A psychiatric-mental health nurse is preparing a presentation about recovery for a group of newly hired nurses for the mental health facility. Which of the following would the nurse identify as one of the most important concepts?

Correct Answer: D

Rationale: The correct answer is D: Hope. Hope is crucial in the recovery process as it motivates individuals to strive for a better future despite challenges. It instills optimism and belief in one's ability to overcome difficulties, which is essential in mental health recovery. Self-direction (A) and peer support (B) are important aspects of recovery but hope is foundational. Respect (C) is valuable but does not encompass the essence of fostering motivation and resilience like hope does in the recovery journey.

Correct Answer: C

Rationale: The correct answer is C: Psychoeducation. In an anger management group, the focus is on providing information and teaching strategies to help individuals understand and manage their anger effectively. This aligns with the concept of psychoeducation, which aims to educate individuals about their condition and equip them with skills to cope with it. A: Psychotherapy typically involves more in-depth exploration of underlying issues and emotions, which may not be the primary focus in an anger management group. B: Self-help usually refers to individuals independently seeking resources or support outside of a structured group setting. D: Supportive therapy focuses on providing emotional support rather than specific education or skill-building related to anger management.

Correct Answer: B

Rationale: The correct answer is B because older adults are more likely to experience adverse reactions due to physiological changes that affect drug metabolism and elimination. Aging can lead to decreased organ function, altered drug distribution, and increased sensitivity to medications. This increased risk for adverse reactions is a key consideration when discussing polypharmacy in older adults. Choice A is incorrect because the focus is on drug abuse, which is not the main concern when discussing polypharmacy in older adults. Choice C is incorrect because medications are typically started at lower doses and adjusted as needed to minimize adverse effects. Choice D is incorrect because age-related pharmacokinetic changes can actually reduce drug effectiveness or increase the risk of toxicity, rather than enhance therapeutic effectiveness.

Correct Answer: A

Rationale: Rationale: Choice A is incorrect because signing the commitment to treatment statement does not guarantee that the patient will not commit suicide. The correct answer is D, as it aligns with the purpose of the commitment statement, which is to agree to participate in necessary treatment. Choice B is incorrect as it focuses on emergency treatment only. Choice C is incorrect as it does not address the commitment to treatment itself. Therefore, the patient needs additional instruction to understand the purpose of the commitment statement is to participate in necessary treatment, not to prevent suicide.

Correct Answer: C

Rationale: Step-by-step rationale: 1. Fine hand tremor is a common side effect of lithium. 2. Assisting the client in minimizing exposure to stressors is most appropriate as stress can exacerbate tremors. 3. Stress management can help reduce tremors without needing to adjust medication dosage. 4. Obtaining blood drug level is not necessary for managing tremors. 5. Taking medication with meals or elevating hand would not directly address the underlying cause of tremors.