disease, catastrophic reactions can occur when they are overwhelmed or unable to cope with a situation. These reactions can lead to outbursts or extreme emotional responses. It is important to prioritize assessing and managing catastrophic reactions to ensure the safety and well-being of the client and others. Hearing deficits (choice A) may contribute to communication difficulties but are not as urgent as managing catastrophic reactions. Mania (choice B) and strange verbalizations (choice C) are not typically associated with Alzheimer's disease without delirium and are less concerning compared to potential catastrophic reactions.

Correct Answer: C

Rationale: Rationale: 1. Bibliotherapy involves using written materials to help individuals understand and cope with emotional issues. 2. In this scenario, having the family read short stories written by parents of children with chronic illnesses can provide emotional support and guidance. 3. Psychoeducation focuses on educating individuals about their condition, not necessarily providing emotional support. 4. Social skills training and assertiveness training focus on developing specific skills, which are not the primary goal in this case.

Correct Answer: D

Rationale: The correct answer is D because confronting the staff member and reporting concerns to a supervisor immediately is crucial for addressing the issue promptly and ensuring patient safety. This approach allows for professional intervention and support. Choice A is incorrect as it may compromise patient care. Choice B may enable the behavior and is not a professional response. Choice C could be appropriate, but immediate action is needed to address the potential risk to patients and the staff member.

Correct Answer: B

Rationale: The correct answer is B: the use of involuntary treatment and the potential infringement on personal freedoms. This is because the controversy surrounding psychiatry often involves ethical concerns related to involuntary treatment, such as issues of patient autonomy and civil rights. Involuntary treatment raises questions about the balance between the individual's right to refuse treatment and the need for intervention in cases of severe mental illness. Choice A is incorrect because there is not universal agreement on the efficacy of psychiatric medications across all populations, with debates about effectiveness, side effects, and long-term outcomes. Choice C is incorrect as ethical dilemmas do exist in psychiatric practices, such as confidentiality, informed consent, and conflicts of interest. Choice D is incorrect as psychiatric diagnoses are not always aligned with physical health conditions, and the distinction between mental and physical health is a key aspect of psychiatric practice.