A patient is being discharged from the psychiatric unit this afternoon, and the nurse needs to teach the patient about discharge medications. The patient is exhibiting signs of moderate anxiety about the upcoming discharge. Based on Peplau's views regarding anxiety, the nurse would expect to implement the teaching plan at which time?

Correct Answer: B

Rationale: The correct answer is B: When his anxiety decreases to a mild level. According to Peplau, anxiety can be a driving force for learning and growth. When anxiety is at a moderate level, it indicates a level of readiness for learning. Implementing the teaching plan when the patient's anxiety decreases to a mild level ensures that the patient is still motivated to learn and engage in the teaching process. Waiting until the anxiety stabilizes (option A) may lead to missed opportunities for effective teaching. Expecting the patient to be completely free of anxiety (option C) is unrealistic and may delay the teaching process. Waiting until the patient's anxiety escalates to the panic level (option D) would not be conducive to effective learning as it may impair the patient's ability to process and retain information.

Correct Answer: C

Rationale: The correct answer is C: Working phase. During the working phase of group development, members engage in tasks and work towards achieving the group's goals. In this scenario, the nurse indicating that the group will be focusing on expressing conflicts aligns with the working phase, where members actively participate in discussions and address issues within the group dynamic. This phase is characterized by increased cohesion and collaboration among members. A: Planning (formation) phase - This phase involves the initial formation of the group and setting goals. It is focused on getting to know each other and establishing structure, not specifically addressing conflicts. B: Orientation phase - This phase involves introductions and setting norms. While conflicts may arise during this phase as members adjust, the primary focus is on establishing roles and expectations. D: Termination phase - This phase marks the end of the group, where members reflect on their experiences. It is not the phase for actively addressing conflicts within the group.

Correct Answer: B

Rationale: The correct answer is B because missing Alcoholics Anonymous meetings can indicate a potential relapse for the patient, posing a significant risk to their mental health. Attending regular meetings is crucial for maintaining sobriety and managing mental illness. Option A is not a priority as the patient's financial situation is stable. Option C is not an immediate concern as living with other patients in partial hospitalization programs may provide support. Option D, while important for the patient's emotional well-being, does not present an immediate risk that requires priority intervention.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates a mentally healthy perspective by showing willingness to take responsibility for one's actions and make positive changes for the benefit of the family. This reflects self-awareness, accountability, and a proactive approach to improving relationships. Choice A acknowledges personal mistakes but lacks commitment to change. Choice B reminisces about the past without addressing present conflicts. Choice D shows avoidance and resignation, lacking effort to address underlying issues. Therefore, choice C is the best option for promoting mental health and resolving family conflicts.

Correct Answer: A

Rationale: The correct answer is A because it reflects the cognitive triad, a concept in cognitive therapy. The patient is displaying negative beliefs about themselves (I always mess things up), the world (my whole world is a mess), and the future (my future will be a big mess). This pattern of negative thinking about oneself, the world, and the future is characteristic of the cognitive triad. Choice B is incorrect because it describes someone else (the sister) and does not reflect the patient's negative self-view. Choice C is incorrect as it describes the bosses and not the patient's own thoughts. Choice D is incorrect as it refers to a superstitious belief about bad things happening in threes, which is unrelated to the cognitive triad.